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10.15585/mmwr.mm6927e1

http://scihub22266oqcxt.onion/10.15585/mmwr.mm6927e1
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suck abstract from ncbi


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pmid32644985      MMWR+Morb+Mortal+Wkly+Rep 2020 ; 69 (27): 882-886
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  • Initial and Repeated Point Prevalence Surveys to Inform SARS-CoV-2 Infection Prevention in 26 Skilled Nursing Facilities - Detroit, Michigan, March-May 2020 #MMPMID32644985
  • Sanchez GV; Biedron C; Fink LR; Hatfield KM; Polistico JMF; Meyer MP; Noe RS; Copen CE; Lyons AK; Gonzalez G; Kiama K; Lebednick M; Czander BK; Agbonze A; Surma AR; Sandhu A; Mika VH; Prentiss T; Zervos J; Dalal DA; Vasquez AM; Reddy SC; Jernigan J; Kilgore PE; Zervos MJ; Chopra T; Bezold CP; Rehman NK
  • MMWR Morb Mortal Wkly Rep 2020[Jul]; 69 (27): 882-886 PMID32644985show ga
  • Skilled nursing facilities (SNFs) are focal points of the coronavirus disease 2019 (COVID-19) pandemic, and asymptomatic infections with SARS-CoV-2, the virus that causes COVID-19, among SNF residents and health care personnel have been described (1-3). Repeated point prevalence surveys (serial testing of all residents and health care personnel at a health care facility irrespective of symptoms) have been used to identify asymptomatic infections and have reduced SARS-CoV-2 transmission during SNF outbreaks (1,3). During March 2020, the Detroit Health Department and area hospitals detected a sharp increase in COVID-19 diagnoses, hospitalizations, and associated deaths among SNF residents. The Detroit Health Department collaborated with local government, academic, and health care system partners and a CDC field team to rapidly expand SARS-CoV-2 testing and implement infection prevention and control (IPC) activities in all Detroit-area SNFs. During March 7-May 8, among 2,773 residents of 26 Detroit SNFs, 1,207 laboratory-confirmed cases of COVID-19 were identified during three periods: before (March 7-April 7) and after two point prevalence surveys (April 8-25 and April 30-May 8): the overall attack rate was 44%. Within 21 days of receiving their first positive test results, 446 (37%) of 1,207 COVID-19 patients were hospitalized, and 287 (24%) died. Among facilities participating in both surveys (n = 12), the percentage of positive test results declined from 35% to 18%. Repeated point prevalence surveys in SNFs identified asymptomatic COVID-19 cases, informed cohorting and IPC practices aimed at reducing transmission, and guided prioritization of health department resources for facilities experiencing high levels of SARS-CoV-2 transmission. With the increased availability of SARS-CoV-2 testing, repeated point prevalence surveys and enhanced and expanded IPC support should be standard tools for interrupting and preventing COVID-19 outbreaks in SNFs.
  • |*Skilled Nursing Facilities[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |COVID-19[MESH]
  • |COVID-19 Testing[MESH]
  • |Clinical Laboratory Techniques/*methods[MESH]
  • |Coronavirus Infections/diagnosis/epidemiology/*prevention & control[MESH]
  • |Humans[MESH]
  • |Infection Control/*methods[MESH]
  • |Mass Screening/*methods[MESH]
  • |Michigan/epidemiology[MESH]
  • |Middle Aged[MESH]
  • |Pandemics/*prevention & control[MESH]
  • |Pneumonia, Viral/epidemiology/*prevention & control[MESH]


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