Facility-Wide Testing for SARS-CoV-2 in Nursing Homes - Seven U.S. Jurisdictions, March-June 2020.
Identifieur interne : 000567 ( Main/Exploration ); précédent : 000566; suivant : 000568Facility-Wide Testing for SARS-CoV-2 in Nursing Homes - Seven U.S. Jurisdictions, March-June 2020.
Auteurs : Kelly M. Hatfield ; Sujan C. Reddy ; Kaitlin Forsberg ; Lauren Korhonen ; Kelley Garner ; Trent Gulley ; Allison James ; Naveen Patil ; Carla Bezold ; Najibah Rehman ; Marla Sievers ; Benjamin Schram ; Tracy K. Miller ; Molly Howell ; Claire Youngblood ; Hannah Ruegner ; Rachel Radcliffe ; Allyn Nakashima ; Michael Torre ; Kayla Donohue ; Paul Meddaugh ; Mallory Staskus ; Brandon Attell ; Caitlin Biedron ; Peter Boersma ; Lauren Epstein ; Denise Hughes ; Meghan Lyman ; Leigh E. Preston ; Guillermo V. Sanchez ; Sukarma Tanwar ; Nicola D. Thompson ; Snigdha Vallabhaneni ; Amber Vasquez ; John A. JerniganSource :
- MMWR. Morbidity and mortality weekly report [ 1545-861X ] ; 2020.
Descripteurs français
- KwdFr :
- Humains (MeSH), Infections à coronavirus (diagnostic), Infections à coronavirus (prévention et contrôle), Infections à coronavirus (transmission), Infections à coronavirus (épidémiologie), Maisons de repos (MeSH), Pandémies (prévention et contrôle), Personnel de santé (MeSH), Pneumopathie virale (prévention et contrôle), Pneumopathie virale (transmission), Pneumopathie virale (épidémiologie), Sujet âgé (MeSH), Techniques de laboratoire clinique (MeSH), Transmission de maladie infectieuse du patient au professionnel de santé (prévention et contrôle), Transmission de maladie infectieuse du professionnel de santé au patient (prévention et contrôle), États-Unis (épidémiologie).
- MESH :
- diagnostic : Infections à coronavirus.
- prévention et contrôle : Infections à coronavirus, Pandémies, Pneumopathie virale, Transmission de maladie infectieuse du patient au professionnel de santé, Transmission de maladie infectieuse du professionnel de santé au patient.
- épidémiologie : Infections à coronavirus, Pneumopathie virale, États-Unis.
- Humains, Maisons de repos, Personnel de santé, Sujet âgé, Techniques de laboratoire clinique.
- Wicri :
- geographic : États-Unis.
English descriptors
- KwdEn :
- Aged (MeSH), Clinical Laboratory Techniques (MeSH), Coronavirus Infections (diagnosis), Coronavirus Infections (epidemiology), Coronavirus Infections (prevention & control), Coronavirus Infections (transmission), Health Personnel (MeSH), Humans (MeSH), Infectious Disease Transmission, Patient-to-Professional (prevention & control), Infectious Disease Transmission, Professional-to-Patient (prevention & control), Nursing Homes (MeSH), Pandemics (prevention & control), Pneumonia, Viral (epidemiology), Pneumonia, Viral (prevention & control), Pneumonia, Viral (transmission), United States (epidemiology).
- MESH :
- geographic , epidemiology : United States.
- diagnosis : Coronavirus Infections.
- epidemiology : Coronavirus Infections, Pneumonia, Viral.
- prevention & control : Coronavirus Infections, Infectious Disease Transmission, Patient-to-Professional, Infectious Disease Transmission, Professional-to-Patient, Pandemics, Pneumonia, Viral.
- transmission : Coronavirus Infections, Pneumonia, Viral.
- Aged, Clinical Laboratory Techniques, Health Personnel, Humans, Nursing Homes.
