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Article ; Online: Severe acute respiratory coronavirus virus 2 (SARS-CoV-2) outbreaks in nursing homes involving residents who had completed a primary coronavirus disease 2019 (COVID-19) vaccine series-13 US jurisdictions, July-November 2021.

Wilson, W Wyatt / Keaton, Amelia A / Ochoa, Lucas G / Hatfield, Kelly M / Gable, Paige / Walblay, Kelly A / Teran, Richard A / Shea, Meghan / Khan, Urooj / Stringer, Ginger / Colletti, Joanne G / Grogan, Erin M / Calabrese, Carly / Hennenfent, Andrew / Perlmutter, Rebecca / Janiszewski, Katherine A / Kamal-Ahmed, Ishrat / Strand, Kyle / Berns, Emily /

MacFarquhar, Jennifer / Linder, Meghan / Tran, Dat J / Kopp, Patricia / Walker, Rebecca M / Ess, Rebekah / Read, Jennifer S / Yingst, Chelsey / Baggs, James / Jernigan, John A / Kallen, Alex / Hunter, Jennifer C

Infection control and hospital epidemiology

2023 Volume 44, Issue 6, Page(s) 1005–1009

Abstract: Among nursing home outbreaks of coronavirus disease 2019 (COVID-19) with ≥3 breakthrough infections when the predominant severe acute respiratory coronavirus virus 2 (SARS-CoV-2) variant circulating was the SARS-CoV-2 δ (delta) variant, fully vaccinated ... ...

Abstract	Among nursing home outbreaks of coronavirus disease 2019 (COVID-19) with ≥3 breakthrough infections when the predominant severe acute respiratory coronavirus virus 2 (SARS-CoV-2) variant circulating was the SARS-CoV-2 δ (delta) variant, fully vaccinated residents were 28% less likely to be infected than were unvaccinated residents. Once infected, they had approximately half the risk for all-cause hospitalization and all-cause death compared with unvaccinated infected residents.
MeSH term(s)	Humans ; SARS-CoV-2 ; COVID-19 Vaccines ; COVID-19/epidemiology ; COVID-19/prevention & control ; Virus Diseases ; Nursing Homes ; Disease Outbreaks/prevention & control
Chemical Substances	COVID-19 Vaccines
Language	English
Publishing date	2023-01-16
Publishing country	United States
Document type	Journal Article
ZDB-ID	639378-0
ISSN	1559-6834 ; 0195-9417 ; 0899-823X
ISSN (online)	1559-6834
ISSN	0195-9417 ; 0899-823X
DOI	10.1017/ice.2022.123
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Zs.A 1714: Show issues

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Article ; Online: Outbreaks of SARS-CoV-2 Infections in Nursing Homes during Periods of Delta and Omicron Predominance, United States, July 2021-March 2022.

Wilson, W Wyatt / Keaton, Amelia A / Ochoa, Lucas G / Hatfield, Kelly M / Gable, Paige / Walblay, Kelly A / Teran, Richard A / Shea, Meghan / Khan, Urooj / Stringer, Ginger / Ganesan, Meenalochani / Gilbert, Jordan / Colletti, Joanne G / Grogan, Erin M / Calabrese, Carly / Hennenfent, Andrew / Perlmutter, Rebecca / Janiszewski, Katherine A / Brandeburg, Christina /

Kamal-Ahmed, Ishrat / Strand, Kyle / Donahue, Matthew / Ashraf, M Salman / Berns, Emily / MacFarquhar, Jennifer / Linder, Meghan L / Tran, Dat J / Kopp, Patricia / Walker, Rebecca M / Ess, Rebekah / Baggs, James / Jernigan, John A / Kallen, Alex / Hunter, Jennifer C

Emerging infectious diseases

2023 Volume 29, Issue 4, Page(s) 761–770

Abstract: SARS-CoV-2 infections among vaccinated nursing home residents increased after the Omicron variant emerged. Data on booster dose effectiveness in this population are limited. During July 2021-March 2022, nursing home outbreaks in 11 US jurisdictions ... ...

