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Presymptomatic SARS-CoV-2 Infections and Transmission in a Skilled Nursing Facility

by Harcourt, Jennifer , Spicer, Kevin , Tao, Ying , Montgomery, Patty , Arons, Melissa M , Bardossy, Ana C , Lewis, James , Kay, Meagan , McLaughlin, Heather P , Bell, Jeneita M , Jernigan, John A , Hatfield, Kelly M , Thornburg, Natalie , James, Allison , Tanwar, Sukarma , Honein, Margaret A , Reddy, Sujan C , Oakley, Lisa P , Page, Libby C , Tamin, Azaibi , Stone, Nimalie D , Kimball, Anne , Carlson, Christina M , Duchin, Jeffrey S , Jacobs, Jesica R , Dyal, Jonathan W , Chisty, Zeshan , Methner, Mark , Tong, Suxiang , Harney, Josh , Clark, Thomas A , Paul, Prabasaj , Clark, Shauna , Uehara, Anna , Brostrom-Smith, Claire , Taylor, Joanne

in Aged / Aged, 80 and over / Asymptomatic / Asymptomatic Diseases / Betacoronavirus - genetics / Betacoronavirus - isolation & purification / Comorbidity / Coronavirus Infections - complications / Coronavirus Infections - diagnosis / Coronavirus Infections - mortality / Coronavirus Infections - transmission / Coronaviruses / Cough / Cough - etiology / COVID-19 / Disease control / Disease transmission / Disease Transmission, Infectious - prevention & control / Dyspnea - etiology / Female / Fever / Fever - etiology / Genome, Viral / Humans / Infection Control - methods / Infections / Male / Medical laboratories / Medical personnel / Nursing / Original / Pandemics / Pneumonia, Viral - complications / Pneumonia, Viral - diagnosis / Pneumonia, Viral - mortality / Pneumonia, Viral - transmission / Polymerase chain reaction / Prevalence / Public health / Real-Time Polymerase Chain Reaction / SARS-CoV-2 / Severe acute respiratory syndrome coronavirus 2 / Skilled Nursing Facilities / Viral Load / Washington - epidemiology

2020

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Presymptomatic SARS-CoV-2 Infections and Transmission in a Skilled Nursing Facility

2020

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2020

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Journal Article

Presymptomatic SARS-CoV-2 Infections and Transmission in a Skilled Nursing Facility

Harcourt, Jennifer,

Spicer, Kevin,

Tao, Ying,

Montgomery, Patty,

Arons, Melissa M,

Bardossy, Ana C,

Lewis, James,

Kay, Meagan,

McLaughlin, Heather P,

Bell, Jeneita M,

Jernigan, John A,

Hatfield, Kelly M,

Thornburg, Natalie,

James, Allison,

Tanwar, Sukarma,

Honein, Margaret A,

Reddy, Sujan C,

Oakley, Lisa P,

Page, Libby C,

Tamin, Azaibi,

Stone, Nimalie D,

Kimball, Anne,

Carlson, Christina M,

Duchin, Jeffrey S,

Jacobs, Jesica R,

Dyal, Jonathan W,

Chisty, Zeshan,

Methner, Mark,

Tong, Suxiang,

Harney, Josh,

Clark, Thomas A,

Paul, Prabasaj,

Clark, Shauna,

Uehara, Anna,

Brostrom-Smith, Claire,

Taylor, Joanne

2020

Overview

The authors assessed transmission of SARS-CoV-2 and evaluated the adequacy of symptom-based screening in a skilled nursing facility. More than half of residents with positive test results were asymptomatic at the time of testing. Infection-control strategies focused solely on symptomatic residents were not sufficient to prevent transmission.

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Publisher

Massachusetts Medical Society

Subject

Aged

/ Aged, 80 and over

/ Asymptomatic

/ Asymptomatic Diseases

/ Betacoronavirus - genetics

/ Betacoronavirus - isolation & purification

/ Comorbidity