Abstract
Undetected infection with SARS-CoV-2, the virus that causes coronavirus disease 2019 (COVID-19) contributes to transmission in nursing homes, settings where large outbreaks with high resident mortality have occurred (1,2). Facility-wide testing of residents and health care personnel (HCP) can identify asymptomatic and presymptomatic infections and facilitate infection prevention and control interventions (3-5). Seven state or local health departments conducted initial facility-wide testing of residents and staff members in 288 nursing homes during March 24-June 14, 2020. Two of the seven health departments conducted testing in 195 nursing homes as part of facility-wide testing all nursing homes in their state, which were in low-incidence areas (i.e., the median preceding 14-day cumulative incidence in the surrounding county for each jurisdiction was 19 and 38 cases per 100,000 persons); 125 of the 195 nursing homes had not reported any COVID-19 cases before the testing. Ninety-five of 22,977 (0.4%) persons tested in 29 (23%) of these 125 facilities had positive SARS-CoV-2 test results. The other five health departments targeted facility-wide testing to 93 nursing homes, where 13,443 persons were tested, and 1,619 (12%) had positive SARS-CoV-2 test results. In regression analyses among 88 of these nursing homes with a documented case before facility-wide testing occurred, each additional day between identification of the first case and completion of facility-wide testing was associated with identification of 1.3 additional cases. Among 62 facilities that could differentiate results by resident and HCP status, an estimated 1.3 HCP cases were identified for every three resident cases. Performing facility-wide testing immediately after identification of a case commonly identifies additional unrecognized cases and, therefore, might maximize the benefits of infection prevention and control interventions. In contrast, facility-wide testing in low-incidence areas without a case has a lower proportion of test positivity; strategies are needed to further optimize testing in these settings.
DOI: 10.15585/mmwr.mm6932e5
PubMed: 32790655
PubMed Central: PMC7440119
Affiliations:
Links toward previous steps (curation, corpus...)
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Hatfield</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="Forsberg, Kaitlin" sort="Forsberg, Kaitlin" uniqKey="Forsberg K" first="Kaitlin" last="Forsberg">Kaitlin Forsberg</name></author><author><name sortKey="Korhonen, Lauren" sort="Korhonen, Lauren" uniqKey="Korhonen L" first="Lauren" last="Korhonen">Lauren Korhonen</name></author><author><name sortKey="Garner, Kelley" sort="Garner, Kelley" uniqKey="Garner K" first="Kelley" last="Garner">Kelley Garner</name></author><author><name sortKey="Gulley, Trent" sort="Gulley, Trent" uniqKey="Gulley T" first="Trent" last="Gulley">Trent Gulley</name></author><author><name sortKey="James, Allison" sort="James, Allison" uniqKey="James A" first="Allison" last="James">Allison James</name></author><author><name sortKey="Patil, Naveen" sort="Patil, Naveen" uniqKey="Patil N" first="Naveen" last="Patil">Naveen Patil</name></author><author><name sortKey="Bezold, Carla" sort="Bezold, Carla" uniqKey="Bezold C" first="Carla" last="Bezold">Carla Bezold</name></author><author><name sortKey="Rehman, Najibah" sort="Rehman, Najibah" uniqKey="Rehman N" first="Najibah" last="Rehman">Najibah Rehman</name></author><author><name sortKey="Sievers, Marla" sort="Sievers, Marla" uniqKey="Sievers M" first="Marla" last="Sievers">Marla Sievers</name></author><author><name sortKey="Schram, Benjamin" sort="Schram, Benjamin" uniqKey="Schram B" first="Benjamin" last="Schram">Benjamin Schram</name></author><author><name sortKey="Miller, Tracy K" sort="Miller, Tracy K" uniqKey="Miller T" first="Tracy K" last="Miller">Tracy K. Miller</name></author><author><name sortKey="Howell, Molly" sort="Howell, Molly" uniqKey="Howell M" first="Molly" last="Howell">Molly Howell</name></author><author><name sortKey="Youngblood, Claire" sort="Youngblood, Claire" uniqKey="Youngblood C" first="Claire" last="Youngblood">Claire Youngblood</name></author><author><name