Evidence map›Paper›PMID 35017499›Full record

ArticleNature communications2022

Rapid antigen testing as a reactive response to surges in nosocomial SARS-CoV-2 outbreak risk.

David R M Smith, Audrey Duval, Jean Ralph Zahar, EMAE-MESuRS Working Group on Nosocomial SARS-CoV-2 Modelling, Lulla Opatowski, Laura Temime

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.8field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 28 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 2 countries.

David R M Smith *Institut Pasteur, Epidemiology and Modelling of Antibiotic Evasion (EMAE), Paris, France. david.smith@pasteur.fr.ORCID 0000-0002-7330-4262
Audrey Duval *Institut Pasteur, Epidemiology and Modelling of Antibiotic Evasion (EMAE), Paris, France.
Jean Ralph ZaharIAME, UMR 1137, Université Paris 13, Sorbonne Paris Cité, Paris, France.
EMAE-MESuRS Working Group on Nosocomial SARS-CoV-2 Modelling
Lulla OpatowskiInstitut Pasteur, Epidemiology and Modelling of Antibiotic Evasion (EMAE), Paris, France.
Laura TemimeModélisation, épidémiologie et surveillance des risques sanitaires (MESuRS), Conservatoire national des arts et métiers, Paris, France.
Conservatoire National des Arts et Métiers · FRInserm · FRCNR de la Résistance aux Antibiotiques · FRUniversité Paris Cité · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Healthcare facilities are vulnerable to SARS-CoV-2 introductions and subsequent nosocomial outbreaks. Antigen rapid diagnostic testing (Ag-RDT) is widely used for population screening, but its health and economic benefits as a reactive response to local surges in outbreak risk are unclear. We simulate SARS-CoV-2 transmission in a long-term care hospital with varying COVID-19 containment measures in place (social distancing, face masks, vaccination). Across scenarios, nosocomial incidence is reduced by up to 40-47% (range of means) with routine symptomatic RT-PCR testing, 59-63% with the addition of a timely round of Ag-RDT screening, and 69-75% with well-timed two-round screening. For the latter, a delay of 4-5 days between the two screening rounds is optimal for transmission prevention. Screening efficacy varies depending on test sensitivity, test type, subpopulations targeted, and community incidence. Efficiency, however, varies primarily depending on underlying outbreak risk, with health-economic benefits scaling by orders of magnitude depending on the COVID-19 containment measures in place.

Indexed as

Disease OutbreaksSARS-CoV-2Antigens, ViralCost-Benefit AnalysisCOVID-19COVID-19 Serological TestingCross InfectionDiagnostic Tests, RoutineEpidemiological MonitoringHospitalsHumansRisk FactorsVaccinationAntigens, Viral

Identifiers

PMID35017499
PMCPMC8752617
OpenAlexW4205175609

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.