Abstract	SARS-CoV-2 infections among vaccinated nursing home residents increased after the Omicron variant emerged. Data on booster dose effectiveness in this population are limited. During July 2021-March 2022, nursing home outbreaks in 11 US jurisdictions involving >3 infections within 14 days among residents who had received at least the primary COVID-19 vaccine(s) were monitored. Among 2,188 nursing homes, 1,247 outbreaks were reported in the periods of Delta (n = 356, 29%), mixed Delta/Omicron (n = 354, 28%), and Omicron (n = 536, 43%) predominance. During the Omicron-predominant period, the risk for infection within 14 days of an outbreak start was lower among boosted residents than among residents who had received the primary vaccine series alone (risk ratio [RR] 0.25, 95% CI 0.19-0.33). Once infected, boosted residents were at lower risk for all-cause hospitalization (RR 0.48, 95% CI 0.40-0.49) and death (RR 0.45, 95% CI 0.34-0.59) than primary vaccine-only residents.
MeSH term(s)	United States/epidemiology ; Humans ; COVID-19/epidemiology ; COVID-19/prevention & control ; COVID-19 Vaccines ; SARS-CoV-2 ; Nursing Homes ; Disease Outbreaks
Chemical Substances	COVID-19 Vaccines
Language	English
Publishing date	2023-03-14
Publishing country	United States
Document type	Journal Article
ZDB-ID	1380686-5
ISSN	1080-6059 ; 1080-6040
ISSN (online)	1080-6059
ISSN	1080-6040
DOI	10.3201/eid2904.221605
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Zs.A 4778: Show issues

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Article ; Online: Closing the Brief Case: Probable Transfusion-Transmitted Babesiosis in a Transplant Recipient.

Kitt, Eimear / Keaton, Amelia A / Graf, Erin H

Journal of clinical microbiology

2016 Volume 54, Issue 11, Page(s) 2842

Language	English
Publishing date	2016-11
Publishing country	United States
Document type	Editorial
ZDB-ID	390499-4
ISSN	1098-660X ; 0095-1137
ISSN (online)	1098-660X
ISSN	0095-1137
DOI	10.1128/JCM.01022-16
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Zs.A 1188: Show issues

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Article ; Online: The Brief Case: Probable Transfusion-Transmitted Babesiosis in a Transplant Recipient.

Kitt, Eimear / Keaton, Amelia A / Graf, Erin H

Journal of clinical microbiology

2016 Volume 54, Issue 11, Page(s) 2632–2634

Language	English
Publishing date	2016-11
Publishing country	United States
Document type	Editorial
ZDB-ID	390499-4
ISSN	1098-660X ; 0095-1137
ISSN (online)	1098-660X
ISSN	0095-1137
DOI	10.1128/JCM.00981-16
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Article: Containment of a Verona Integron-Encoded Metallo-Beta-Lactamase-Producing

Chan, Allison / Thure, Katie / Tobey, Kelley / Shugart, Alicia / Schmedes, Sarah / Burks, James Albert / Hardin, Henrietta / Moore, Christina / Carpenter, Tina / Brooks, Stephanie / Gable, Paige / Moulton Meissner, Heather / McAllister, Gillian / Lawsin, Adrian / Laufer Halpin, Alison / Spalding Walters, Maroya / Keaton, Amelia

Open forum infectious diseases

2023 Volume 10, Issue 5, Page(s) ofad194

Abstract: Background: Contaminated healthcare facility wastewater plumbing is recognized as a source of carbapenemase-producing organism transmission. In August 2019, the Tennessee Department of Health (TDH) identified a patient colonized with Verona integron- ... ...

