Wearing masks and establishing COVID-19 areas reduces secondary attack risk in nursing homes

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Abstract

Background

COVID-19 is spreading rapidly in nursing homes (NHs). It is urgent to evaluate the effect of infection prevention and control (IPC) measures to reduce COVID spreading.

Methods

We analysed COVID-19 outbreaks in 12 NH using rRT-PCR for SARS-CoV-2. We estimated secondary attack risks (SARs) and identified cofactors associated with the proportion of infected residents.

Results

The SAR was below 5%, suggesting a high efficiency of IPC measures. Mask-wearing or establishment of COVID-19 zones for infected residents were associated with lower SAR.

Conclusions

Wearing masks and isolating potentially infected residents appear to limit SARS-CoV-2 spread in nursing homes.

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