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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 MMWR+Morb+Mortal+Wkly+Rep
2020 ; 69
(21
): 651-655
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
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]