Emerging Infectious Diseases (May 2021)

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

  • Hanna Y. Ehrlich,
  • Adora Harizaj,
  • Lauren Campbell,
  • McKenzie Colt,
  • Karen Yuan,
  • Therese Rabatsky-Ehr,
  • Daniel M. Weinberger,
  • Vivian Leung,
  • Linda M. Niccolai,
  • Sunil Parikh

DOI
https://doi.org/10.3201/eid2705.204936
Journal volume & issue
Vol. 27, no. 5
pp. 1288 – 1295

Abstract

Read online

Nursing homes house populations that are highly vulnerable to coronavirus disease. Point prevalence surveys (PPSs) provide information on the severe acute respiratory syndrome coronavirus 2 infection status of staff and residents in nursing homes and enable isolation of infectious persons to halt disease spread. We collected 16 weeks of public health surveillance data on a subset of nursing homes (34/212) in Connecticut, USA. We fit a Poisson regression model to evaluate the association between incidence and time since serial PPS onset, adjusting for decreasing community incidence and other factors. Nursing homes conducted a combined total of 205 PPSs in staff and 232 PPSs in residents. PPS was associated with 41%–80% reduction in incidence rate in nursing homes. Our findings provide support for the use of repeated PPSs in nursing home staff and residents, combined with strong infection prevention measures such as cohorting, in contributing to outbreak control.

Keywords