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Control of a COVID-19 outbreak in a nursing home by general screening and cohort isolation in Germany, March to May 2020

Elderly care facilities have become a major focus of coronavirus disease (COVID-19) control. Here, we describe an outbreak of COVID-19 in a nursing home in Germany from 8 March to 4 May 2020 (58 days), and the effect of an intervention of general screening and cohort isolation. COVID-19 cases among...

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Autores principales: Krone, Manuel, Noffz, Annette, Richter, Elisabeth, Vogel, Ulrich, Schwab, Michael
Formato: Online Artículo Texto
Lenguaje:English
Publicado: European Centre for Disease Prevention and Control (ECDC) 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7791603/
https://www.ncbi.nlm.nih.gov/pubmed/33413742
http://dx.doi.org/10.2807/1560-7917.ES.2021.26.1.2001365
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author Krone, Manuel
Noffz, Annette
Richter, Elisabeth
Vogel, Ulrich
Schwab, Michael
author_facet Krone, Manuel
Noffz, Annette
Richter, Elisabeth
Vogel, Ulrich
Schwab, Michael
author_sort Krone, Manuel
collection PubMed
description Elderly care facilities have become a major focus of coronavirus disease (COVID-19) control. Here, we describe an outbreak of COVID-19 in a nursing home in Germany from 8 March to 4 May 2020 (58 days), and the effect of an intervention of general screening and cohort isolation. COVID-19 cases among residents and staff were recorded on a daily basis from the first positive SARS-CoV-2 test from a resident on 8 March 2020, until 4 May 2020 when the last staff member was classified COVID-19 negative. Eighty of 160 residents (50%) and 37 of 135 staff members (27%) tested positive for SARS-CoV-2. Twenty-seven of the 80 residents were asymptomatic but tested positive during the first general screening. Cohort isolation of SARS-CoV-2 positive residents by reorganising the facility proved to be a major effort. After the intervention, four further asymptomatic residents tested positive in follow-up screenings within a period of 6 days, and were possibly infected prior to the intervention. Thereafter, no further infections were recorded among residents. The described outbreak was controlled by implementing general screening and rigorous cohort isolation, providing a blueprint for similar facilities.
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spelling pubmed-77916032021-01-11 Control of a COVID-19 outbreak in a nursing home by general screening and cohort isolation in Germany, March to May 2020 Krone, Manuel Noffz, Annette Richter, Elisabeth Vogel, Ulrich Schwab, Michael Euro Surveill Outbreaks Elderly care facilities have become a major focus of coronavirus disease (COVID-19) control. Here, we describe an outbreak of COVID-19 in a nursing home in Germany from 8 March to 4 May 2020 (58 days), and the effect of an intervention of general screening and cohort isolation. COVID-19 cases among residents and staff were recorded on a daily basis from the first positive SARS-CoV-2 test from a resident on 8 March 2020, until 4 May 2020 when the last staff member was classified COVID-19 negative. Eighty of 160 residents (50%) and 37 of 135 staff members (27%) tested positive for SARS-CoV-2. Twenty-seven of the 80 residents were asymptomatic but tested positive during the first general screening. Cohort isolation of SARS-CoV-2 positive residents by reorganising the facility proved to be a major effort. After the intervention, four further asymptomatic residents tested positive in follow-up screenings within a period of 6 days, and were possibly infected prior to the intervention. Thereafter, no further infections were recorded among residents. The described outbreak was controlled by implementing general screening and rigorous cohort isolation, providing a blueprint for similar facilities. European Centre for Disease Prevention and Control (ECDC) 2021-01-07 /pmc/articles/PMC7791603/ /pubmed/33413742 http://dx.doi.org/10.2807/1560-7917.ES.2021.26.1.2001365 Text en This article is copyright of the authors or their affiliated institutions, 2021. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution (CC BY 4.0) Licence. You may share and adapt the material, but must give appropriate credit to the source, provide a link to the licence, and indicate if changes were made.
spellingShingle Outbreaks
Krone, Manuel
Noffz, Annette
Richter, Elisabeth
Vogel, Ulrich
Schwab, Michael
Control of a COVID-19 outbreak in a nursing home by general screening and cohort isolation in Germany, March to May 2020
title Control of a COVID-19 outbreak in a nursing home by general screening and cohort isolation in Germany, March to May 2020
title_full Control of a COVID-19 outbreak in a nursing home by general screening and cohort isolation in Germany, March to May 2020
title_fullStr Control of a COVID-19 outbreak in a nursing home by general screening and cohort isolation in Germany, March to May 2020
title_full_unstemmed Control of a COVID-19 outbreak in a nursing home by general screening and cohort isolation in Germany, March to May 2020
title_short Control of a COVID-19 outbreak in a nursing home by general screening and cohort isolation in Germany, March to May 2020
title_sort control of a covid-19 outbreak in a nursing home by general screening and cohort isolation in germany, march to may 2020
topic Outbreaks
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7791603/
https://www.ncbi.nlm.nih.gov/pubmed/33413742
http://dx.doi.org/10.2807/1560-7917.ES.2021.26.1.2001365
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