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Infectious Diseases

Vaccination Status and the Detection of SARS-CoV-2 Infection in Health Care Personnel Under Surveillance in Long-term Residential Facilities

Educational Objective
To identify the key insights or developments described in this article

1 Credit CME

JAMA Network Open

Published Online: November 10, 2021

Research Letter

Article Information and Disclosures

Katherine Linsenmeyer, MD¹;

Michael E. Charness, MD¹;

William J. O’Brien, MD¹;

Judith Strymish, MD¹;

Sucheta J. Doshi, MD, MPH¹;

Sven K. Ljaamo, MD, MPH²;

Kalpana Gupta, MD, MPH¹

Author Affiliations

¹VA Boston Healthcare System, Boston, Massachusetts
²VA Bedford Healthcare System, Bedford, Massachusetts

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Routine testing for asymptomatic SARS-COV-2 infection among health care personnel (HCP) who have not been vaccinated against COVID-19 can reduce transmission to the residents of long-term care (LTC) facilities.¹^,2 However, the utility of surveillance testing for LTC HCP who have been vaccinated against COVID-19 is unclear. Although rates of positive results among HCP who are vaccinated are extremely low,³^- 5 breakthrough infections and transmission still occur.⁶

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Article Information

Accepted for Publication: September 16, 2021.

Published: November 10, 2021. doi:10.1001/jamanetworkopen.2021.34229

Open Access: This is an open access article distributed under the terms of the CC-BY License. © 2021 Linsenmeyer K et al. JAMA Network Open.

Corresponding Author: Kalpana Gupta, MD, MPH, VA Boston Healthcare System, 1400 VFW Pkwy, West Roxbury, MA 02132 (Kalpana.gupta@va.gov).

Author Contributions: Drs Gupta and Charness had full access to all of the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis.

Concept and design: Charness, Strymish, Gupta.

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

Drafting of the manuscript: Linsenmeyer, Charness, O'Brien, Strymish, Gupta.

Critical revision of the manuscript for important intellectual content: Charness, Strymish, Doshi, Ljaamo, Gupta.

Statistical analysis: O'Brien, Strymish, Ljaamo, Gupta.

Administrative, technical, or material support: Linsenmeyer, Strymish, Doshi, Gupta.

Supervision: Gupta.

Conflict of Interest Disclosures: Dr Charness reported owing equity in Pfizer outside the submitted work. Dr Gupta reported owning equity in Moderna Pharmaceutical and Abbott Pharmaceutical outside the submitted work. No other disclosures were reported.

Disclaimer: The contents do not represent the views of the US Department of Veterans Affairs or the United States Government.

Additional Contributions: Anu Diddee, MD, and Jessica Packer, MBA, MSOL (VA Bedford) assisted with data capture, and Michelle Helm, PA-C, assisted with data capture. No compensation related to the study was provided.

AMA CME Accreditation Information

Credit Designation Statement: The American Medical Association designates this Journal-based CME activity activity for a maximum of 1.00  AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to:

1.00 Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program;;
1.00 Self-Assessment points in the American Board of Otolaryngology – Head and Neck Surgery’s (ABOHNS) Continuing Certification program;
1.00 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program;
1.00 Lifelong Learning points in the American Board of Pathology’s (ABPath) Continuing Certification program; and
1.00 credit toward the CME of the American Board of Surgery’s Continuous Certification program

It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting MOC credit.