Universal COVID-19 pre-procedural swabs in children in a developing country: A comparison of findings over two transmission waves

IF 0.4 Q3 MEDICINE, GENERAL & INTERNAL Proceedings of Singapore Healthcare Pub Date : 2022-06-01 DOI:10.1177/20101058221131656
Chee Yang Tan, Amelia Marie Theseira, Syukri Ahmad Zubaidi, N. Atiya, Anand Sanmugam, Srihari Singaravel, S. Nah
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Abstract

Aim The Coronavirus disease (COVID-19) pandemic has strained healthcare systems worldwide. Some institutions have implemented additional precautionary measures such as pre-procedural swabbing (PPS) to reduce transmission in patients and healthcare workers. We evaluate our experience with universal pre-procedural screening for COVID-19 in low-risk pediatric patients. Methods We performed a retrospective review of patients aged 18 years and below who underwent severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) real-time reverse transcription-polymerase chain reaction (rRT-PCR) assay swabs in our center over two waves (1st May 2020 to 31st July 2020 and 1st April 2021 to 30th June 2021). We included patients who underwent rRT-PCR for SARS-CoV-2 prior to any procedures requiring general anesthesia and were deemed low risk for COVID-19 according to our institutional screening criteria. All study patients were followed up for 14 days post-procedure. Results Of 2065 swabs done for patients aged 18 years and below during the study period, 645 (31.2%) were pre-procedural swabs. Patients were aged 4.2 years (median, interquartile range: 1.6 years–9.8 years). Two patients (0.3%) tested positive for COVID-19 by PPS, detected during Period 2 – both had risk criteria which were overlooked by healthcare workers. Within 14 days post-procedure, 10 patients had unscheduled readmissions and 15 required repeat rRT-PCR, all of which were negative. Conclusions In patients deemed low risk for COVID-19 infection according to our screening criteria, routine pre-procedural swabbing returns a low positive rate. Our findings can guide screening protocols at institutions that provide surgical services during the COVID-19 pandemic.
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发展中国家儿童普遍使用新冠肺炎术前拭子:两种传播波结果的比较
目的冠状病毒疾病(新冠肺炎)大流行使全球医疗系统紧张。一些机构已经实施了额外的预防措施,如术前拭子(PPS),以减少患者和医护人员的传播。我们评估了我们在低风险儿科患者中对新冠肺炎进行普遍术前筛查的经验。方法我们对18岁及以下的患者进行了回顾性审查,这些患者在我们中心接受了两波(2020年5月1日至2020年7月31日和2021年4月1日到2021年6月30日)的严重急性呼吸综合征冠状病毒2型(严重急性呼吸系统综合征冠状病毒冠状病毒2型)实时逆转录聚合酶链反应(rRT PCR)检测拭子。我们纳入了在任何需要全身麻醉的手术前接受了SARS-CoV-2 rRT-PCR的患者,根据我们的机构筛查标准,这些患者被认为是新冠肺炎的低风险患者。所有研究患者在术后随访14天。结果在研究期间为18岁及以下患者进行的2065次拭子检查中,645次(31.2%)为术前拭子。患者年龄为4.2岁(中位数,四分位间距:1.6岁-9.8岁)。两名患者(0.3%)的PPS检测结果呈新冠肺炎阳性,这两名患者在第2期检测到,他们都有医护人员忽视的风险标准。在手术后14天内,10名患者计划外再次入院,15名患者需要重复rRT PCR,所有结果均为阴性。结论根据我们的筛查标准,在被视为新冠肺炎感染风险较低的患者中,常规术前拭子检测的阳性率较低。我们的研究结果可以指导新冠肺炎大流行期间提供外科服务的机构的筛查方案。
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来源期刊
Proceedings of Singapore Healthcare
Proceedings of Singapore Healthcare MEDICINE, GENERAL & INTERNAL-
CiteScore
0.90
自引率
0.00%
发文量
42
审稿时长
15 weeks
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