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10.15585/mmwr.mm6921e1

http://scihub22266oqcxt.onion/10.15585/mmwr.mm6921e1
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C7269604!7269604 !32463809
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suck abstract from ncbi


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pmid32463809
      MMWR+Morb+Mortal+Wkly+Rep 2020 ; 69 (21 ): 651-655
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  • Universal and Serial Laboratory Testing for SARS-CoV-2 at a Long-Term Care Skilled Nursing Facility for Veterans - Los Angeles, California, 2020 #MMPMID32463809
  • Dora AV ; Winnett A ; Jatt LP ; Davar K ; Watanabe M ; Sohn L ; Kern HS ; Graber CJ ; Goetz MB
  • MMWR Morb Mortal Wkly Rep 2020[May]; 69 (21 ): 651-655 PMID32463809 show ga
  • On March 28, 2020, two residents of a long-term care skilled nursing facility (SNF) at the Veterans Affairs Greater Los Angeles Healthcare System (VAGLAHS) had positive test results for SARS-CoV-2, the cause of coronavirus disease 2019 (COVID-19), by reverse transcription-polymerase chain reaction (RT-PCR) testing of nasopharyngeal specimens collected on March 26 and March 27. During March 29-April 23, all SNF residents, regardless of symptoms, underwent serial (approximately weekly) nasopharyngeal SARS-CoV-2 RT-PCR testing, and positive results were communicated to the county health department. All SNF clinical and nonclinical staff members were also screened for SARS-CoV-2 by RT-PCR during March 29-April 10. Nineteen of 99 (19%) residents and eight of 136 (6%) staff members had positive test results for SARS-CoV-2 during March 28-April 10; no further resident cases were identified on subsequent testing on April 13, April 22, and April 23. Fourteen of the 19 residents with COVID-19 were asymptomatic at the time of testing. Among these residents, eight developed symptoms 1-5 days after specimen collection and were later classified as presymptomatic; one of these patients died. This report describes an outbreak of COVID-19 in an SNF, with case identification accomplished by implementing several rounds of RT-PCR testing, permitting rapid isolation of both symptomatic and asymptomatic residents with COVID-19. The outbreak was successfully contained following implementation of this strategy.
  • |*Skilled Nursing Facilities [MESH]
  • |*Veterans Health Services [MESH]
  • |Aged [MESH]
  • |Aged, 80 and over [MESH]
  • |Betacoronavirus/*isolation & purification [MESH]
  • |COVID-19 [MESH]
  • |COVID-19 Testing [MESH]
  • |Clinical Laboratory Techniques/*methods [MESH]
  • |Coronavirus Infections/*diagnosis/epidemiology/*prevention & control [MESH]
  • |Disease Outbreaks/*prevention & control [MESH]
  • |Female [MESH]
  • |Humans [MESH]
  • |Long-Term Care [MESH]
  • |Los Angeles/epidemiology [MESH]
  • |Male [MESH]
  • |Pandemics/*prevention & control [MESH]
  • |Pneumonia, Viral/*diagnosis/epidemiology/*prevention & control [MESH]
  • |Reverse Transcriptase Polymerase Chain Reaction [MESH]
  • |SARS-CoV-2 [MESH]


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