Abstract	Background: Contaminated healthcare facility wastewater plumbing is recognized as a source of carbapenemase-producing organism transmission. In August 2019, the Tennessee Department of Health (TDH) identified a patient colonized with Verona integron-encoded metallo-beta-lactamase-producing carbapenem-resistant Methods: A case was defined as polymerase chain reaction detection of Results: In a screening of 44% ( Conclusions: A single ICU room's contaminated drains were associated with 8 VIM-CRPA cases over a 2-year period. This outbreak highlights the need to include wastewater plumbing in hospital water management plans to mitigate the risk of transmission of antibiotic-resistant organisms to patients.
Language	English
Publishing date	2023-04-11
Publishing country	United States
Document type	Journal Article
ZDB-ID	2757767-3
ISSN	2328-8957
ISSN	2328-8957
DOI	10.1093/ofid/ofad194
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Article ; Online: Evaluating the Presence of Replication-Competent Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) From Nursing Home Residents With Persistently Positive Reverse Transcription Polymerase Chain Reaction (RT-PCR) Results.

Lutgring, Joseph D / Tobolowsky, Farrell A / Hatfield, Kelly M / Lehnertz, Nicholas B / Sullivan, Maureen M / Martin, Karen G / Keaton, Amelia / Sexton, D Joseph / Tamin, Azaibi / Harcourt, Jennifer L / Thornburg, Natalie J / Reddy, Sujan C / Jernigan, John A

Clinical infectious diseases : an official publication of the Infectious Diseases Society of America

2021 Volume 74, Issue 3, Page(s) 525–528

Abstract: Replication-competent virus has not been detected in individuals with mild to moderate coronavirus disease 2019 (COVID-19) more than 10 days after symptom onset. It is unknown whether these findings apply to nursing home residents. Of 273 specimens ... ...

Abstract	Replication-competent virus has not been detected in individuals with mild to moderate coronavirus disease 2019 (COVID-19) more than 10 days after symptom onset. It is unknown whether these findings apply to nursing home residents. Of 273 specimens collected from nursing home residents >10 days from the initial positive test, none were culture positive.
MeSH term(s)	COVID-19 ; Humans ; Nursing Homes ; Reverse Transcriptase Polymerase Chain Reaction ; Reverse Transcription ; SARS-CoV-2
Language	English
Publishing date	2021-05-13
Publishing country	United States
Document type	Journal Article ; Research Support, U.S. Gov't, P.H.S.
ZDB-ID	1099781-7
ISSN	1537-6591 ; 1058-4838
ISSN (online)	1537-6591
ISSN	1058-4838
DOI	10.1093/cid/ciab436
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Zs.A 1505: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG)
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Article ; Online: Effectiveness of Coronavirus Disease 2019 (COVID-19) mRNA Vaccines Against Infection During an Outbreak of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Beta (B.1.351) Variant in a Skilled Nursing Facility: Virginia, March-April 2021.

Moline, Heidi L / Keaton, Amelia / Rice, Whitney / Varghese, Jasmine / Deng, Li / Waters, Ansley / Barringer, Anna / Winston, Devonne / Fields, Virgie / Slifka, Kara Jacobs / Verani, Jennifer R / Schrag, Stephanie J / Jernigan, John / Tate, Jacqueline E / Fleming-Dutra, Katherine E

Clinical infectious diseases : an official publication of the Infectious Diseases Society of America

2022 Volume 75, Issue Suppl 2, Page(s) S155–S158

Abstract: In April 2021, we assessed mRNA vaccine effectiveness (VE) in the context of a COVID-19 outbreak in a skilled nursing facility. Among 28 cases, genomic sequencing was performed on 4 specimens on 4 different patients, and all were classified by sequence ... ...

Abstract	In April 2021, we assessed mRNA vaccine effectiveness (VE) in the context of a COVID-19 outbreak in a skilled nursing facility. Among 28 cases, genomic sequencing was performed on 4 specimens on 4 different patients, and all were classified by sequence analysis as the Beta (B.1.351) variant. Adjusted VE among residents was 65% (95% confidence interval: 25-84%). These findings underscore the importance of vaccination for prevention of COVID-19 in skilled nursing facilities.
MeSH term(s)	COVID-19/epidemiology ; COVID-19/prevention & control ; COVID-19 Vaccines ; Disease Outbreaks/prevention & control ; Humans ; RNA, Messenger ; SARS-CoV-2/genetics ; Vaccines, Synthetic ; Virginia ; mRNA Vaccines
Chemical Substances	COVID-19 Vaccines ; RNA, Messenger ; Vaccines, Synthetic ; mRNA Vaccines
Language	English
Publishing date	2022-06-10
Publishing country	United States
Document type	Journal Article
ZDB-ID	1099781-7
ISSN	1537-6591 ; 1058-4838
ISSN (online)	1537-6591
ISSN	1058-4838
DOI	10.1093/cid/ciac526
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Zs.A 1505: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG)
Zs.MO 480: Show issues