sortKey="Ruegner, Hannah" sort="Ruegner, Hannah" uniqKey="Ruegner H" first="Hannah" last="Ruegner">Hannah Ruegner</name></author><author><name sortKey="Radcliffe, Rachel" sort="Radcliffe, Rachel" uniqKey="Radcliffe R" first="Rachel" last="Radcliffe">Rachel Radcliffe</name></author><author><name sortKey="Nakashima, Allyn" sort="Nakashima, Allyn" uniqKey="Nakashima A" first="Allyn" last="Nakashima">Allyn Nakashima</name></author><author><name sortKey="Torre, Michael" sort="Torre, Michael" uniqKey="Torre M" first="Michael" last="Torre">Michael Torre</name></author><author><name sortKey="Donohue, Kayla" sort="Donohue, Kayla" uniqKey="Donohue K" first="Kayla" last="Donohue">Kayla Donohue</name></author><author><name sortKey="Meddaugh, Paul" sort="Meddaugh, Paul" uniqKey="Meddaugh P" first="Paul" last="Meddaugh">Paul Meddaugh</name></author><author><name sortKey="Staskus, Mallory" sort="Staskus, Mallory" uniqKey="Staskus M" first="Mallory" last="Staskus">Mallory Staskus</name></author><author><name sortKey="Attell, Brandon" sort="Attell, Brandon" uniqKey="Attell B" first="Brandon" last="Attell">Brandon Attell</name></author><author><name sortKey="Biedron, Caitlin" sort="Biedron, Caitlin" uniqKey="Biedron C" first="Caitlin" last="Biedron">Caitlin Biedron</name></author><author><name sortKey="Boersma, Peter" sort="Boersma, Peter" uniqKey="Boersma P" first="Peter" last="Boersma">Peter Boersma</name></author><author><name sortKey="Epstein, Lauren" sort="Epstein, Lauren" uniqKey="Epstein L" first="Lauren" last="Epstein">Lauren Epstein</name></author><author><name sortKey="Hughes, Denise" sort="Hughes, Denise" uniqKey="Hughes D" first="Denise" last="Hughes">Denise Hughes</name></author><author><name sortKey="Lyman, Meghan" sort="Lyman, Meghan" uniqKey="Lyman M" first="Meghan" last="Lyman">Meghan Lyman</name></author><author><name sortKey="Preston, Leigh E" sort="Preston, Leigh E" uniqKey="Preston L" first="Leigh E" last="Preston">Leigh E. Preston</name></author><author><name sortKey="Sanchez, Guillermo V" sort="Sanchez, Guillermo V" uniqKey="Sanchez G" first="Guillermo V" last="Sanchez">Guillermo V. Sanchez</name></author><author><name sortKey="Tanwar, Sukarma" sort="Tanwar, Sukarma" uniqKey="Tanwar S" first="Sukarma" last="Tanwar">Sukarma Tanwar</name></author><author><name sortKey="Thompson, Nicola D" sort="Thompson, Nicola D" uniqKey="Thompson N" first="Nicola D" last="Thompson">Nicola D. Thompson</name></author><author><name sortKey="Vallabhaneni, Snigdha" sort="Vallabhaneni, Snigdha" uniqKey="Vallabhaneni S" first="Snigdha" last="Vallabhaneni">Snigdha Vallabhaneni</name></author><author><name sortKey="Vasquez, Amber" sort="Vasquez, Amber" uniqKey="Vasquez A" first="Amber" last="Vasquez">Amber Vasquez</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></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>Clinical Laboratory Techniques (MeSH)</term><term>Coronavirus Infections (diagnosis)</term><term>Coronavirus Infections (epidemiology)</term><term>Coronavirus Infections (prevention & control)</term><term>Coronavirus Infections (transmission)</term><term>Health Personnel (MeSH)</term><term>Humans (MeSH)</term><term>Infectious Disease Transmission, Patient-to-Professional (prevention & control)</term><term>Infectious Disease Transmission, Professional-to-Patient (prevention & control)</term><term>Nursing Homes (MeSH)</term><term>Pandemics (prevention & control)</term><term>Pneumonia, Viral (epidemiology)</term><term>Pneumonia, Viral (prevention & control)</term><term>Pneumonia, Viral (transmission)</term><term>United States (epidemiology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Humains (MeSH)</term><term>Infections à coronavirus (diagnostic)</term><term>Infections à coronavirus (prévention et contrôle)</term><term>Infections à coronavirus (transmission)</term><term>Infections à coronavirus (épidémiologie)</term><term>Maisons de repos (MeSH)</term><term>Pandémies (prévention et contrôle)</term><term>Personnel de santé (MeSH)</term><term>Pneumopathie virale (prévention et contrôle)</term><term>Pneumopathie virale (transmission)</term><term>Pneumopathie virale (épidémiologie)</term><term>Sujet âgé (MeSH)</term><term>Techniques de laboratoire clinique (MeSH)</term><term>Transmission de maladie infectieuse du patient au professionnel de santé (prévention et contrôle)</term><term>Transmission de maladie infectieuse du professionnel de santé au patient (prévention et contrôle)</term><term>États-Unis (épidémiologie)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>United States</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Coronavirus Infections</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Infections à coronavirus</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Coronavirus Infections</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Coronavirus Infections</term><term>Infectious Disease Transmission, Patient-to-Professional</term><term>Infectious Disease Transmission, Professional-to-Patient</term><term>Pandemics</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="prévention et contrôle" xml:lang="fr"><term>Infections à coronavirus</term><term>Pandémies</term><term>Pneumopathie virale</term><term>Transmission de maladie infectieuse du patient au professionnel de santé</term><term>Transmission de maladie infectieuse du professionnel de santé au patient</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>Pneumopathie virale</term><term>États-Unis</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Clinical Laboratory Techniques</term><term>Health Personnel</term><term>Humans</term><term>Nursing Homes</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Humains</term><term>Maisons de repos</term><term>Personnel de santé</term><term>Sujet âgé</term><term>Techniques de laboratoire clinique</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>États-Unis</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Undetected infection with SARS-CoV-2, the virus that causes coronavirus disease 2019 (COVID-19) contributes to transmission in nursing homes, settings where large outbreaks with high resident mortality have occurred (1,2). Facility-wide testing of residents and health care personnel (HCP) can identify asymptomatic and presymptomatic infections and facilitate infection prevention and control interventions (3-5). Seven state or local health departments conducted initial facility-wide testing of residents and staff members in 288 nursing homes during March 24-June 14, 2020. Two of the seven health departments conducted testing in 195 nursing homes as part of facility-wide testing all nursing homes in their state, which were in low-incidence areas (i.e., the median preceding 14-day cumulative incidence in the surrounding county for each jurisdiction was 19 and 38 cases per 100,000 persons); 125 of the 195 nursing homes had not reported any COVID-19 cases before the testing. Ninety-five of 22,977 (0.4%) persons tested in 29 (23%) of these 125 facilities had positive SARS-CoV-2 test results. The other five health departments targeted facility-wide testing to 93 nursing homes, where 13,443 persons were tested, and 1,619 (12%) had positive SARS-CoV-2 test results. In regression analyses among 88 of these nursing homes with a documented case before facility-wide testing occurred, each additional day between identification of the first case and completion of facility-wide testing was associated with identification of 1.3 additional cases. Among 62 facilities that could differentiate results by resident and HCP status, an estimated 1.3 HCP cases were identified for every three resident cases. Performing facility-wide testing immediately after identification of a case commonly identifies additional unrecognized cases and, therefore, might maximize the benefits of infection prevention and control interventions. In contrast, facility-wide testing in low-incidence areas without a case has a lower proportion of test positivity; strategies are needed to further optimize testing in these settings.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32790655</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>11</Day></PubDate></JournalIssue><Title>MMWR. Morbidity and mortality weekly report</Title><ISOAbbreviation>MMWR Morb Mortal Wkly Rep</ISOAbbreviation></Journal><ArticleTitle>Facility-Wide Testing for SARS-CoV-2 in Nursing Homes - Seven U.S. Jurisdictions, March-June 2020.