Transmission of SARS-CoV-2 Involving Residents Receiving Dialysis in a Nursing Home - Maryland, April 2020.
Identifieur interne : 000110 ( Main/Exploration ); précédent : 000109; suivant : 000111Transmission of SARS-CoV-2 Involving Residents Receiving Dialysis in a Nursing Home - Maryland, April 2020.
Auteurs : Benjamin F. Bigelow ; Olive Tang ; Gregory R. Toci ; Norberth Stracker ; Fatima Sheikh ; Kara M. Jacobs Slifka ; Shannon A. Novosad ; John A. Jernigan ; Sujan C. Reddy ; Morgan J. KatzSource :
- MMWR. Morbidity and mortality weekly report [ 1545-861X ] ; 2020.
Descripteurs français
- KwdFr :
- Dialyse (effets indésirables), Humains (MeSH), Infections à coronavirus (transmission), Infections à coronavirus (épidémiologie), Maisons de repos (MeSH), Maryland (épidémiologie), Pandémies (MeSH), Pneumopathie virale (transmission), Pneumopathie virale (épidémiologie), Sujet âgé (MeSH), Épidémies de maladies (MeSH).
- MESH :
- effets indésirables : Dialyse.
- épidémiologie : Infections à coronavirus, Maryland, Pneumopathie virale.
- Humains, Maisons de repos, Pandémies, Sujet âgé, Épidémies de maladies.
English descriptors
- KwdEn :
- MESH :
- geographic , epidemiology : Maryland.
- adverse effects : Dialysis.
- epidemiology : Coronavirus Infections, Pneumonia, Viral.
- transmission : Coronavirus Infections, Pneumonia, Viral.
- Aged, Disease Outbreaks, Humans, Nursing Homes, Pandemics.
Abstract
SARS-CoV-2, the virus that causes coronavirus disease 2019 (COVID-19), can spread rapidly in nursing homes once it is introduced (1,2). To prevent outbreaks, more data are needed to identify sources of introduction and means of transmission within nursing homes. Nursing home residents who receive hemodialysis (dialysis) might be at higher risk for SARS-CoV-2 infections because of their frequent exposures outside the nursing home to both community dialysis patients and staff members at dialysis centers (3). Investigation of a COVID-19 outbreak in a Maryland nursing home (facility A) identified a higher prevalence of infection among residents undergoing dialysis (47%; 15 of 32) than among those not receiving dialysis (16%; 22 of 138) (p<0.001). Among residents with COVID-19, the 30-day hospitalization rate among those receiving dialysis (53%) was higher than that among residents not receiving dialysis (18%) (p = 0.03); the proportion of dialysis patients who died was 40% compared with those who did not receive dialysis (27%) (p = 0.42).Careful consideration of infection control practices throughout the dialysis process (e.g., transportation, time spent in waiting areas, spacing of machines, and cohorting), clear communication between nursing homes and dialysis centers, and coordination of testing practices between these sites are critical to preventing COVID-19 outbreaks in this medically vulnerable population.
