Section of Infectious Disease, Department of Medicine, University of Chicago, Chicago, IL, USA.
Department of Medicine, Section of Geriatrics and Palliative Medicine, University of Chicago, Chicago, IL, USA.
J Am Med Dir Assoc. 2020 Nov;21(11):1560-1562. doi: 10.1016/j.jamda.2020.09.001. Epub 2020 Sep 6.
An outbreak of SARS-CoV-2 in a skilled nursing facility (SNF) can be devastating for residents and staff. Difficulty identifying asymptomatic and presymptomatic cases and lack of vaccination or treatment options make management challenging. We created, implemented, and now present a guide to rapidly deploy point-prevalence testing and 3-tiered cohorting in an SNF to mitigate an outbreak. We outline key challenges to SNF cohorting.
在疗养院（SNF）爆发的 SARS-CoV-2 可能对居民和工作人员造成毁灭性的影响。难以识别无症状和出现症状前的病例，加上缺乏疫苗接种或治疗选择，使得管理变得极具挑战性。我们创建、实施并现在提供了一份指南，以在疗养院快速部署基于点的患病率检测和三级分组，以减轻疫情爆发。我们概述了疗养院分组所面临的关键挑战。
