Test-to-Stay in Kindergarten Through 12th Grade Schools After Household Exposure to Severe Acute Respiratory Syndrome Coronavirus 2.
dc.contributor.author | Scott, Zeni | |
dc.contributor.author | Uthappa, Diya M | |
dc.contributor.author | Mann, Tara K | |
dc.contributor.author | Kim, Hwasoon | |
dc.contributor.author | Brookhart, MA | |
dc.contributor.author | Edwards, Laura | |
dc.contributor.author | Rak, Zsolt | |
dc.contributor.author | Benjamin, Daniel K | |
dc.contributor.author | Zimmerman, Kanecia O | |
dc.contributor.author | ABC Science Collaborative | |
dc.date.accessioned | 2024-06-10T00:49:22Z | |
dc.date.available | 2024-06-10T00:49:22Z | |
dc.date.issued | 2023-05 | |
dc.description.abstract | BackgroundTest-to-stay (TTS) is a strategy to limit school exclusion following an exposure to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). We evaluated the use of TTS within universally masked kindergarten through 12th grade (K-12) school settings following household SARS-CoV-2 exposure.MethodsThree hundred twenty-two participants were enrolled. Serial rapid antigen testing was performed up to 15 days post-exposure. Analysis-eligible participants completed the 15-day testing protocol, tested positive any time during the testing window, or received a negative test on or after day 9. Primary outcomes included within-school tertiary attack rate (TAR) (test positivity among close contacts of positive TTS participants), and school days saved among TTS participants.ResultsSeventy-three of 265 analysis-eligible participants tested positive for SARS-CoV-2 (secondary attack rate of 28% [95% CI: 16-63%]). Among 77 within-school close contacts, 2 were positive (TAR = 3% [95% CI: 1-5%]). Participant absences were limited to 338 days, resulting in 82% of 1849 school days saved.Implications for school health policy, practice, and equityTTS facilitates continued in-person learning and can greatly reduce the number of missed school days.ConclusionsWithin universally masked K-12 schools, TTS is a safe alternative to school exclusion following household SARS-CoV-2 exposure. | |
dc.identifier.issn | 0022-4391 | |
dc.identifier.issn | 1746-1561 | |
dc.identifier.uri | ||
dc.language | eng | |
dc.publisher | Wiley | |
dc.relation.ispartof | The Journal of school health | |
dc.relation.isversionof | 10.1111/josh.13283 | |
dc.rights.uri | ||
dc.subject | ABC Science Collaborative | |
dc.subject | Humans | |
dc.subject | Family Characteristics | |
dc.subject | Schools | |
dc.subject | Educational Status | |
dc.subject | COVID-19 | |
dc.subject | SARS-CoV-2 | |
dc.title | Test-to-Stay in Kindergarten Through 12th Grade Schools After Household Exposure to Severe Acute Respiratory Syndrome Coronavirus 2. | |
dc.type | Journal article | |
duke.contributor.orcid | Rak, Zsolt|0000-0003-4015-7443 | |
duke.contributor.orcid | Benjamin, Daniel K|0000-0002-0764-8585 | |
duke.contributor.orcid | Zimmerman, Kanecia O|0000-0003-3748-6932 | |
pubs.begin-page | 360 | |
pubs.end-page | 369 | |
pubs.issue | 5 | |
pubs.organisational-group | Duke | |
pubs.organisational-group | School of Medicine | |
pubs.organisational-group | Staff | |
pubs.organisational-group | Clinical Science Departments | |
pubs.organisational-group | Institutes and Centers | |
pubs.organisational-group | Pediatrics | |
pubs.organisational-group | Pediatrics, Critical Care Medicine | |
pubs.organisational-group | Pediatrics, Infectious Diseases | |
pubs.organisational-group | Duke Clinical Research Institute | |
pubs.publication-status | Published | |
pubs.volume | 93 |
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