DOI: 10.15585/mmwr.mm6932e4
PubMed: 32790661
PubMed Central: PMC7440122
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Toci</name></author><author><name sortKey="Stracker, Norberth" sort="Stracker, Norberth" uniqKey="Stracker N" first="Norberth" last="Stracker">Norberth Stracker</name></author><author><name sortKey="Sheikh, Fatima" sort="Sheikh, Fatima" uniqKey="Sheikh F" first="Fatima" last="Sheikh">Fatima Sheikh</name></author><author><name sortKey="Jacobs Slifka, Kara M" sort="Jacobs Slifka, Kara M" uniqKey="Jacobs Slifka K" first="Kara M" last="Jacobs Slifka">Kara M. Jacobs Slifka</name></author><author><name sortKey="Novosad, Shannon A" sort="Novosad, Shannon A" uniqKey="Novosad S" first="Shannon A" last="Novosad">Shannon A. Novosad</name></author><author><name sortKey="Jernigan, John A" sort="Jernigan, John A" uniqKey="Jernigan J" first="John A" last="Jernigan">John A. Jernigan</name></author><author><name sortKey="Reddy, Sujan C" sort="Reddy, Sujan C" uniqKey="Reddy S" first="Sujan C" last="Reddy">Sujan C. 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Bigelow</name></author><author><name sortKey="Tang, Olive" sort="Tang, Olive" uniqKey="Tang O" first="Olive" last="Tang">Olive Tang</name></author><author><name sortKey="Toci, Gregory R" sort="Toci, Gregory R" uniqKey="Toci G" first="Gregory R" last="Toci">Gregory R. Toci</name></author><author><name sortKey="Stracker, Norberth" sort="Stracker, Norberth" uniqKey="Stracker N" first="Norberth" last="Stracker">Norberth Stracker</name></author><author><name sortKey="Sheikh, Fatima" sort="Sheikh, Fatima" uniqKey="Sheikh F" first="Fatima" last="Sheikh">Fatima Sheikh</name></author><author><name sortKey="Jacobs Slifka, Kara M" sort="Jacobs Slifka, Kara M" uniqKey="Jacobs Slifka K" first="Kara M" last="Jacobs Slifka">Kara M. Jacobs Slifka</name></author><author><name sortKey="Novosad, Shannon A" sort="Novosad, Shannon A" uniqKey="Novosad S" first="Shannon A" last="Novosad">Shannon A. Novosad</name></author><author><name sortKey="Jernigan, John A" sort="Jernigan, John A" uniqKey="Jernigan J" first="John A" last="Jernigan">John A. Jernigan</name></author><author><name sortKey="Reddy, Sujan C" sort="Reddy, Sujan C" uniqKey="Reddy S" first="Sujan C" last="Reddy">Sujan C. Reddy</name></author><author><name sortKey="Katz, Morgan J" sort="Katz, Morgan J" uniqKey="Katz M" first="Morgan J" last="Katz">Morgan J. Katz</name></author></analytic><series><title level="j">MMWR. Morbidity and mortality weekly report</title><idno type="eISSN">1545-861X</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged (MeSH)</term><term>Coronavirus Infections (epidemiology)</term><term>Coronavirus Infections (transmission)</term><term>Dialysis (adverse effects)</term><term>Disease Outbreaks (MeSH)</term><term>Humans (MeSH)</term><term>Maryland (epidemiology)</term><term>Nursing Homes (MeSH)</term><term>Pandemics (MeSH)</term><term>Pneumonia, Viral (epidemiology)</term><term>Pneumonia, Viral (transmission)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Dialyse (effets indésirables)</term><term>Humains (MeSH)</term><term>Infections à coronavirus (transmission)</term><term>Infections à coronavirus (épidémiologie)</term><term>Maisons de repos (MeSH)</term><term>Maryland (épidémiologie)</term><term>Pandémies (MeSH)</term><term>Pneumopathie virale (transmission)</term><term>Pneumopathie virale (épidémiologie)</term><term>Sujet âgé (MeSH)</term><term>Épidémies de maladies (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Maryland</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Dialysis</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Dialyse</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Coronavirus Infections</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="transmission" xml:lang="en"><term>Coronavirus Infections</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Infections à coronavirus</term><term>Maryland</term><term>Pneumopathie virale</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Disease Outbreaks</term><term>Humans</term><term>Nursing Homes</term><term>Pandemics</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Humains</term><term>Maisons de repos</term><term>Pandémies</term><term>Sujet âgé</term><term>Épidémies de maladies</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">SARS-CoV-2, the virus that causes coronavirus disease 2019 (COVID-19), can spread rapidly in nursing homes once it is introduced (1,2). To prevent outbreaks, more data are needed to identify sources of introduction and means of transmission within