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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.
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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 (email@example.com).
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 firstname.lastname@example.org for data access request.
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