Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 Nov;21(11):1560-1562.
doi: 10.1016/j.jamda.2020.09.001. Epub 2020 Sep 6.

Three-Tiered COVID-19 Cohorting Strategy and Implications for Memory-Care

Maggie Collison  1 , Kimberly J Beiting  2 , Jacob Walker  2 , Megan Huisingh-Scheetz  2 , Jennifer Pisano  3 , Stephanie Chia  4 , Rachel Marrs  5 , Emily Landon  3 , Stacie Levine  2 , Lauren J Gleason  2
Affiliations

Three-Tiered COVID-19 Cohorting Strategy and Implications for Memory-Care

Maggie Collison et al. J Am Med Dir Assoc. 2020 Nov.

Abstract

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.

Keywords: COVID-19; Cohorting; SARS-CoV-2; asymptomatic carriers; long-term care; point prevalence.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
Algorithm for testing and cohorting.∗If patient develops symptoms, retest with nasopharyngeal (NP) PCR swab. †During ongoing outbreak, 14-day quarantine recommended before negative-cleared unit. A downloadable PDF of this form is available at www.sciencedirect.com.
See this image and copyright information in PMC

References

    1. Smith P.W., Bennett G., Bradley S. SHEA/APIC Guideline: Infection prevention and control in the long-term care facility. Am J Infect Control. 2008;36:504–535. - PMC - PubMed
    1. Centers for Disease Control and Prevention Preparing for COVID-19 in Nursing Homes. https://www.cdc.gov/coronavirus/2019-ncov/hcp/long-term-care-strategies.... Available at:
    1. McMichael T.M., Currie D.W., Clark S. Epidemiology of Covid-19 in a long- term care facility in King County, Washington. N Engl J Med. 2020;382:2005–2011. - PMC - PubMed
    1. Kimball A., Hatfield K.M., Arons M. 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;69:377–381. - PMC - PubMed
    1. Patel M.C., Chaisson L.H., Borgetti S. Asymptomatic SARS-CoV-2 infection and COVID-19 mortality during an outbreak investigation in a skilled nursing facility. Clin Infect Dis. 2020 Jun 16 [Epub ahead of print] [Epub ahead of print] - PMC - PubMed

Publication types