Universal COVID-19 Testing Following Detection of Incident Cases in 11 Long-term Care Facilities | Geriatrics | JN Learning | AMA Ed Hub [Skip to Content]
[Skip to Content Landing]

Outcomes of Universal COVID-19 Testing Following Detection of Incident Cases in 11 Long-term Care Facilities

Educational Objective
To understand the outcomes of universal COVID-19 testing following detection of incident cases in 11 long-term care facilities
1 Credit CME

Residents in long-term care facilities are at particularly high risk of infection and poor outcomes associated with coronavirus disease 2019 (COVID-19).1,2 Early in the course of the pandemic, testing recommendations by the Centers for Disease Control advised testing residents and staff solely based on the presence of typical symptoms. Despite these efforts, there have been widespread outbreaks across long-term care facilities in the US, with high mortality rates.

Sign in to take quiz and track your certificates

Buy This Activity

JN Learning™ is the home for CME and MOC from the JAMA Network. Search by specialty or US state and earn AMA PRA Category 1 CME Credit™ from articles, audio, Clinical Challenges and more. Learn more about CME/MOC

Article Information

Accepted for Publication: June 23, 2020.

Corresponding Author: Morgan J. Katz, MD, MHS, Department of Medicine, Division of Infectious Disease, Johns Hopkins University School of Medicine, 5200 Eastern Ave, Mason F. Lord Bldg, Baltimore, MD 21224 (mkatz26@jhmi.edu).

Published Online: July 14, 2020. doi:10.1001/jamainternmed.2020.3738

Author Contributions: Dr Katz had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.

Concept and design: Bigelow, Tang, Peters, Sisson, Peairs, Katz.

Acquisition, analysis, or interpretation of data: All authors.

Drafting of the manuscript: Bigelow, Tang, Peters, Peairs.

Critical revision of the manuscript for important intellectual content: All authors.

Statistical analysis: Bigelow, Tang, Peters.

Administrative, technical, or material support: Barshick, Sisson, Peairs.

Supervision: Barshick, Peters, Katz.

Conflict of Interest Disclosures: Dr Katz reports grants from CDC, personal fees from FutureCare, grants from AHRQ, and personal fees from Roche outside the submitted work. No other disclosures were reported.

Additional Contributions: The authors thank the Johns Hopkins Ambulatory testing team, facility staff, and residents for their important contributions. This work was performed as a public health initiative to assist the Maryland Department of Health in their response to the spread of COVID-19.

Additional Information: Deidentified data from this study with a data dictionary is available; please email mkatz26@jhmi.edu for data access request.

References
1.
Wang  L , He  W , Yu  X ,  et al.  Coronavirus disease 2019 in elderly patients: characteristics and prognostic factors based on 4-week follow-up.   J Infect. 2020;80(6):639-645. doi:10.1016/j.jinf.2020.03.019PubMedGoogle ScholarCrossref
2.
Kimball  A , Hatfield  KM , Arons  M ,  et al; Public Health—Seattle & King County; CDC COVID-19 Investigation Team.  Asymptomatic and presymptomatic SARS-CoV-2 infections in residents of a long-term care skilled nursing facility—King County, Washington, March 2020.   MMWR Morb Mortal Wkly Rep. 2020;69(13):377-381. doi:10.15585/mmwr.mm6913e1PubMedGoogle ScholarCrossref
3.
Arons  MM , Hatfield  KM , Reddy  SC ,  et al; Public Health–Seattle and King County and CDC COVID-19 Investigation Team.  Presymptomatic SARS-CoV-2 infections and transmission in a skilled nursing facility.   N Engl J Med. 2020;382(22):2081-2090. doi:10.1056/NEJMoa2008457PubMedGoogle ScholarCrossref
4.
Centers for Medicare & Medicaid Services. Long Term Care Facility Reporting on COVID-19. Published 2020. Accessed June 5, 2020. https://www.cms.gov/files/document/covid-nursing-home-reporting-numbers-5-31-20.pdf
5.
Wang  W , Xu  Y , Gao  R ,  et al.  Detection of SARS-CoV-2 in different types of clinical specimens.   JAMA. 2020;323(18):1843-1844. doi:10.1001/jama.2020.3786PubMedGoogle Scholar
If you are not a JN Learning subscriber, you can either:
Subscribe to JN Learning for one year
Buy this activity
jn-learning_Modal_Multimedia_LoginSubscribe_Purchase
Close
If you are not a JN Learning subscriber, you can either:
Subscribe to JN Learning for one year
Buy this activity
jn-learning_Modal_Multimedia_LoginSubscribe_Purchase
Close
With a personal account, you can:
  • Access free activities and track your credits
  • Personalize content alerts
  • Customize your interests
  • Fully personalize your learning experience
Education Center Collection Sign In Modal Right
Close

Name Your Search

Save Search
Close
With a personal account, you can:
  • Track your credits
  • Personalize content alerts
  • Customize your interests
  • Fully personalize your learning experience
jn-learning_Modal_SaveSearch_NoAccess_Purchase
Close

Lookup An Activity

or

Close

My Saved Searches

You currently have no searches saved.

Close
With a personal account, you can:
  • Access free activities and track your credits
  • Personalize content alerts
  • Customize your interests
  • Fully personalize your learning experience
Education Center Collection Sign In Modal Right
Close