{"doi":"10.1111/josh.13283","title":"<scp>Test‐to‐Stay</scp> in Kindergarten Through 12th Grade Schools After Household Exposure to Severe Acute Respiratory Syndrome Coronavirus 2","abstract":"BACKGROUND: Test-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. METHODS: Three 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. RESULTS: Seventy-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 EQUITY: TTS facilitates continued in-person learning and can greatly reduce the number of missed school days. CONCLUSIONS: Within universally masked K-12 schools, TTS is a safe alternative to school exclusion following household SARS-CoV-2 exposure.","journal":"Journal of School Health","year":2022,"id":294803,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":2,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9064,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2022-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":798060,"name":"Diya M. Uthappa","orcid":"0000-0003-2233-2295","position":1,"is_corresponding":false},{"id":907355,"name":"Tara K. Mann","orcid":"0000-0003-3721-5200","position":2,"is_corresponding":false},{"id":295817,"name":"Hwasoon Kim","orcid":"0000-0002-0561-3186","position":3,"is_corresponding":false},{"id":540857,"name":"M. Alan Brookhart","orcid":"0000-0003-1572-0564","position":4,"is_corresponding":false},{"id":667693,"name":"Laura Edwards","orcid":"0000-0003-1579-2074","position":5,"is_corresponding":false},{"id":791338,"name":"Zsolt Rak","orcid":null,"position":6,"is_corresponding":false},{"id":326442,"name":"Daniel K. Benjamin","orcid":"0000-0002-0764-8585","position":7,"is_corresponding":false},{"id":319873,"name":"Kanecia O. Zimmerman","orcid":"0000-0003-3748-6932","position":8,"is_corresponding":false},{"id":968845,"name":"the ABC Science Collaborative","orcid":null,"position":9,"is_corresponding":false},{"id":907860,"name":"Zeni Scott","orcid":null,"position":0,"is_corresponding":true}],"reference_count":11,"raw_metadata":null,"created_at":"2026-07-19T00:31:05.260069Z","pmid":"36404728","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}