nursing homes. Nursing home residents who receive hemodialysis (dialysis) might be at higher risk for SARS-CoV-2 infections because of their frequent exposures outside the nursing home to both community dialysis patients and staff members at dialysis centers (3). Investigation of a COVID-19 outbreak in a Maryland nursing home (facility A) identified a higher prevalence of infection among residents undergoing dialysis (47%; 15 of 32) than among those not receiving dialysis (16%; 22 of 138) (p<0.001). Among residents with COVID-19, the 30-day hospitalization rate among those receiving dialysis (53%) was higher than that among residents not receiving dialysis (18%) (p = 0.03); the proportion of dialysis patients who died was 40% compared with those who did not receive dialysis (27%) (p = 0.42).Careful consideration of infection control practices throughout the dialysis process (e.g., transportation, time spent in waiting areas, spacing of machines, and cohorting), clear communication between nursing homes and dialysis centers, and coordination of testing practices between these sites are critical to preventing COVID-19 outbreaks in this medically vulnerable population.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32790661</PMID><DateCompleted><Year>2020</Year><Month>08</Month><Day>14</Day></DateCompleted><DateRevised><Year>2020</Year><Month>08</Month><Day>27</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1545-861X</ISSN><JournalIssue CitedMedium="Internet"><Volume>69</Volume><Issue>32</Issue><PubDate><Year>2020</Year><Month>Aug</Month><Day>14</Day></PubDate></JournalIssue><Title>MMWR. Morbidity and mortality weekly report</Title><ISOAbbreviation>MMWR Morb Mortal Wkly Rep</ISOAbbreviation></Journal><ArticleTitle>Transmission of SARS-CoV-2 Involving Residents Receiving Dialysis in a Nursing Home - Maryland, April 2020.</ArticleTitle><Pagination><MedlinePgn>1089-1094</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.15585/mmwr.mm6932e4</ELocationID><Abstract><AbstractText>SARS-CoV-2, the virus that causes coronavirus disease 2019 (COVID-19), can spread rapidly in nursing homes once it is introduced (1,2). To prevent outbreaks, more data are needed to identify sources of introduction and means of transmission within nursing homes. Nursing home residents who receive hemodialysis (dialysis) might be at higher risk for SARS-CoV-2 infections because of their frequent exposures outside the nursing home to both community dialysis patients and staff members at dialysis centers (3). Investigation of a COVID-19 outbreak in a Maryland nursing home (facility A) identified a higher prevalence of infection among residents undergoing dialysis (47%; 15 of 32) than among those not receiving dialysis (16%; 22 of 138) (p<0.001). Among residents with COVID-19, the 30-day hospitalization rate among those receiving dialysis (53%) was higher than that among residents not receiving dialysis (18%) (p = 0.03); the proportion of dialysis patients who died was 40% compared with those who did not receive dialysis (27%) (p = 0.42).Careful consideration of infection control practices throughout the dialysis process (e.g., transportation, time spent in waiting areas, spacing of machines, and cohorting), clear communication between nursing homes and dialysis centers, and coordination of testing practices between these sites are critical to preventing COVID-19 outbreaks in this medically vulnerable population.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Bigelow</LastName><ForeName>Benjamin F</ForeName><Initials>BF</Initials></Author><Author ValidYN="Y"><LastName>Tang</LastName><ForeName>Olive</ForeName><Initials>O</Initials></Author><Author ValidYN="Y"><LastName>Toci</LastName><ForeName>Gregory R</ForeName><Initials>GR</Initials></Author><Author ValidYN="Y"><LastName>Stracker</LastName><ForeName>Norberth</ForeName><Initials>N</Initials></Author><Author ValidYN="Y"><LastName>Sheikh</LastName><ForeName>Fatima</ForeName><Initials>F</Initials></Author><Author ValidYN="Y"><LastName>Jacobs Slifka</LastName><ForeName>Kara M</ForeName><Initials>KM</Initials></Author><Author ValidYN="Y"><LastName>Novosad</LastName><ForeName>Shannon A</ForeName><Initials>SA</Initials></Author><Author ValidYN="Y"><LastName>Jernigan</LastName><ForeName>John A</ForeName><Initials>JA</Initials></Author><Author ValidYN="Y"><LastName>Reddy</LastName><ForeName>Sujan C</ForeName><Initials>SC</Initials></Author><Author ValidYN="Y"><LastName>Katz</LastName><ForeName>Morgan J</ForeName><Initials>MJ</Initials></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>F30 DK120160</GrantID><Acronym>DK</Acronym><Agency>NIDDK NIH HHS</Agency><Country>United States</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>08</Month><Day>14</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>MMWR Morb Mortal Wkly Rep</MedlineTA><NlmUniqueID>7802429</NlmUniqueID><ISSNLinking>0149-2195</ISSNLinking></MedlineJournalInfo><SupplMeshList><SupplMeshName Type="Disease" UI="C000657245">COVID-19</SupplMeshName></SupplMeshList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018352" MajorTopicYN="N">Coronavirus Infections</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000635" MajorTopicYN="Y">transmission</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003956" MajorTopicYN="N">Dialysis</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004196" MajorTopicYN="Y">Disease Outbreaks</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008396" MajorTopicYN="N" Type="Geographic">Maryland</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D009735" MajorTopicYN="Y">Nursing Homes</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="N">Pandemics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011024" MajorTopicYN="N">Pneumonia, Viral</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000635" MajorTopicYN="Y">transmission</QualifierName></MeshHeading></MeshHeadingList><CoiStatement>All authors have completed and submitted the International Committee of Medical Journal Editors form for disclosure of potential conflicts of interest. No potential conflicts of interest were disclosed.</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>8</Month><Day>14</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>8</Month><Day>14</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>8</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32790661</ArticleId><ArticleId IdType="doi">10.15585/mmwr.mm6932e4</ArticleId><ArticleId IdType="pmc">PMC7440122</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>J Am Soc Nephrol. 2020 Aug;31(8):1815-1823</Citation><ArticleIdList><ArticleId IdType="pubmed">32561681</ArticleId></ArticleIdList></Reference><Reference><Citation>MMWR Morb Mortal Wkly Rep. 2020 Jul 10;69(27):882-886</Citation><ArticleIdList><ArticleId IdType="pubmed">32644985</ArticleId></ArticleIdList></Reference><Reference><Citation>N Engl J Med. 2020 May 28;382(22):2158-2160</Citation><ArticleIdList><ArticleId IdType="pubmed">32329972</ArticleId></ArticleIdList></Reference><Reference><Citation>J Nephrol. 2020 Apr;33(2):193-196</Citation><ArticleIdList><ArticleId IdType="pubmed">32207068</ArticleId></ArticleIdList></Reference><Reference><Citation>Nephrol Dial Transplant. 2005 Jun;20(6):1048-56</Citation><ArticleIdList><ArticleId IdType="pubmed">15814534</ArticleId></ArticleIdList></Reference><Reference><Citation>N Engl J Med. 2020 May 28;382(22):2081-2090</Citation><ArticleIdList><ArticleId IdType="pubmed">32329971</ArticleId></ArticleIdList></Reference><Reference><Citation>JAMA Intern Med. 2020 Jul 14;:</Citation><ArticleIdList><ArticleId IdType="pubmed">32662818</ArticleId></ArticleIdList></Reference></ReferenceList></PubmedData></pubmed><affiliations><list></list><tree><noCountry><name sortKey="Bigelow, Benjamin F" sort="Bigelow, Benjamin F" uniqKey="Bigelow B" first="Benjamin F" last="Bigelow">Benjamin F. Bigelow</name><name sortKey="Jacobs Slifka, Kara M" sort="Jacobs Slifka, Kara M" uniqKey="Jacobs Slifka K" first="Kara M" last="Jacobs Slifka">Kara M. Jacobs Slifka</name><name sortKey="Jernigan, John A" sort="Jernigan, John A" uniqKey="Jernigan J" first="John A" last="Jernigan">John A. Jernigan</name><name sortKey="Katz, Morgan J" sort="Katz, Morgan J" uniqKey="Katz M" first="Morgan J" last="Katz">Morgan J. Katz</name><name sortKey="Novosad, Shannon A" sort="Novosad, Shannon A" uniqKey="Novosad S" first="Shannon A" last="Novosad">Shannon A. Novosad</name><name sortKey="Reddy, Sujan C" sort="Reddy, Sujan C" uniqKey="Reddy S" first="Sujan C" last="Reddy">Sujan C. Reddy</name><name sortKey="Sheikh, Fatima" sort="Sheikh, Fatima" uniqKey="Sheikh F" first="Fatima" last="Sheikh">Fatima Sheikh</name><name sortKey="Stracker, Norberth" sort="Stracker, Norberth" uniqKey="Stracker N" first="Norberth" last="Stracker">Norberth Stracker</name><name sortKey="Tang, Olive" sort="Tang, Olive" uniqKey="Tang O" first="Olive" last="Tang">Olive Tang</name><name sortKey="Toci, Gregory R" sort="Toci, Gregory R" uniqKey="Toci G" first="Gregory R" last="Toci">Gregory R. Toci</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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