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Clin Infect Dis . Lessons from Mass-Testing for COVID-19 in Long Term Care Facilities for the Elderly in San Francisco

tetano

Editor, Senior Moderator
Clin Infect Dis


. 2020 Jul 20;ciaa1020.
doi: 10.1093/cid/ciaa1020. Online ahead of print.
Lessons from Mass-Testing for COVID-19 in Long Term Care Facilities for the Elderly in San Francisco


Janice K Louie[SUP] 1 2 [/SUP], Hyman M Scott[SUP] 1 2 [/SUP], Amie DuBois[SUP] 1 [/SUP], Natalya Sturtz[SUP] 1 [/SUP], Wendy Lu[SUP] 1 [/SUP], Juliet Stoltey[SUP] 1 2 [/SUP], Godfred Masinde[SUP] 1 [/SUP], Stephanie Cohen[SUP] 1 2 [/SUP], Darpun Sachdev[SUP] 1 [/SUP], Susan Philip[SUP] 1 2 [/SUP], Naveena Bobba[SUP] 1 [/SUP], Tomas Aragon[SUP] 1 3 [/SUP], San Francisco Department of Public Health COVID-19 Skilled Nursing Facility Outbreak Response Team



Affiliations

Abstract

COVID-19 can cause significant mortality in the elderly in Long Term Care Facilities (LTCF). We describe four LTCF outbreaks where mass testing identified a high proportion of asymptomatic infections (4-41% in health care workers and 20-75% in residents), indicating that symptom-based screening alone is insufficient for monitoring for COVID-19 transmission.

Keywords: COVID-19; Coronavirus; elderly; health care worker; infection control; mass testing; skilled nursing facility.
 
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