{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T05:44:32Z","timestamp":1777614272183,"version":"3.51.4"},"reference-count":47,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,11,5]],"date-time":"2021-11-05T00:00:00Z","timestamp":1636070400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["P30 AG024824"],"award-info":[{"award-number":["P30 AG024824"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["K24 AG050685"],"award-info":[{"award-number":["K24 AG050685"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["RO1 AG041780"],"award-info":[{"award-number":["RO1 AG041780"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>SARS\u2010CoV\u20102 outbreaks in nursing homes (NHs) have been devastating and have led to the creation of coronavirus disease 2019 (COVID\u201019) units within NHs to care for affected patients. Frequency and persistence of SARS\u2010CoV\u20102 environmental contamination in these units have not been studied.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A prospective cohort study was conducted between October 2020 and January 2021 in four Michigan NHs. Swabs from high\u2010touch surfaces in COVID\u201019\u2010infected patient rooms were obtained at enrollment and follow\u2010up. Demographic and clinical data were collected from clinical records. Primary outcome of interest was the probability of SARS\u2010CoV\u20102 RNA detection from specific environmental surfaces in COVID\u201019 patient rooms. We used multivariable logistic regression to assess patient risk factors for SARS\u2010CoV\u20102 contamination. Pairwise Phi coefficients were calculated to measure correlation of site\u2010specific environmental detection upon enrollment and during follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>One hundred and four patients with COVID\u201019 were enrolled (61.5% &gt;80\u2009years; 67.3% female; 89.4% non\u2010Hispanic White; 51% short stay) and followed up for 241 visits. The study population had significant disabilities in activities of daily living (ADL; 81.7% dependent in four or more ADLs) and comorbidities, including dementia (55.8%), diabetes (40.4%), and heart failure (32.7%). Over the 3\u2010month study period, 2087 swab specimens were collected (1896 COVID\u201019 patient rooms, 191 common areas). SARS\u2010CoV\u20102 positivity was 28.4% (538\/1896 swabs) on patient room surfaces and 3.7% (7\/191 swabs) on common area surfaces. Nearly 90% (93\/104) of patients had SARS\u2010CoV\u20102 contamination in their room at least once. Environmental contamination upon enrollment correlated with contamination of the same site during follow\u2010up. Functional independence increased the odds of proximate contamination.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      Environmental detection of viral RNA from surfaces in the rooms of COVID\u201019 patients is nearly universal\n                      <jats:italic>and<\/jats:italic>\n                      persistent; more investigation is needed to determine the implications of this for infectiousness. Patients with greater independence are more likely than fully dependent patients to contaminate their immediate environment.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.17531","type":"journal-article","created":{"date-parts":[[2021,10,21]],"date-time":"2021-10-21T08:46:55Z","timestamp":1634806015000},"page":"29-39","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Environmental contamination with\n                    <scp>SARS\u2010CoV<\/scp>\n                    \u20102 in nursing homes"],"prefix":"10.1111","volume":"70","author":[{"given":"Lona","family":"Mody","sequence":"first","affiliation":[{"name":"Division of Geriatric and Palliative Medicine, Department of Internal Medicine University of Michigan Medical School  Ann Arbor Michigan USA"},{"name":"Geriatrics Research Education and Clinical Center (GRECC) Veterans Affairs Ann Arbor Healthcare System  Ann Arbor Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristen E.","family":"Gibson","sequence":"additional","affiliation":[{"name":"Division of Geriatric and Palliative Medicine, Department of Internal Medicine University of Michigan Medical School  Ann Arbor Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julia","family":"Mantey","sequence":"additional","affiliation":[{"name":"Division of Geriatric and Palliative Medicine, Department of Internal Medicine University of Michigan Medical School  Ann Arbor Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Liza","family":"Bautista","sequence":"additional","affiliation":[{"name":"Division of Geriatric and Palliative Medicine, Department of Internal Medicine University of Michigan Medical School  Ann Arbor Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana","family":"Montoya","sequence":"additional","affiliation":[{"name":"Division of Geriatric and Palliative Medicine, Department of Internal Medicine University of Michigan Medical School  Ann Arbor Michigan USA"},{"name":"Post\u2010Acute Care Services University of Michigan Medical Group  Ann Arbor Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen","family":"Neeb","sequence":"additional","affiliation":[{"name":"Division of Geriatric and Palliative Medicine, Department of Internal Medicine University of Michigan Medical School  Ann Arbor Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Grace","family":"Jenq","sequence":"additional","affiliation":[{"name":"Division of Geriatric and Palliative Medicine, Department of Internal Medicine University of Michigan Medical School  Ann Arbor Michigan USA"},{"name":"Post\u2010Acute Care Services University of Michigan Medical Group  Ann Arbor Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John P.","family":"Mills","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases, Department of Internal Medicine University of Michigan Medical School  Ann Arbor Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4149-5092","authenticated-orcid":false,"given":"Lillian","family":"Min","sequence":"additional","affiliation":[{"name":"Division of Geriatric and Palliative Medicine, Department of Internal Medicine University of Michigan Medical School  Ann Arbor Michigan USA"},{"name":"Geriatrics Research Education and Clinical Center (GRECC) Veterans Affairs Ann Arbor Healthcare System  Ann Arbor Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammed","family":"Kabeto","sequence":"additional","affiliation":[{"name":"Division of Geriatric and Palliative Medicine, Department of Internal Medicine University of Michigan Medical School  Ann Arbor Michigan 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