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Article ; Online: Clinical outcomes of monoclonal antibody therapy during a COVID-19 outbreak in a skilled nursing facility-Arizona, 2021.

Dale, Ariella P / Hudson, Matthew J / Armenta, Darunee / Friebus, Heather / Ellingson, Katherine D / Davis, Kat / Cullen, Theresa / Brady, Shane / Komatsu, Kenneth K / Stone, Nimalie D / Uyeki, Timothy M / Slifka, Kara Jacobs / Pérez-Vélez, Carlos M / Keaton, Amelia A

Journal of the American Geriatrics Society

2022 Volume 70, Issue 4, Page(s) 960–967

Abstract: Background: Adult residents of skilled nursing facilities (SNF) have experienced high morbidity and mortality from SARS-CoV-2 infection and are at increased risk for severe COVID-19 disease. Use of monoclonal antibody (mAb) treatment improves clinical ... ...

Abstract	Background: Adult residents of skilled nursing facilities (SNF) have experienced high morbidity and mortality from SARS-CoV-2 infection and are at increased risk for severe COVID-19 disease. Use of monoclonal antibody (mAb) treatment improves clinical outcomes among high-risk outpatients with mild-to-moderate COVID-19, but information on mAb effectiveness in SNF residents with COVID-19 is limited. We assessed outcomes in SNF residents with mild-to-moderate COVID-19 associated with an outbreak in Arizona during January-February 2021 that did and did not receive a mAb. Methods: Medical records were reviewed to describe the effect of bamlanivimab therapy on COVID-19 mortality. Secondary outcomes included referral to an acute care setting and escalation of medical therapies at the SNF (e.g., new oxygen requirements). Residents treated with bamlanivimab were compared to residents who were eligible for treatment under the FDA's Emergency Use Authorization (EUA) but were not treated. Multivariable logistic regression was used to determine association between outcomes and treatment status. Results: Seventy-five residents identified with COVID-19 during this outbreak met eligibility for mAb treatment, of whom 56 received bamlanivimab. Treated and untreated groups were similar in age and comorbidities associated with increased risk of severe COVID-19 disease. Treatment with bamlanivimab was associated with reduced 21-day mortality (adjusted OR = 0.06; 95% CI: 0.01, 0.39) and lower odds of initiating oxygen therapy (adjusted OR = 0.07; 95% CI: 0.02, 0.34). Referrals to acute care were not significantly different between treated and untreated residents. Conclusions: mAb therapy was successfully administered to SNF residents with COVID-19 in a large outbreak setting. Treatment with bamlanivimab reduced 21-day mortality and reduced initiation of oxygen therapy. As the COVID-19 pandemic evolves and newer immunotherapies gain FDA authorization, more studies of the effectiveness of mAb therapies for treating emerging SARS-CoV-2 variants of concern in high-risk congregate settings are needed.
MeSH term(s)	Antibodies, Monoclonal/therapeutic use ; Antibodies, Monoclonal, Humanized ; Antibodies, Neutralizing ; Arizona ; COVID-19 ; Humans ; Immunotherapy ; Pandemics ; SARS-CoV-2 ; Skilled Nursing Facilities
Chemical Substances	Antibodies, Monoclonal ; Antibodies, Monoclonal, Humanized ; Antibodies, Neutralizing ; bamlanivimab (45I6OFJ8QH)
Language	English
Publishing date	2022-03-03
Publishing country	United States
Document type	Journal Article
ZDB-ID	80363-7
ISSN	1532-5415 ; 0002-8614
ISSN (online)	1532-5415
ISSN	0002-8614
DOI	10.1111/jgs.17705
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Ud II Zs.168: Show issues

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Article ; Online: Administration of Bamlanivimab to Skilled Nursing Facility Residents During a COVID-19 Outbreak, January-February 2021, Arizona.

