{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T16:12:48Z","timestamp":1785427968816,"version":"3.56.0"},"reference-count":23,"publisher":"Cambridge University Press (CUP)","issue":"3","license":[{"start":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T00:00:00Z","timestamp":1767744000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Infect. Control Hosp. Epidemiol."],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S0899823X2510305X_as1\">\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To assess differences in SARS-CoV-2 infection rates between patients receiving hemodialysis in outpatient centers (in-center) and those receiving dialysis in their homes (hemodialysis and peritoneal dialysis) from December 29, 2020, through May 9, 2023.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0899823X2510305X_as2\">\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Retrospective cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0899823X2510305X_as3\">\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>Outpatient dialysis facilities in the United States reporting to the Centers for Disease Control and Prevention\u2019s National Healthcare Safety Network.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0899823X2510305X_as4\">\n                    <jats:title>Patients:<\/jats:title>\n                    <jats:p>Maintenance dialysis patients that received hemodialysis treatment at or were affiliated with outpatient dialysis facilities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0899823X2510305X_as5\">\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>SARS-CoV-2 infection rates were assessed by dialysis setting (in-center and home). Weeks were categorized as surge (rate of infection &gt; median) and non-surge (rate of infection \u2264 median) and by variant predominance. A negative binomial regression model with generalized estimating equations was constructed to examine differences in rates of infection among patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0899823X2510305X_as6\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 7,974 dialysis facilities reported 171,338 SARS-CoV-2 infections among patients. In-center hemodialysis patients had higher average rates of SARS-CoV-2 infection at 2.85 infections per 1000 patient-weeks than home patients at 1.69 infections per 1000 patient-weeks. During surge weeks, the differences in rates of infection between in-center and home patients were more pronounced than during non-surge weeks for all variant predominance categories: Delta (relative rate ratio (RRR) = 1.20, CI: 1.09\u20131.32), B.1 and Other (RRR = 1.11, CI: 1.02\u20131.22), and Omicron (RRR = 1.07, CI: 1.01\u20131.12).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0899823X2510305X_as7\">\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Rates of SARS-CoV-2 infection among patients receiving outpatient hemodialysis were persistently higher than rates among patients receiving dialysis treatments at home; these differences were more pronounced during surge weeks.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/ice.2025.10305","type":"journal-article","created":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T07:43:12Z","timestamp":1767771792000},"page":"290-294","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["SARS-CoV-2 infection rates among home dialysis patients and patients receiving hemodialysis at outpatient centers, January 2021\u2013May 2023, United States"],"prefix":"10.1017","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-8273-9974","authenticated-orcid":false,"given":"Austin","family":"Woods","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/042twtr12","id-type":"ROR","asserted-by":"publisher"}],"name":"Centers for Disease Control and Prevention"},{"name":"Chenega Enterprise Systems & Solutions, 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Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}}]}}