Implementation of an Algorithm of Cohort Classification to Prevent the Spread of COVID-19 in Nursing Homes

Abstract

Older adults living in nursing homes are the most vulnerable group of the COVID-19 pandemic. There are many difficulties in isolating residents and limiting the spread in this setting. We have developed a simple algorithm with a traffic light format for resident classification and sectorization within nursing homes, based on basic diagnostic tests, surveillance of symptoms onset, and close contact monitoring. We have implemented the algorithm in several centers with good data on adherence. Suggestions for implementation and evaluation are discussed.

Keywords: COVID-19; algorithm; cohort classification; diagnostic tests; nursing home.