Routine testing of close contacts of confirmed COVID-19 cases - National COVID-19 Contact Management Programme, Ireland, May to August 2020.

Abstract:

OBJECTIVES:The objective of this study was to inform public health practitioners who are designing, adapting and implementing testing and tracing strategies for Coronavirus disease (COVID-19) control. STUDY DESIGN:The study design is monitoring and evaluation of a national public health protection programme. METHODS:All close contacts of laboratory-confirmed cases of COVID-19 identified between the 19th May and 2nd August were included; secondary attack rates and numbers needed to test were estimated. RESULTS:Four thousand five hundred eighty six of 7272 (63%) close contacts of cases were tested with at least one test. The secondary attack rate in close contacts who were tested was 7% (95% Confidence Interval [CI]: 6.3 - 7.8%). At the 'day 0' test, 14.6% (95% CI: 11.6-17.6%) of symptomatic close contacts tested positive compared with 5.2% (95% CI: 4.4-5.9%) of asymptomatic close contacts. CONCLUSIONS:The application of additional symptom-based criteria for testing in this high-incidence population (close contacts) is of limited utility because of the low negative predictive value of absence of symptoms.

journal_name

Public Health

journal_title

Public health

authors

Carroll C,Conway R,O'Donnell D,Norton C,Hogan E,Browne M,Buckley CM,Kavanagh P,Martin J,Doyle S

doi

10.1016/j.puhe.2020.10.008

subject

Has Abstract

pub_date

2021-01-01 00:00:00

pages

147-151

eissn

0033-3506

issn

1476-5616

pii

S0033-3506(20)30450-9

journal_volume

190

pub_type

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