Integrating Contact Tracers Into Point-of-Care Testing Workflow to Accelerate the Tracing of People With Exposure to COVID-19, August-December 2020, New York City.

Autor:	Udeagu CN; New York City Department of Health and Mental Hygiene, Queens, New York (Mss Udeagu, Pitiranggon, and Blaney and Dr Vora); New York City Test & Trace Corps, New York City, New York (Mss Udeagu, Gbedemah, Pitiranggon, Feldman, Goldenberg, Keeley, and Blaney and Drs Cordoba, Vora, and Long); and New York City Health + Hospitals Corporation, New York City, New York (Mss Gbedemah, Feldman, Goldenberg, and Keeley and Drs Cordoba and Long)., Gbedemah M, Pitiranggon M, Feldman S, Cordoba E, Goldenberg S, Keeley C, Blaney K, Vora NM, Long T
Jazyk:	angličtina
Zdroj:	Journal of public health management and practice : JPHMP [J Public Health Manag Pract] 2023 Sep-Oct 01; Vol. 29 (5), pp. 708-717. Date of Electronic Publication: 2023 Jun 05.
DOI:	10.1097/PHH.0000000000001748
Abstrakt:	Objectives: We assessed the timeliness of contact tracing following rapid-positive COVID-19 test result at point-of-care testing (POCT) sites in New York City (NYC). Design: Interviewed case-patients to elicit exposed contacts and conducted COVID-19 exposure notifications. Settings: Twenty-two COVID-19 POCT sites in NYC, the 2 NYC international airports, and 1 ferry terminal. Participants: Case-patients with rapid-positive COVID-19 test results and their named contacts. Main Outcome Measures: We quantified the proportions of interviewed individuals with COVID-19 and notified contacts and assessed the timeliness between the dates of the rapid-positive COVID-19 test results and the interviews or notifications. Results: In total, 11 683 individuals with rapid-positive COVID-19 test results were referred for contact tracing on the day of their diagnosis; 8878 (76) of whom were interviewed within 1 day of diagnosis, of whom 5499 (62%) named 11 486 contacts. A median of 1.24 contacts were identified from each interview. The odds of eliciting contacts were significantly higher among individuals reporting COVID-19 symptoms than among persons with no symptoms (51% vs 36%; adjusted odds ratio [aOR] = 1.37; 95% confidence interval [CI], 1.11-1.70) or living with 1 or more persons than living alone (89% vs 38%; aOR = 12.11; 95% CI, 10.73-13.68). Among the 8878 interviewed case-patients, 8317 (94%) were interviewed within 1 day of their rapid-positive COVID-19 test results and 91% of contact notifications were completed within 1 day of contact identification. The median interval from test result to interview date and from case investigation interview to contact notification were both 0 days (IQR = 0). Conclusions: The integration of contact tracers into COVID-19 POCT workflow achieved timely case investigation and contact notification. Accelerated contact tracing can be used to curb COVID-19 transmission during local outbreaks. (Copyright © 2023 The Authors. Published by Wolters Kluwer Health, Inc.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu