Initial and Repeated Point Prevalence Surveys to Inform SARS-CoV-2 Infection Prevention in 26 Skilled Nursing Facilities — Detroit, Michigan, March–May 2020

Sánchez, Guillermo; Biedron, Caitlin; Fink, Lauren R.; Hatfield, Kelly M; Polistico, Jordan; Meyer, Monica P.; Noe, Rebecca S.; Copen, Casey E; Lyons, Amanda K; Gonzalez, Gonzalo; Kiama, Keith; Lebednick, Mark; Czander, Bonnie K.; Agbonze, Amen; Surma, Aimee R.; Sandhu, Avnish; Mika, Valerie; Prentiss, Tyler; Zervos, John; Dalal, Donia; Vasquez, Amber; Reddy, Sujan; Jernigan, John A.; Kilgore, Paul E.; Zervos, Marcus J.; Chopra, Teena; Bezold, Carla; Rehman, Najibah

doi:10.15585/mmwr.mm6927e1

Cited by 56 publications

(68 citation statements)

References 5 publications

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“…Multiple studies suggest that point prevalence surveys in nursing homes can identify asymptomatic COVID-19 cases, inform infection control practices, the need for isolation, and guide prioritization of local health department resources. [42][43][44][45] Unidentified cases are more commonly found in facilities that already have at least one known positive test. 45 Experienced nursing home clinicians and medical administrators advocate for frequent testing of staff.…”

Section: Public Healthmentioning

confidence: 99%

COVID‐19 in Nursing Homes: Calming the Perfect Storm

Ouslander

Grabowski

2020

J American Geriatrics Society

283

269

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The pandemic of viral infection with the severe acute respiratory syndrome coronavirus-2 that causes COVID-19 disease has put the nursing home industry in crisis. The combination of a vulnerable population that manifests nonspecific and atypical presentations of COVID-19, staffing shortages due to viral infection, inadequate resources for and availability of rapid, accurate testing and personal protective equipment, and lack of effective treatments for COVID-19 among nursing home residents have created a "perfect storm" in our countryʼs nursing homes. This perfect storm will continue as society begins to reopen, resulting in more infections among nursing home staff and clinicians who acquire the virus outside of work, remain asymptomatic, and unknowingly perpetuate the spread of the virus in their workplaces. Because of the elements of the perfect storm, nursing homes are like a tinderbox, and it only takes one person to start a fire that could cause many deaths in a single facility. Several public health interventions and health policy strategies, adequate resources, and focused clinical quality improvement initiatives can help calm the storm. The saddest part of this perfect storm is that many years of inaction on the part of policy makers contributed to its impact. We now have an opportunity to improve nursing homes to protect residents and their caregivers ahead of the next storm. It is time to reimagine how we pay for and regulate nursing home care to achieve this goal.

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Section: Public Healthmentioning

confidence: 99%

COVID‐19 in Nursing Homes: Calming the Perfect Storm

Ouslander

Grabowski

2020

J American Geriatrics Society

283

269

View full text Add to dashboard Cite

show abstract

“…During March-May 2020 in Fulton County, Georgia, >50% of COVID-19-associated deaths occurred among LTCF residents, although these persons represented <1% of the population (3,4). Mass testing for SARS-CoV-2 has been an effective strategy for identifying asymptomatic and presymptomatic infections in LTCFs (5). This analysis sought to evaluate the timing at which mass testing took place in relation to the known presence of a COVID-19 infection and the resulting number of infections that occurred.…”

mentioning

confidence: 99%

Preventing COVID-19 Outbreaks in Long-Term Care Facilities Through Preemptive Testing of Residents and Staff Members — Fulton County, Georgia, March–May 2020

Telford¹,

Onwubiko²,

Holland³

et al. 2020

MMWR Morb. Mortal. Wkly. Rep.

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“…Repeated testing in NHs may also be useful. 4,6 Sunil Parikh, MD, MPH Kevin O'Laughlin, MD Hanna Y. Ehrlich, MPhil Lauren Campbell, BS Adora Harizaj, MPH Amanda Durante, PhD Vivian Leung, MD…”

mentioning

confidence: 99%

Point Prevalence Testing of Residents for SARS-CoV-2 in a Subset of Connecticut Nursing Homes

Parikh

O’Laughlin

Ehrlich

et al. 2020

JAMA

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The first case of coronavirus disease 2019 (COVID-19) in Connecticut was reported in a nursing home (NH) on March 15, 2020. Within the next 2 months, 80.0% of Connecticut's 215 NHs reported at least 1 case of COVID-19, accounting for 61.6% of COVID-19 deaths in the state. 1 Residents were initially tested for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) only if symptomatic, as per recommendations from the Centers for Disease Control and Prevention. In early May, NHs were prioritized and selected for point prevalence surveys to provide a baseline for residents not previously identified as infected. We describe the results of these surveys in a targeted subset of Connecticut NHs between May 2 and 19, 2020.

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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

Cited by 56 publications

References 5 publications

COVID‐19 in Nursing Homes: Calming the Perfect Storm

COVID‐19 in Nursing Homes: Calming the Perfect Storm

Preventing COVID-19 Outbreaks in Long-Term Care Facilities Through Preemptive Testing of Residents and Staff Members — Fulton County, Georgia, March–May 2020

Point Prevalence Testing of Residents for SARS-CoV-2 in a Subset of Connecticut Nursing Homes

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