Identification of Presymptomatic and Asymptomatic Cases Using Cohort-Based Testing Approaches at a Large Correctional Facility-Chicago, Illinois, USA, May 2020.

Autor:	Wadhwa A; COVID-19 Response Team, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia, USA.; Laboratory Leadership Service, CDC, Atlanta, Georgia, USA., Fisher KA; COVID-19 Response Team, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia, USA.; Epidemic Intelligence Service, CDC, Atlanta, Georgia, USA., Silver R; COVID-19 Response Team, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia, USA.; Public Health Institute-CDC Global Health Fellow, Atlanta, Georgia, USA., Koh M; COVID-19 Response Team, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia, USA.; Public Health Institute-CDC Global Health Fellow, Atlanta, Georgia, USA., Arons MM; COVID-19 Response Team, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia, USA.; Epidemic Intelligence Service, CDC, Atlanta, Georgia, USA., Miller DA; COVID-19 Response Team, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia, USA., McIntyre AF; COVID-19 Response Team, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia, USA., Vuong JT; COVID-19 Response Team, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia, USA., Kim K; COVID-19 Response Team, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia, USA., Takamiya M; COVID-19 Response Team, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia, USA., Binder AM; COVID-19 Response Team, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia, USA., Tate JE; COVID-19 Response Team, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia, USA., Armstrong PA; COVID-19 Response Team, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia, USA., Black SR; Chicago Department of Public Health, Chicago, Illinois, USA., Mennella CC; Cermak Health Services, Chicago, Illinois, USA.; Cook County Health, Chicago, Illinois, USA., Levin R; Cook County Sherriff's Office, Chicago, Illinois, USA., Gubser J; Cook County Sherriff's Office, Chicago, Illinois, USA., Jones B; Cermak Health Services, Chicago, Illinois, USA.; Cook County Health, Chicago, Illinois, USA., Welbel SF; Cook County Health, Chicago, Illinois, USA., Moonan PK; COVID-19 Response Team, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia, USA., Curran K; COVID-19 Response Team, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia, USA., Ghinai I; COVID-19 Response Team, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia, USA.; Epidemic Intelligence Service, CDC, Atlanta, Georgia, USA.; Chicago Department of Public Health, Chicago, Illinois, USA., Doshi R; COVID-19 Response Team, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia, USA., Zawitz CJ; Cermak Health Services, Chicago, Illinois, USA.; Cook County Health, Chicago, Illinois, USA.
Jazyk:	angličtina
Zdroj:	Clinical infectious diseases : an official publication of the Infectious Diseases Society of America [Clin Infect Dis] 2021 Mar 01; Vol. 72 (5), pp. e128-e135.
DOI:	10.1093/cid/ciaa1802
Abstrakt:	Background: Coronavirus disease 2019 (COVID-19) continues to cause significant morbidity and mortality worldwide. Correctional and detention facilities are at high risk of experiencing outbreaks. We aimed to evaluate cohort-based testing among detained persons exposed to laboratory-confirmed cases of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in order to identify presymptomatic and asymptomatic cases. Methods: During 1-19 May 2020, 2 testing strategies were implemented in 12 tiers or housing units of the Cook County Jail, Chicago, Illinois. Detained persons were approached to participate in serial testing (n = 137) and offered tests at 3 time points over 14 days (day 1, days 3-5, and days 13-14). The second group was offered a single test and interview at the end of a 14-day quarantine period (day 14 group) (n = 87). Results: 224 detained persons were approached for participation and, of these, 194 (87%) participated in ≥1 interview and 172 (77%) had ≥1 test. Of the 172 tested, 19 were positive for SARS-CoV-2. In the serial testing group, 17 (89%) new cases were detected, 16 (84%) on day 1, 1 (5%) on days 3-5, and none on days 13-14; in the day 14 group, 2 (11%) cases were identified. More than half (12/19; 63%) of the newly identified cases were presymptomatic or asymptomatic. Conclusions: Our findings highlight the utility of cohort-based testing promptly after initiating quarantine within a housing tier. Cohort-based testing efforts identified new SARS-CoV-2 asymptomatic and presymptomatic infections that may have been missed by symptom screening alone. (Published by Oxford University Press for the Infectious Diseases Society of America 2020.)
Databáze:	MEDLINE
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