Implementation of a national testing policy in Dutch nursing homes during SARS-CoV-2 outbreaks

Article Immunology

Mitigation of a Coronavirus Disease 2019 Outbreak in a Nursing Home Through Serial Testing of Residents and Staff

Daniel J. Escobar et al.

Summary: Universal testing strategy successfully contained a COVID-19 outbreak in a nursing home.

CLINICAL INFECTIOUS DISEASES (2021)

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Article Immunology

Presymptomatic Transmission of Severe Acute Respiratory Syndrome Coronavirus 2 Among Residents and Staff at a Skilled Nursing Facility: Results of Real-time Polymerase Chain Reaction and Serologic Testing

Scott A. Goldberg et al.

Summary: High rates of asymptomatic coronavirus disease 2019 infection suggest benefits to routine testing in congregate care settings, as demonstrated in a single nursing facility. However, serology was not helpful in identifying infections.

CLINICAL INFECTIOUS DISEASES (2021)

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Letter Public, Environmental & Occupational Health

It's like fighting a war with rocks: Nursing home healthcare workers' experiences during the COVID-19 pandemic

Sandhya Seshadri et al.

INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY (2021)

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Article Geriatrics & Gerontology

Partnering with Local Hospitals and Public Health to ManageCOVID-19 Outbreaks in Nursing Homes

Ana Montoya et al.

Summary: Three nursing homes in Michigan successfully controlled the COVID-19 outbreak through universal testing and rapid response measures, resulting in a case fatality rate of 20.7%. None of the residents who tested positive through point-prevalence survey required hospitalization, and five were discharged within 14 days.

JOURNAL OF THE AMERICAN GERIATRICS SOCIETY (2021)

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Article Public, Environmental & Occupational Health

Halting a SARS-CoV-2 outbreak in a US Veterans Affairs nursing home

George Psevdos et al.

Summary: At a Veterans Affairs long term care facility on Long Island New York, a multidisciplinary team approach led by the Infection Control team successfully contained a COVID-19 outbreak by implementing geographic isolation, universal testing, and proper quarantine measures.

AMERICAN JOURNAL OF INFECTION CONTROL (2021)

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Article Public, Environmental & Occupational Health

Timely intervention and control of a novel coronavirus (COVID-19) outbreak at a large skilled nursing facility-San Francisco, California, 2020

Ellora N. Karmarkar et al.

Summary: Describes epidemiologic and genomic characteristics of a SARS-CoV-2 outbreak in a skilled-nursing facility and the strategies that controlled transmission, early implementation of targeted testing and serial PPSs limited SARS-CoV-2 transmission within the SNF.

INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY (2021)

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Article Nursing

Experiences of geriatric nurses in nursing home settings across four countries in the face of the COVID-19 pandemic

Carmen Sarabia-Cobo et al.

Summary: This qualitative study explored the emotional impact and experiences of geriatric nurses caring for COVID-19 patients in nursing homes. Findings revealed nurses' fear of the pandemic, sense of duty and professional commitment, and emotional exhaustion. Reflection on a global level is needed to consider the most appropriate model of care in nursing homes amidst the pandemic.

JOURNAL OF ADVANCED NURSING (2021)

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Article Geriatrics & Gerontology

Front-line Nursing Home Staff Experiences During the COVID-19 Pandemic

Elizabeth M. White et al.

Summary: During the COVID-19 pandemic, nursing home staff faced ongoing constraints on testing and continued reliance on crisis standards for extended use of personal protective equipment. They expressed fears of infection, empathy for residents, burnout due to increased workloads, staffing shortages, and emotional burden, as well as the demoralizing impact of negative media coverage and lack of organizational communication and teamwork. These challenges are likely to contribute to increased burnout, turnover, and staff shortages in the long term for this already strained and vulnerable workforce.

JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION (2021)

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Letter Geriatrics & Gerontology

Attitudes and Experiences of Frontline Nursing Home Staff Toward Coronavirus Testing

Spencer L. Hofschulte-Beck et al.

JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION (2021)

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Editorial Material Environmental Sciences

The Difficult Balance between Ensuring the Right of Nursing Home Residents to Communication and Their Safety

Matteo Bolcato et al.

Summary: The COVID-19 pandemic has greatly impacted healthcare systems globally, particularly in nursing homes for the elderly with high infection rates and mortality. Italian government implemented emergency legislation to restrict outside visitors, aiming to reduce infection risks in such facilities.

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH (2021)

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Article Geriatrics & Gerontology

Are presymptomatic SARS-CoV-2 infections in nursing home residents unrecognised symptomatic infections? Sequence and metadata from weekly testing in an extensive nursing home outbreak

Judith H. van den Besselaar et al.

Summary: This study found a high proportion of residents and staff with presymptomatic and asymptomatic infections during a nursing home outbreak, with asymptomatic staff showing high infection rates. Regular testing proved to be an effective strategy for early detection of SARS-CoV-2 cases and rapid outbreak control.

AGE AND AGEING (2021)

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Article Public, Environmental & Occupational Health

When planning meets reality: COVID-19 interpandemic survey of Michigan Nursing Homes

Karen Jones et al.

AMERICAN JOURNAL OF INFECTION CONTROL (2021)

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Article Infectious Diseases

Efficacy of COVID-19 outbreak management in a skilled nursing facility based on serial testing for early detection and control

Pedro M. M. Garibaldi et al.

Summary: Active surveillance and early isolation of infected individuals were effective in controlling COVID-19 outbreak in long-term skilled nursing facilities. A significant proportion of asymptomatic individuals tested positive for SARS-CoV-2, indicating that symptom screening alone may not be sufficient to control transmission.

BRAZILIAN JOURNAL OF INFECTIOUS DISEASES (2021)

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Article Environmental Sciences

SARS-CoV-2 Epidemics in Retirement and Nursing Homes in Italy: A New Preparedness Assessment Model after the First Epidemic Wave

Carmelo Gugliotta et al.

Summary: The study aimed to evaluate the preparedness of retirement and nursing homes in the city of Sassari at the end of the first wave of the COVID-19 epidemic. Discrepancies were found between perceived risk and actual danger in the facilities, highlighting the need for targeted communication actions.

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH (2021)

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Article Immunology

SARS-CoV-2 in Nursing Homes after 3 Months of Serial, Facilitywide Point Prevalence Testing, Connecticut, USA

Hanna Y. Ehrlich et al.

Summary: This study collected 16 weeks of public health surveillance data on a subset of nursing homes in Connecticut, USA and found that Point Prevalence Surveys (PPSs) were associated with a significant reduction in incidence rate in nursing homes. The findings suggest that repeated PPSs combined with strong infection prevention measures can contribute to outbreak control.

EMERGING INFECTIOUS DISEASES (2021)

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Editorial Material Medicine, General & Internal