TY - JOUR T1 - Initial and Repeated Point Prevalence Surveys to Inform SARS-CoV-2 Infection Prevention in 26 Skilled Nursing Facilities - Detroit, Michigan, March-May 2020. AU - Sanchez,Guillermo V, AU - Biedron,Caitlin, AU - Fink,Lauren R, AU - Hatfield,Kelly M, AU - Polistico,Jordan Micah F, AU - Meyer,Monica P, AU - Noe,Rebecca S, AU - Copen,Casey E, AU - Lyons,Amanda K, AU - Gonzalez,Gonzalo, AU - Kiama,Keith, AU - Lebednick,Mark, AU - Czander,Bonnie K, AU - Agbonze,Amen, AU - Surma,Aimee R, AU - Sandhu,Avnish, AU - Mika,Valerie H, AU - Prentiss,Tyler, AU - Zervos,John, AU - Dalal,Donia A, AU - Vasquez,Amber M, AU - Reddy,Sujan C, AU - Jernigan,John, AU - Kilgore,Paul E, AU - Zervos,Marcus J, AU - Chopra,Teena, AU - Bezold,Carla P, AU - Rehman,Najibah K, Y1 - 2020/07/10/ PY - 2020/7/10/entrez PY - 2020/7/10/pubmed PY - 2020/7/11/medline SP - 882 EP - 886 JF - MMWR. Morbidity and mortality weekly report JO - MMWR Morb Mortal Wkly Rep VL - 69 IS - 27 N2 - Skilled nursing facilities (SNFs) are focal points of the coronavirus disease 2019 (COVID-19) pandemic, and asymptomatic infections with SARS-CoV-2, the virus that causes COVID-19, among SNF residents and health care personnel have been described (1-3). Repeated point prevalence surveys (serial testing of all residents and health care personnel at a health care facility irrespective of symptoms) have been used to identify asymptomatic infections and have reduced SARS-CoV-2 transmission during SNF outbreaks (1,3). During March 2020, the Detroit Health Department and area hospitals detected a sharp increase in COVID-19 diagnoses, hospitalizations, and associated deaths among SNF residents. The Detroit Health Department collaborated with local government, academic, and health care system partners and a CDC field team to rapidly expand SARS-CoV-2 testing and implement infection prevention and control (IPC) activities in all Detroit-area SNFs. During March 7-May 8, among 2,773 residents of 26 Detroit SNFs, 1,207 laboratory-confirmed cases of COVID-19 were identified during three periods: before (March 7-April 7) and after two point prevalence surveys (April 8-25 and April 30-May 8): the overall attack rate was 44%. Within 21 days of receiving their first positive test results, 446 (37%) of 1,207 COVID-19 patients were hospitalized, and 287 (24%) died. Among facilities participating in both surveys (n = 12), the percentage of positive test results declined from 35% to 18%. Repeated point prevalence surveys in SNFs identified asymptomatic COVID-19 cases, informed cohorting and IPC practices aimed at reducing transmission, and guided prioritization of health department resources for facilities experiencing high levels of SARS-CoV-2 transmission. With the increased availability of SARS-CoV-2 testing, repeated point prevalence surveys and enhanced and expanded IPC support should be standard tools for interrupting and preventing COVID-19 outbreaks in SNFs. SN - 1545-861X UR - https://www.unboundmedicine.com/medline/citation/32644985/Initial_and_Repeated_Point_Prevalence_Surveys_to_Inform_SARS_CoV_2_Infection_Prevention_in_26_Skilled_Nursing_Facilities___Detroit_Michigan_March_May_2020_ DB - PRIME DP - Unbound Medicine ER -