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Transmission of SARS-CoV-2 Involving Residents Receiving Dialysis in a Nursing Home — Maryland, April 2020
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August 14 2020
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Source: MMWR Morbidity Mortal Weekly Rep. 69(32):1089-1094
[PDF-222.94 KB]
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Journal Article:Morbidity and Mortality Weekly Report (MMWR)
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Personal Author:
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Description:SARS-CoV-2, the Virus that causes coronaVirus disease 2019 (COVID-19), can spread rapidly in nursing homes once it is introduced (1,2). To prevent outbreaks, more data are needed to identify sources of introduction and means of Transmission within nursing homes. Nursing home residents who receive hemodialysis (dialysis) might be at higher risk for SARS-CoV-2 infections because of their frequent exposures outside the nursing home to both community dialysis patients and staff members at dialysis centers (3). Investigation of a COVID-19 outbreak in a Maryland nursing home (facility A) identified a higher prevalence of infection among residents undergoing dialysis (47%; 15 of 32) than among those not receiving dialysis (16%; 22 of 138) (p<0.001). Among residents with COVID-19, the 30-day hospitalization rate among those receiving dialysis (53%) was higher than that among residents not receiving dialysis (18%) (p = 0.03); the proportion of dialysis patients who died was 40% compared with those who did not receive dialysis (27%) (p = 0.42).Careful consideration of infection control practices throughout the dialysis process (e.g., transportation, time spent in waiting areas, spacing of machines, and cohorting), clear communication between nursing homes and dialysis centers, and coordination of tTesting practices between these sites are critical to preventing COVID-19 outbreaks in this medically vulnerable population.
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ISSN:0149-2195 (print);1545-861X (digital);
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Pubmed ID:32790661
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Pubmed Central ID:PMC7440122
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Pages in Document:6 pdf pages
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Volume:69
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Issue:32
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