</ArticleTitle><Pagination><MedlinePgn>1095-1099</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.15585/mmwr.mm6932e5</ELocationID><Abstract><AbstractText>Undetected infection with SARS-CoV-2, the virus that causes coronavirus disease 2019 (COVID-19) contributes to transmission in nursing homes, settings where large outbreaks with high resident mortality have occurred (1,2). Facility-wide testing of residents and health care personnel (HCP) can identify asymptomatic and presymptomatic infections and facilitate infection prevention and control interventions (3-5). Seven state or local health departments conducted initial facility-wide testing of residents and staff members in 288 nursing homes during March 24-June 14, 2020. Two of the seven health departments conducted testing in 195 nursing homes as part of facility-wide testing all nursing homes in their state, which were in low-incidence areas (i.e., the median preceding 14-day cumulative incidence in the surrounding county for each jurisdiction was 19 and 38 cases per 100,000 persons); 125 of the 195 nursing homes had not reported any COVID-19 cases before the testing. Ninety-five of 22,977 (0.4%) persons tested in 29 (23%) of these 125 facilities had positive SARS-CoV-2 test results. The other five health departments targeted facility-wide testing to 93 nursing homes, where 13,443 persons were tested, and 1,619 (12%) had positive SARS-CoV-2 test results. In regression analyses among 88 of these nursing homes with a documented case before facility-wide testing occurred, each additional day between identification of the first case and completion of facility-wide testing was associated with identification of 1.3 additional cases. Among 62 facilities that could differentiate results by resident and HCP status, an estimated 1.3 HCP cases were identified for every three resident cases. Performing facility-wide testing immediately after identification of a case commonly identifies additional unrecognized cases and, therefore, might maximize the benefits of infection prevention and control interventions. In contrast, facility-wide testing in low-incidence areas without a case has a lower proportion of test positivity; strategies are needed to further optimize testing in these settings.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Hatfield</LastName><ForeName>Kelly M</ForeName><Initials>KM</Initials></Author><Author ValidYN="Y"><LastName>Reddy</LastName><ForeName>Sujan C</ForeName><Initials>SC</Initials></Author><Author ValidYN="Y"><LastName>Forsberg</LastName><ForeName>Kaitlin</ForeName><Initials>K</Initials></Author><Author ValidYN="Y"><LastName>Korhonen</LastName><ForeName>Lauren</ForeName><Initials>L</Initials></Author><Author ValidYN="Y"><LastName>Garner</LastName><ForeName>Kelley</ForeName><Initials>K</Initials></Author><Author ValidYN="Y"><LastName>Gulley</LastName><ForeName>Trent</ForeName><Initials>T</Initials></Author><Author ValidYN="Y"><LastName>James</LastName><ForeName>Allison</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Patil</LastName><ForeName>Naveen</ForeName><Initials>N</Initials></Author><Author ValidYN="Y"><LastName>Bezold</LastName><ForeName>Carla</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Rehman</LastName><ForeName>Najibah</ForeName><Initials>N</Initials></Author><Author ValidYN="Y"><LastName>Sievers</LastName><ForeName>Marla</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Schram</LastName><ForeName>Benjamin</ForeName><Initials>B</Initials></Author><Author ValidYN="Y"><LastName>Miller</LastName><ForeName>Tracy K</ForeName><Initials>TK</Initials></Author><Author ValidYN="Y"><LastName>Howell</LastName><ForeName>Molly</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Youngblood</LastName><ForeName>Claire</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Ruegner</LastName><ForeName>Hannah</ForeName><Initials>H</Initials></Author><Author ValidYN="Y"><LastName>Radcliffe</LastName><ForeName>Rachel</ForeName><Initials>R</Initials></Author><Author ValidYN="Y"><LastName>Nakashima</LastName><ForeName>Allyn</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Torre</LastName><ForeName>Michael</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Donohue</LastName><ForeName>Kayla</ForeName><Initials>K</Initials></Author><Author