{"title":"疗养院对无症状老年人进行严重急性呼吸系统综合征冠状病毒2型筛查的兴趣","authors":"Elise Sourdeau , Delphine Cantin , Jean-François Meritet , Dominique Salmon , Etienne Ravault , Jean-Paul Viard , Laurence Slama , HP COVID 19 research collaboration","doi":"10.1016/j.lpmope.2021.100011","DOIUrl":null,"url":null,"abstract":"<div><h3>Importance</h3><p>Since the beginning of the pandemic, COVID-19 affected specifically elderly people aged 70 years and over in whom the mortality rate is high. We may underestimate asymptomatic people or persons with atypical COVID-19 symptoms who may spread the disease.</p></div><div><h3>Objective</h3><p>A large screening campaign was launched all over France in several retirement homes in order to screen asymptomatic persons for SARS-CoV-2 to isolate carriers from other residents.</p></div><div><h3>Methods</h3><p>From April 24th to 27th 2020, mobile teams of nurses from the Hôtel-Dieu Hospital were sent to five Parisian nursing homes to conduct SARS-CoV-2 RT-PCR screening tests among all asymptomatic.</p></div><div><h3>Results</h3><p>This cross-sectional study included 297 residents: 274 asymptomatic participants (92.3%) were tested for COVID-19, mostly women (<em>n</em> <!-->=<!--> <!-->249/274), median age was 90 (IQR 95% [86–94]) with females being significantly older than males (90 versus 88 years, <em>P</em> <!-->=<!--> <!-->0.028). A total of 35 residents (12.8%) were tested positive for COVID-19: 29 women (11.7%) and six men (24%). The proportion of PCR-positive residents was extremely variable between retirement homes and analysis of COVID-19 positive cases dispersion in each nursing home showed there was no area cluster.</p></div><div><h3>Conclusion</h3><p>There is a real public health interest in tracking SARS-CoV-2 positive asymptomatic elderly people in nursing homes.</p></div>","PeriodicalId":100860,"journal":{"name":"La Presse Médicale Open","volume":"2 ","pages":"Article 100011"},"PeriodicalIF":0.0000,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.lpmope.2021.100011","citationCount":"0","resultStr":"{\"title\":\"Interest of screening asymptomatic older adults for SARS-CoV-2 in nursing homes\",\"authors\":\"Elise Sourdeau , Delphine Cantin , Jean-François Meritet , Dominique Salmon , Etienne Ravault , Jean-Paul Viard , Laurence Slama , HP COVID 19 research collaboration\",\"doi\":\"10.1016/j.lpmope.2021.100011\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Importance</h3><p>Since the beginning of the pandemic, COVID-19 affected specifically elderly people aged 70 years and over in whom the mortality rate is high. We may underestimate asymptomatic people or persons with atypical COVID-19 symptoms who may spread the disease.</p></div><div><h3>Objective</h3><p>A large screening campaign was launched all over France in several retirement homes in order to screen asymptomatic persons for SARS-CoV-2 to isolate carriers from other residents.</p></div><div><h3>Methods</h3><p>From April 24th to 27th 2020, mobile teams of nurses from the Hôtel-Dieu Hospital were sent to five Parisian nursing homes to conduct SARS-CoV-2 RT-PCR screening tests among all asymptomatic.</p></div><div><h3>Results</h3><p>This cross-sectional study included 297 residents: 274 asymptomatic participants (92.3%) were tested for COVID-19, mostly women (<em>n</em> <!-->=<!--> <!-->249/274), median age was 90 (IQR 95% [86–94]) with females being significantly older than males (90 versus 88 years, <em>P</em> <!-->=<!--> <!-->0.028). A total of 35 residents (12.8%) were tested positive for COVID-19: 29 women (11.7%) and six men (24%). The proportion of PCR-positive residents was extremely variable between retirement homes and analysis of COVID-19 positive cases dispersion in each nursing home showed there was no area cluster.</p></div><div><h3>Conclusion</h3><p>There is a real public health interest in tracking SARS-CoV-2 positive asymptomatic elderly people in nursing homes.</p></div>\",\"PeriodicalId\":100860,\"journal\":{\"name\":\"La Presse Médicale Open\",\"volume\":\"2 \",\"pages\":\"Article 100011\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2021-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1016/j.lpmope.2021.100011\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"La Presse Médicale Open\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2590250421000065\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"La Presse Médicale Open","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2590250421000065","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Interest of screening asymptomatic older adults for SARS-CoV-2 in nursing homes
Importance
Since the beginning of the pandemic, COVID-19 affected specifically elderly people aged 70 years and over in whom the mortality rate is high. We may underestimate asymptomatic people or persons with atypical COVID-19 symptoms who may spread the disease.
Objective
A large screening campaign was launched all over France in several retirement homes in order to screen asymptomatic persons for SARS-CoV-2 to isolate carriers from other residents.
Methods
From April 24th to 27th 2020, mobile teams of nurses from the Hôtel-Dieu Hospital were sent to five Parisian nursing homes to conduct SARS-CoV-2 RT-PCR screening tests among all asymptomatic.
Results
This cross-sectional study included 297 residents: 274 asymptomatic participants (92.3%) were tested for COVID-19, mostly women (n = 249/274), median age was 90 (IQR 95% [86–94]) with females being significantly older than males (90 versus 88 years, P = 0.028). A total of 35 residents (12.8%) were tested positive for COVID-19: 29 women (11.7%) and six men (24%). The proportion of PCR-positive residents was extremely variable between retirement homes and analysis of COVID-19 positive cases dispersion in each nursing home showed there was no area cluster.
Conclusion
There is a real public health interest in tracking SARS-CoV-2 positive asymptomatic elderly people in nursing homes.
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