Efficiency of Diagnostic Test for SARS-CoV-2 in a Nursing Home
Background: there is no consensus on how to optimally use diagnostic tests in each stage of COVID-19 pandemic. The objective of this research is to determine the efficiency of sorting positive antibody test quarterly. Methods: this research uses a retrospective, observational study. COVID-19 diagnos...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-07-01
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| Series: | Geriatrics |
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| Online Access: | https://www.mdpi.com/2308-3417/7/4/78 |
| _version_ | 1797410011352137728 |
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| author | Sergio Salmerón Alonso López-Escribano Inmaculada García-Nogueras Joaquina Lorenzo Juan Manuel Romero Antonio Hernández-Martínez Francisco García-Alcaraz |
| author_facet | Sergio Salmerón Alonso López-Escribano Inmaculada García-Nogueras Joaquina Lorenzo Juan Manuel Romero Antonio Hernández-Martínez Francisco García-Alcaraz |
| author_sort | Sergio Salmerón |
| collection | DOAJ |
| description | Background: there is no consensus on how to optimally use diagnostic tests in each stage of COVID-19 pandemic. The objective of this research is to determine the efficiency of sorting positive antibody test quarterly. Methods: this research uses a retrospective, observational study. COVID-19 diagnostic tests performed and avoided refer to a Spanish nursing home. Population: 261 employees and 107 residents. A quarterly antibody test was performed on subjects who had tested positive during the first wave of coronavirus, and a antibody rapid test on the remaining subjects. Results: during the first wave, 24.0% of the employees and 51.4% of the residents had a positive antibody test. Seronegativization was observed in 7.6% of employees and 1.6% of residents. An employee was infected with COVID-19 in September 2020, followed by a nursing home outbreak in October: 118 Polymerase Chain Reactions tests were avoided in residents and 18 in employees, which in turn prevented 15 workers from going on sick leave and the quarantine of 59 residents. This represents savings of about $15,000. Conclusions: our study supports the need to know and apply the strategies for early detection, surveillance and control of COVID-19 for future outbreaks. We conclude that surveillance for positive COVID-19 serology among long-term care staff and residents may be a cost-effective strategy during a pandemic. |
| first_indexed | 2024-03-09T04:23:41Z |
| format | Article |
| id | doaj.art-28e078d6daae40bb8f6aeb4ff47064d6 |
| institution | Directory Open Access Journal |
| issn | 2308-3417 |
| language | English |
| last_indexed | 2024-03-09T04:23:41Z |
| publishDate | 2022-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Geriatrics |
| spelling | doaj.art-28e078d6daae40bb8f6aeb4ff47064d62023-12-03T13:43:47ZengMDPI AGGeriatrics2308-34172022-07-01747810.3390/geriatrics7040078Efficiency of Diagnostic Test for SARS-CoV-2 in a Nursing HomeSergio Salmerón0Alonso López-Escribano1Inmaculada García-Nogueras2Joaquina Lorenzo3Juan Manuel Romero4Antonio Hernández-Martínez5Francisco García-Alcaraz6San Vicente de Paúl Nursing Home, Diputación de Albacete, 02001 Albacete, SpainCentro de Salud Bonete, Gerencia de Atención Integrada de Almansa, Servicio de Salud de Castilla-La Mancha, 02691 Albacete, SpainSan Vicente de Paúl Nursing Home, Diputación de Albacete, 02001 Albacete, SpainSan Vicente de Paúl Nursing Home, Diputación de Albacete, 02001 Albacete, SpainSan Vicente de Paúl Nursing Home, Diputación de Albacete, 02001 Albacete, SpainFaculty of Nursing of Ciudad Real, Universidad de Castilla-La Mancha, 13003 Ciudad Real, SpainNursing School, Universidad de Castilla-La Mancha, 02071 Albacete, SpainBackground: there is no consensus on how to optimally use diagnostic tests in each stage of COVID-19 pandemic. The objective of this research is to determine the efficiency of sorting positive antibody test quarterly. Methods: this research uses a retrospective, observational study. COVID-19 diagnostic tests performed and avoided refer to a Spanish nursing home. Population: 261 employees and 107 residents. A quarterly antibody test was performed on subjects who had tested positive during the first wave of coronavirus, and a antibody rapid test on the remaining subjects. Results: during the first wave, 24.0% of the employees and 51.4% of the residents had a positive antibody test. Seronegativization was observed in 7.6% of employees and 1.6% of residents. An employee was infected with COVID-19 in September 2020, followed by a nursing home outbreak in October: 118 Polymerase Chain Reactions tests were avoided in residents and 18 in employees, which in turn prevented 15 workers from going on sick leave and the quarantine of 59 residents. This represents savings of about $15,000. Conclusions: our study supports the need to know and apply the strategies for early detection, surveillance and control of COVID-19 for future outbreaks. We conclude that surveillance for positive COVID-19 serology among long-term care staff and residents may be a cost-effective strategy during a pandemic.https://www.mdpi.com/2308-3417/7/4/78coronavirusCOVID-19nursing homescost-efficiencySARS-CoV-2 |
| spellingShingle | Sergio Salmerón Alonso López-Escribano Inmaculada García-Nogueras Joaquina Lorenzo Juan Manuel Romero Antonio Hernández-Martínez Francisco García-Alcaraz Efficiency of Diagnostic Test for SARS-CoV-2 in a Nursing Home Geriatrics coronavirus COVID-19 nursing homes cost-efficiency SARS-CoV-2 |
| title | Efficiency of Diagnostic Test for SARS-CoV-2 in a Nursing Home |
| title_full | Efficiency of Diagnostic Test for SARS-CoV-2 in a Nursing Home |
| title_fullStr | Efficiency of Diagnostic Test for SARS-CoV-2 in a Nursing Home |
| title_full_unstemmed | Efficiency of Diagnostic Test for SARS-CoV-2 in a Nursing Home |
| title_short | Efficiency of Diagnostic Test for SARS-CoV-2 in a Nursing Home |
| title_sort | efficiency of diagnostic test for sars cov 2 in a nursing home |
| topic | coronavirus COVID-19 nursing homes cost-efficiency SARS-CoV-2 |
| url | https://www.mdpi.com/2308-3417/7/4/78 |
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