Transmission pathways during high-contact care activities in nursing homes: a high-fidelity simulation study with surrogate markers

Key Points

• The research aims to identify transmission pathways for multi-drug resistant organisms (MDROs) during high-contact care activities in nursing homes.
• Conducted high-fidelity simulations of resident care activities.
• Monitored workflows of certified nursing assistants (CNAs).
• Tracked transmission of surrogate markers for MDROs.
• Transmission of surrogate markers closely followed the workflows of CNAs.
• Identified specific care activities as high-risk for MDRO spread.
• Suggested targeted interventions to mitigate transmission in nursing homes.