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10.1016/j.bjid.2021.101570

http://scihub22266oqcxt.onion/10.1016/j.bjid.2021.101570
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suck abstract from ncbi


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pmid33773990      Braz+J+Infect+Dis 2021 ; 25 (2): 101570
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  • Efficacy of COVID-19 outbreak management in a skilled nursing facility based on serial testing for early detection and control #MMPMID33773990
  • Garibaldi PMM; Ferreira NN; Moraes GR; Moura JC; Esposito DLA; Volpe GJ; Calado RT; Fonseca BAL; Borges MC
  • Braz J Infect Dis 2021[Mar]; 25 (2): 101570 PMID33773990show ga
  • SARS-CoV-2 has a high risk of outbreak in long-term skilled nursing facilities (SNF). Coronavirus disease (COVID-19) has high mortality rates among the elderly with chronic health conditions. Following identification of COVID-19 index case in a SNF, serial point-prevalence was implemented with reverse transcription-polymerase chain reaction (RT-PCR) and immunochromatographic assays. Active surveillance and early isolation of infected patients were implemented. Out of 23 SNF residents and 26 healthcare workers (HCW), 18 (78%) and 12 (46%) tested positive for SARS-CoV-2, respectively. High proportion (38%) of positive patients were asymptomatic and RT-PCR was positive up to six days before symptoms. Five (21.74%) residents were hospitalized with COVID-19, and 2 (9%) died; only 1 (4%) HCW needed to be hospitalized and no staff members died. Active surveillance helped COVID-19 control and management in a SNF. Testing symptomatic individuals only may fail to identify and isolate all persons contributing to transmission. In high-risk elderly, only symptoms screening may not be enough for outbreak control.
  • |*COVID-19[MESH]
  • |*Skilled Nursing Facilities[MESH]
  • |Aged[MESH]
  • |Disease Outbreaks[MESH]
  • |Humans[MESH]
  • |Mass Screening[MESH]


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