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SARS-CoV-2 infection, clinical features and outcome of COVID-19 in United Kingdom nursing homes
Open accessAbstract
OBJECTIVES: To understand SARS-Co-V-2 infection and transmission in UK nursing homes in order to develop preventive strategies for protecting the frail elderly residents. METHODS: An outbreak investigation involving 394 residents and 70 staff, was carried out in 4 nursing homes affected by COVID-19 outbreaks in central London. Two point-prevalence surveys were performed one week apart where residents underwent SARS-CoV-2 testing and had relevant symptoms documented. Asymptomatic staff from three of the four homes were also offered SARS-CoV-2 testing. RESULTS: Overall, 26% (95% CI 22-31) of residents died over the two-month period. All-cause mortality increased by 203% (95% CI 70-336) compared with previous years. Systematic testing identified 40% (95% CI 35-46) of residents as positive for SARS-CoV-2, and of these 43% (95% CI 34-52) were asymptomatic and 18% (95% CI 11-24) had only atypical symptoms; 4% (95% CI -1 to 9) of asymptomatic staff also tested positive. CONCLUSIONS: The SARS-CoV-2 outbreak in four UK nursing homes was associated with very high infection and mortality rates. Many residents developed either atypical or had no discernible symptoms. A number of asymptomatic staff members also tested positive, suggesting a role for regular screening of both residents and staff in mitigating future outbreaks.
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Cited by
Gómez-Ochoa, S. A., Franco, O. H., Rojas, L. Z., Raguindin, P. F., Roa-Díaz, Z. M., Wyssmann, B. M., Guevara, S. L. R., Echeverría, L. E., Glisic, M., & Muka, T. (2021) · American Journal of Epidemiology · doi:10.1093/aje/kwaa191 · Cited by 785
Excess mortality: the gold standard in measuring the impact of COVID-19 worldwide?
Beaney, T., Clarke, J. M., Jain, V., Golestaneh, A. K., Lyons, G., Salman, D., & Majeed, A. (2020) · Journal of the Royal Society of Medicine · doi:10.1177/0141076820956802 · Cited by 370
Ismail, S. A., Saliba, V., Lopez Bernal, J., Ramsay, M. E., & Ladhani, S. N. (2021) · The Lancet Infectious Diseases · doi:10.1016/s1473-3099(20)30882-3 · Cited by 305
Self-citationAbbas, M., Robalo Nunes, T., Martischang, R., Zingg, W., Iten, A., Pittet, D., & Harbarth, S. (2021) · Antimicrobial Resistance & Infection Control · doi:10.1186/s13756-020-00875-7 · Cited by 282
Cohen, M. S., Nirula, A., Mulligan, M. J., Novak, R. M., Marovich, M., Yen, C., Stemer, A., Mayer, S. M., Wohl, D., Brengle, B., et al. (2021) · JAMA · doi:10.1001/jama.2021.8828 · Cited by 193
Metadata
- Authors
- Graham, N. S. N., Junghans, C., Downes, R., Sendall, C., Lai, H., McKirdy, A., Elliott, P., Howard, R., Wingfield, D., Priestman, M., Ciechonska, M., Cameron, L., Storch, M., Crone, M. A., Freemont, P. S., Randell, P., McLaren, R., Lang, N., Ladhani, S., Sanderson, F., & Sharp, D. J.
- Venue
- Journal of Infection
- Publisher
- Elsevier BV
- Published
- 2020-09
- Volume
- 81
- Issue
- 3
- Pages
- 411-419
- ISSN
- 0163-4453 (ISSN-L)
- OpenAlex
- W3033725686
- Cited by
- 239
- References
- 0
- FWCI
- 50.83
- Type
- journal article
- Language
- en
- Open access
- hybrid
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- Graham, N. S. N., Junghans, C., Downes, R., Sendall, C., Lai, H., McKirdy, A., Elliott, P., Howard, R., Wingfield, D., Priestman, M., Ciechonska, M., Cameron, L., Storch, M., Crone, M. A., Freemont, P. S., Randell, P., McLaren, R., Lang, N., Ladhani, S., . . . Sharp, D. J. (2020). SARS-CoV-2 infection, clinical features and outcome of COVID-19 in United Kingdom nursing homes. Journal of Infection. https://doi.org/10.1016/j.jinf.2020.05.073
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