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. 2021 Sep 11;50(5):1442-1444.
doi: 10.1093/ageing/afab101.

COVID-19 point-of-care testing in care homes: what are the lessons for policy and practice?

Peter Buckle  1 , Massimo Micocci  1 , John Tulloch  2 , Patrick Kierkegaard  1 , Paula Parvulescu  3 , Carl Thompson  4   5 , Karen Spilsbury  4   5 , A Joy Allen  6 , Richard Body  7   8 , Gail Hayward  9 , Iain Buchan  10 , Adam L Gordon  11   12
Affiliations

COVID-19 point-of-care testing in care homes: what are the lessons for policy and practice?

Peter Buckle et al. Age Ageing. .

Abstract

COVID-19 has devastated care homes. Point-of-care tests (POCTs), mainly using lateral flow devices (LFDs), have been deployed hurriedly without much consideration of their usability or impact on care workflow. Even after the pandemic, POCTs, particularly multiplex tests, may be an important control against spread of SARS-CoV-2 and other respiratory infections in care homes by enabling identification of cases. They should not, however, replace other infection control measures such as barrier methods and quarantine. Adherence to LFDs as implemented among care home staff is suboptimal. Other tests-such as point-of-care polymerase chain reaction and automated antigen tests-would also need to be accommodated into care home workflows to improve adherence. The up-front costs of POCTs are straightforward but additional costs, including staffing preparation and reporting processes and the impacts of false positive and negative tests on absence rates and infection days, are more complex and as yet unquantified. A detailed appraisal is needed as the future of testing in care homes is considered.

Keywords: COVID-19; care homes; nursing homes; older people; point-of-care testing.

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References

    1. Comas-Herrera A, Zalakaín J, Litwin C, et al. Mortality associated with COVID-19 outbreaks in care homes: early international evidence, available online at: https://ltccovid.org/wp-content/uploads/2020/04/Mortality-associated-wit.... (20 April 2021, date last accessed)
    1. Phillips N. The coronavirus is here to stay—here’s what that means. Nature 2021; 590: 382–4. - PubMed
    1. Scobie S. Covid-19 and the deaths of care home residents, available online at: https://www.nuffieldtrust.org.uk/news-item/covid-19-and-the-deaths-of-ca... (20 April 2021, date last accessed).
    1. Schlögl M, Jones A, Maintaining C. Our humanity through the mask: mindful communication during COVID-19. J Am Geriatr Soc 2020; 68: E12–3. - PMC - PubMed
    1. Low L-F, Hinsliff-Smith K, Sinha SK et al. Safe visiting is essential for nursing home residents during the COVID-19 pandemic: an international perspective. J Am Med Dir Assoc 2021; 22: 977–8. - PMC - PubMed