Nursing home wastewater surveillance for early warning of SARS-CoV-2-positive occupants—Insights from a pilot project at 8 facilities.
In: American Journal of Infection Control, Jg. 52 (2024-06-01), Heft 6, S. 701-706
Online
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Zugriff:
Wastewater surveillance for SARS-CoV-2 has been used widely in the United States for indication of community incidence during the COVID-19 pandemic, but less is known about the feasibility of its use on a building level in nursing homes to provide early warning and prevent transmission. A pilot study was conducted at 8 Department of Veterans Affairs nursing homes across the United States to examine operational feasibility. Wastewater from the participating facilities was sampled daily during the week for 6 months (January 11, 2021-July 2, 2021) and analyzed for SARS-CoV-2 genetic material. Wastewater results were compared to new SARS-CoV-2 infections in nursing home residents and employees to determine if wastewater surveillance could provide early warning of a COVID-19-positive occupant. All 8 nursing homes had wastewater samples positive for SARS-CoV-2 and COVID-19-positive occupants. The sensitivity of wastewater surveillance for early warning of COVID-19-positive residents was 60% (3/5) and for COVID-19-positive employees was 46% (13/28). Wastewater surveillance may provide additional information for reinforcing infection control practices and lead to preventing transmission in a setting with high-risk residents. The low sensitivity for early warning in this real-world pilot highlights limitations and insights for applicability in buildings. • SARS-CoV-2 wastewater surveillance operational feasibility at 8 nursing homes. • Virus-positive wastewater and occupants detected at all sites in the 6-month pilot. • Implementation factors and low sensitivity provide insights for decision-making. [ABSTRACT FROM AUTHOR]
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Titel: |
Nursing home wastewater surveillance for early warning of SARS-CoV-2-positive occupants—Insights from a pilot project at 8 facilities.
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Autor/in / Beteiligte Person: | Gamage, Shantini D. ; Jinadatha, Chetan ; Rizzo, Jr., Vincent ; Chatterjee, Piyali ; Choi, Hosoon ; Mayo, Lynn ; Brackens, Emma ; Hwang, Munok ; Xu, Jing ; Bennett, Morgan ; Kowalskyj, Oleh ; Litvin, Edward A. ; Minor, Lisa ; McClarin, Jody ; Hofman, Richard ; Dulaney, Douglas ; Roselle, Gary A. |
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Zeitschrift: | American Journal of Infection Control, Jg. 52 (2024-06-01), Heft 6, S. 701-706 |
Veröffentlichung: | 2024 |
Medientyp: | academicJournal |
ISSN: | 0196-6553 (print) |
DOI: | 10.1016/j.ajic.2023.12.016 |
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