Efficacy of a Student-Led Community Contact Tracing Program Partnered with an Academic Medical Center during the COVID-19 Pandemic

Autor: Johnathan Nunez, Matt Pelton, Kaleb Bogale, Cara Exten, Derek Nye, Nicole R. Legro, Mary Connolly, Rachel A. Dishong, Daniela Medina, Lindsay Buzzelli, Natasha Sood, Nathan Michalak, Marisa Giglio, Catherine Smiley, Joshua Blaker, Ping Du, Paul D. H. Nguyen
Jazyk: angličtina
Rok vydání: 2020
Předmět:
medicine.medical_specialty
Isolation (health care)
Epidemiology
Interdisciplinary Research
Reverse-transcription polymerase-chain reaction
RT-PCR
Research Electronic Data Capture
REDCap
Coronavirus disease 2019
COVID-19
Eleventh
Severe acute respiratory syndrome coronavirus 2
SARS-CoV 2
01 natural sciences
Communicable Diseases
Key performance indicators
KPI
law.invention
03 medical and health sciences
0302 clinical medicine
law
Pandemic
Quarantine
medicine
Humans
030212 general & internal medicine
Community Health Services
0101 mathematics
Students
Pandemics
Academic Medical Centers
Centers for Disease Control and Prevention
CDC
REDCap identification numbers
RCID
business.industry
Coronavirus Infection
The World Health Organization
WHO
010102 general mathematics
COVID-19
Odds ratio
United States
Test (assessment)
Family medicine
Workforce
Original Article
Contact Tracing
business
Contact tracing
Zdroj: Annals of Epidemiology
ISSN: 1873-2585
1047-2797
Popis: Purpose Contact tracing has proven successful at controlling coronavirus 2019 (COVID-19) globally, and the Center for Health Security has recommended that the United States add 100,000 contact tracers to the current workforce. Methods To address gaps in local contact tracing, health professional students partnered with their academic institution to conduct contact tracing for all COVID-19 cases diagnosed onsite, which included identifying and reaching their contacts, educating participants, and providing social resources to support effective quarantine and isolation. Results From March 24 to May 28, 536 laboratory-confirmed COVID-19 cases were contacted and reported an average of 2.6 contacts. Contacts were informed of their exposure, asked to quarantine, and monitored for the onset of symptoms. Callers reached 94% of cases and 84% of contacts. Seventy-four percent of cases reported at least one contact. Household members had higher rates of reporting symptoms (odds ratio, 1.65; 95% confidence interval, 1.19–2.28). The average test turnaround time decreased from 21.8 days for the first patients of this program to 2.3 days on the eleventh week. Conclusions This provides evidence for the untapped potential of community contact tracing to respond to regional needs, confront barriers to effective quarantine, and mitigate the spread of COVID-19.
Databáze: OpenAIRE
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