ValidYN="Y"><LastName>Meddaugh</LastName><ForeName>Paul</ForeName><Initials>P</Initials></Author><Author ValidYN="Y"><LastName>Staskus</LastName><ForeName>Mallory</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Attell</LastName><ForeName>Brandon</ForeName><Initials>B</Initials></Author><Author ValidYN="Y"><LastName>Biedron</LastName><ForeName>Caitlin</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Boersma</LastName><ForeName>Peter</ForeName><Initials>P</Initials></Author><Author ValidYN="Y"><LastName>Epstein</LastName><ForeName>Lauren</ForeName><Initials>L</Initials></Author><Author ValidYN="Y"><LastName>Hughes</LastName><ForeName>Denise</ForeName><Initials>D</Initials></Author><Author ValidYN="Y"><LastName>Lyman</LastName><ForeName>Meghan</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Preston</LastName><ForeName>Leigh E</ForeName><Initials>LE</Initials></Author><Author ValidYN="Y"><LastName>Sanchez</LastName><ForeName>Guillermo V</ForeName><Initials>GV</Initials></Author><Author ValidYN="Y"><LastName>Tanwar</LastName><ForeName>Sukarma</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Thompson</LastName><ForeName>Nicola D</ForeName><Initials>ND</Initials></Author><Author ValidYN="Y"><LastName>Vallabhaneni</LastName><ForeName>Snigdha</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Vasquez</LastName><ForeName>Amber</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Jernigan</LastName><ForeName>John A</ForeName><Initials>JA</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>08</Month><Day>11</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><SupplMeshName Type="Protocol" UI="C000657964">COVID-19 diagnostic testing</SupplMeshName></SupplMeshList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019411" MajorTopicYN="Y">Clinical Laboratory Techniques</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018352" MajorTopicYN="N">Coronavirus Infections</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName><QualifierName UI="Q000635" MajorTopicYN="N">transmission</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006282" MajorTopicYN="N">Health Personnel</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017758" MajorTopicYN="N">Infectious Disease Transmission, Patient-to-Professional</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D017757" MajorTopicYN="N">Infectious Disease Transmission, Professional-to-Patient</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D009735" MajorTopicYN="Y">Nursing Homes</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="N">Pandemics</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011024" MajorTopicYN="N">Pneumonia, Viral</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName><QualifierName UI="Q000635" MajorTopicYN="N">transmission</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014481" MajorTopicYN="N" Type="Geographic">United States</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</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. Kayla Donohue reports full-time employment at United Way of Northwest Vermont with temporary assignment to COVID-19 response at the Vermont Department of Health, which supported her work related to this publication. No other 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">32790655</ArticleId><ArticleId IdType="doi">10.15585/mmwr.mm6932e5</ArticleId><ArticleId IdType="pmc">PMC7440119</ArticleId></ArticleIdList><ReferenceList><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>JAMA Intern Med. 2020 Jul 21;:</Citation><ArticleIdList><ArticleId IdType="pubmed">32692365</ArticleId></ArticleIdList></Reference><Reference><Citation>MMWR Morb Mortal Wkly Rep. 2020 Mar 27;69(12):339-342</Citation><ArticleIdList><ArticleId IdType="pubmed">32214083</ArticleId></ArticleIdList></Reference><Reference><Citation>Epidemiology. 