Dale, Ariella P / Hudson, Matthew J / Cullen, Theresa / Ellingson, Katherine D / Davis, Kat / Armenta, Darunee / Friebus, Heather / Currie, Chase / Bhattarai, Rachana / Brady, Shane / Komatsu, Ken / Stone, Nimalie D / Uyeki, Timothy M / Slifka, Kara Jacobs / Perez-Velez, Carlos / Keaton, Amelia A

Journal of the American Medical Directors Association

2021 Volume 22, Issue 7, Page(s) 1357–1358

MeSH term(s)	Arizona/epidemiology ; COVID-19 ; Disease Outbreaks ; Humans ; SARS-CoV-2 ; Skilled Nursing Facilities
Language	English
Publishing date	2021-05-04
Publishing country	United States
Document type	Letter
ZDB-ID	2171030-2
ISSN	1538-9375 ; 1525-8610
ISSN (online)	1538-9375
ISSN	1525-8610
DOI	10.1016/j.jamda.2021.04.023
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Zs.A 5971: Show issues

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Article ; Online: Evaluation of a Virtual Training to Enhance Public Health Capacity for COVID-19 Infection Prevention and Control in Nursing Homes.

Journal of public health management and practice : JPHMP

2022 Volume 28, Issue 6, Page(s) 682–692

Abstract: Context: Between April 2020 and May 2021, the Centers for Disease Control and Prevention (CDC) awarded more than $40 billion to health departments nationwide for COVID-19 prevention and response activities. One of the identified priorities for this ... ...

Abstract	Context: Between April 2020 and May 2021, the Centers for Disease Control and Prevention (CDC) awarded more than $40 billion to health departments nationwide for COVID-19 prevention and response activities. One of the identified priorities for this investment was improving infection prevention and control (IPC) in nursing homes. Program: CDC developed a virtual course to train new and less experienced public health staff in core healthcare IPC principles and in the application of CDC COVID-19 healthcare IPC guidance for nursing homes. Implementation: From October 2020 to August 2021, the CDC led training sessions for 12 cohorts of public health staff using pretraining reading materials, case-based scenarios, didactic presentations, peer-learning opportunities, and subject matter expert-led discussions. Multiple electronic assessments were distributed to learners over time to measure changes in self-reported knowledge and confidence and to collect feedback on the course. Participating public health programs were also assessed to measure overall course impact. Evaluation: Among 182 enrolled learners, 94% completed the training. Most learners were infection preventionists (42%) or epidemiologists (38%), had less than 1 year of experience in their health department role (75%), and had less than 1 year of subject matter experience (54%). After training, learners reported increased knowledge and confidence in applying the CDC COVID-19 healthcare IPC guidance for nursing homes (≥81%) with the greatest increase in performing COVID-19 IPC consultations and assessments (87%). The majority of participating programs agreed that the course provided an overall benefit (88%) and reduced training burden (72%). Discussion: The CDC's virtual course was effective in increasing public health capacity for COVID-19 healthcare IPC in nursing homes and provides a possible model to increase IPC capacity for other infectious diseases and other healthcare settings. Future virtual healthcare IPC courses could be enhanced by tailoring materials to health department needs, reinforcing training through applied learning experiences, and supporting mechanisms to retain trained staff.
MeSH term(s)	COVID-19/epidemiology ; COVID-19/prevention & control ; Health Personnel/education ; Humans ; Infection Control ; Nursing Homes ; Public Health
Language	English
Publishing date	2022-09-08
Publishing country	United States
Document type	Journal Article ; Research Support, U.S. Gov't, P.H.S.
ZDB-ID	2027860-3
ISSN	1550-5022 ; 1078-4659
ISSN (online)	1550-5022
ISSN	1078-4659
DOI	10.1097/PHH.0000000000001600
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