2010 Jul;21(4):467-74</Citation><ArticleIdList><ArticleId IdType="pubmed">20220526</ArticleId></ArticleIdList></Reference><Reference><Citation>MMWR Morb Mortal Wkly Rep. 2020 Apr 03;69(13):377-381</Citation><ArticleIdList><ArticleId IdType="pubmed">32240128</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>MMWR Morb Mortal Wkly Rep. 2020 May 29;69(21):651-655</Citation><ArticleIdList><ArticleId IdType="pubmed">32463809</ArticleId></ArticleIdList></Reference></ReferenceList></PubmedData></pubmed><affiliations><list></list><tree><noCountry><name sortKey="Attell, Brandon" sort="Attell, Brandon" uniqKey="Attell B" first="Brandon" last="Attell">Brandon Attell</name><name sortKey="Bezold, Carla" sort="Bezold, Carla" uniqKey="Bezold C" first="Carla" last="Bezold">Carla Bezold</name><name sortKey="Biedron, Caitlin" sort="Biedron, Caitlin" uniqKey="Biedron C" first="Caitlin" last="Biedron">Caitlin Biedron</name><name sortKey="Boersma, Peter" sort="Boersma, Peter" uniqKey="Boersma P" first="Peter" last="Boersma">Peter Boersma</name><name sortKey="Donohue, Kayla" sort="Donohue, Kayla" uniqKey="Donohue K" first="Kayla" last="Donohue">Kayla Donohue</name><name sortKey="Epstein, Lauren" sort="Epstein, Lauren" uniqKey="Epstein L" first="Lauren" last="Epstein">Lauren Epstein</name><name sortKey="Forsberg, Kaitlin" sort="Forsberg, Kaitlin" uniqKey="Forsberg K" first="Kaitlin" last="Forsberg">Kaitlin Forsberg</name><name sortKey="Garner, Kelley" sort="Garner, Kelley" uniqKey="Garner K" first="Kelley" last="Garner">Kelley Garner</name><name sortKey="Gulley, Trent" sort="Gulley, Trent" uniqKey="Gulley T" first="Trent" last="Gulley">Trent Gulley</name><name sortKey="Hatfield, Kelly M" sort="Hatfield, Kelly M" uniqKey="Hatfield K" first="Kelly M" last="Hatfield">Kelly M. Hatfield</name><name sortKey="Howell, Molly" sort="Howell, Molly" uniqKey="Howell M" first="Molly" last="Howell">Molly Howell</name><name sortKey="Hughes, Denise" sort="Hughes, Denise" uniqKey="Hughes D" first="Denise" last="Hughes">Denise Hughes</name><name sortKey="James, Allison" sort="James, Allison" uniqKey="James A" first="Allison" last="James">Allison James</name><name sortKey="Jernigan, John A" sort="Jernigan, John A" uniqKey="Jernigan J" first="John A" last="Jernigan">John A. Jernigan</name><name sortKey="Korhonen, Lauren" sort="Korhonen, Lauren" uniqKey="Korhonen L" first="Lauren" last="Korhonen">Lauren Korhonen</name><name sortKey="Lyman, Meghan" sort="Lyman, Meghan" uniqKey="Lyman M" first="Meghan" last="Lyman">Meghan Lyman</name><name sortKey="Meddaugh, Paul" sort="Meddaugh, Paul" uniqKey="Meddaugh P" first="Paul" last="Meddaugh">Paul Meddaugh</name><name sortKey="Miller, Tracy K" sort="Miller, Tracy K" uniqKey="Miller T" first="Tracy K" last="Miller">Tracy K. 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Reddy</name><name sortKey="Rehman, Najibah" sort="Rehman, Najibah" uniqKey="Rehman N" first="Najibah" last="Rehman">Najibah Rehman</name><name sortKey="Ruegner, Hannah" sort="Ruegner, Hannah" uniqKey="Ruegner H" first="Hannah" last="Ruegner">Hannah Ruegner</name><name sortKey="Sanchez, Guillermo V" sort="Sanchez, Guillermo V" uniqKey="Sanchez G" first="Guillermo V" last="Sanchez">Guillermo V. Sanchez</name><name sortKey="Schram, Benjamin" sort="Schram, Benjamin" uniqKey="Schram B" first="Benjamin" last="Schram">Benjamin Schram</name><name sortKey="Sievers, Marla" sort="Sievers, Marla" uniqKey="Sievers M" first="Marla" last="Sievers">Marla Sievers</name><name sortKey="Staskus, Mallory" sort="Staskus, Mallory" uniqKey="Staskus M" first="Mallory" last="Staskus">Mallory Staskus</name><name sortKey="Tanwar, Sukarma" sort="Tanwar, Sukarma" uniqKey="Tanwar S" first="Sukarma" last="Tanwar">Sukarma Tanwar</name><name sortKey="Thompson, Nicola D" sort="Thompson, Nicola D" uniqKey="Thompson N" first="Nicola D" last="Thompson">Nicola D. Thompson</name><name sortKey="Torre, Michael" sort="Torre, Michael" uniqKey="Torre M" first="Michael" last="Torre">Michael Torre</name><name sortKey="Vallabhaneni, Snigdha" sort="Vallabhaneni, Snigdha" uniqKey="Vallabhaneni S" first="Snigdha" last="Vallabhaneni">Snigdha Vallabhaneni</name><name sortKey="Vasquez, Amber" sort="Vasquez, Amber" uniqKey="Vasquez A" first="Amber" last="Vasquez">Amber Vasquez</name><name sortKey="Youngblood, Claire" sort="Youngblood, Claire" uniqKey="Youngblood C" first="Claire" last="Youngblood">Claire Youngblood</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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