The concept of Open-Access (OA) publishing was initiated in the early 2000s with the idea to provide free, equal, and OA of scientific knowledge to all communities and countries. The article published in an OA journal is freely available on the public internet and permits any users to read, download, copy, distribute, and print. The OA articles are published much sooner and are believed to get more citations than the articles published in subscription-based journals. Since the end-user does not have to pay to read an OA article, the author usually pays Article Processing Charges (APCs) to get his/her work published in OA journals. High APCs of OA journals are usually a serious concern for medical researchers in India, which restricts them to publish in OA journals. Since most OA journals are new, they tend to have low impact factors as compared to subscription-based journals, which prevent many good researchers to get their work published in OA journals. Furthermore, predatory journals exploit the idea of OA and tend to publish poor or very low-quality research papers. This has resulted in distrust among the authors and readers that OA publishing is not peer-reviewed or has low quality. In conclusion, publishing in OA journals has both pros and cons. With the Government of India’s ambitious “One Nation, One Subscription” policy in the pipeline, medical researchers in India are hopeful that soon both access and publishing in scientific journals will be free for all in the country.
{"title":"Open-access publishing: Boon or bane for Indian medical researchers?","authors":"V. Dhiman, R. Tiwari","doi":"10.25259/ijms_375_2021","DOIUrl":"https://doi.org/10.25259/ijms_375_2021","url":null,"abstract":"The concept of Open-Access (OA) publishing was initiated in the early 2000s with the idea to provide free, equal, and OA of scientific knowledge to all communities and countries. The article published in an OA journal is freely available on the public internet and permits any users to read, download, copy, distribute, and print. The OA articles are published much sooner and are believed to get more citations than the articles published in subscription-based journals. Since the end-user does not have to pay to read an OA article, the author usually pays Article Processing Charges (APCs) to get his/her work published in OA journals. High APCs of OA journals are usually a serious concern for medical researchers in India, which restricts them to publish in OA journals. Since most OA journals are new, they tend to have low impact factors as compared to subscription-based journals, which prevent many good researchers to get their work published in OA journals. Furthermore, predatory journals exploit the idea of OA and tend to publish poor or very low-quality research papers. This has resulted in distrust among the authors and readers that OA publishing is not peer-reviewed or has low quality. In conclusion, publishing in OA journals has both pros and cons. With the Government of India’s ambitious “One Nation, One Subscription” policy in the pipeline, medical researchers in India are hopeful that soon both access and publishing in scientific journals will be free for all in the country.","PeriodicalId":13277,"journal":{"name":"Indian journal of medical sciences","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74966883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bhavya Chadalavada, M. R. Rao, Deepak Pandharpurkar
People with chronic diseases, old age, obesity, and immunosuppression are more susceptible to infections, including COVID-19. Human immunodeficiency virus (HIV) is widely prevalent in India, yet, the number of COVID cases in people living with HIV is low. We report six cases of COVID-19 in patients with HIV who face various challenges in the intensive care unit. The severity of their COVID infection varies from patient to patient depending on their immune status and treatment with antiretroviral therapy.
{"title":"COVID-19 in people living with HIV – A case series","authors":"Bhavya Chadalavada, M. R. Rao, Deepak Pandharpurkar","doi":"10.25259/ijms_492_2021","DOIUrl":"https://doi.org/10.25259/ijms_492_2021","url":null,"abstract":"People with chronic diseases, old age, obesity, and immunosuppression are more susceptible to infections, including COVID-19. Human immunodeficiency virus (HIV) is widely prevalent in India, yet, the number of COVID cases in people living with HIV is low. We report six cases of COVID-19 in patients with HIV who face various challenges in the intensive care unit. The severity of their COVID infection varies from patient to patient depending on their immune status and treatment with antiretroviral therapy.","PeriodicalId":13277,"journal":{"name":"Indian journal of medical sciences","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72976365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
COVID-19 is a severe disease characterized by a multifactorial immunodeficient state in critically ill patients who have had no prior immunodeficiencies. Much of the mortality in COVID has been attributed to an unprecedented high number of secondary coinfections ranging from bacterial pneumonia to opportunistic infections such as invasive aspergillosis and mucormycosis. Case reports reporting reactivation of cytomegalovirus (CMV) infection are scanty. To the best of our knowledge, we describe one of the very few cases of a previously immunocompetent healthy individual who suffered from reactivation of CMV infection and involvement of invasive infection (CMV pneumonia and CMV colitis).
{"title":"Reactivation of cytomegalovirus infection in a post-COVID patient leading to cytomegalovirus pneumonia and colitis","authors":"S. Sachan, Ashutosh Kumar Singh, A. Shukla","doi":"10.25259/ijms_29_2022","DOIUrl":"https://doi.org/10.25259/ijms_29_2022","url":null,"abstract":"COVID-19 is a severe disease characterized by a multifactorial immunodeficient state in critically ill patients who have had no prior immunodeficiencies. Much of the mortality in COVID has been attributed to an unprecedented high number of secondary coinfections ranging from bacterial pneumonia to opportunistic infections such as invasive aspergillosis and mucormycosis. Case reports reporting reactivation of cytomegalovirus (CMV) infection are scanty. To the best of our knowledge, we describe one of the very few cases of a previously immunocompetent healthy individual who suffered from reactivation of CMV infection and involvement of invasive infection (CMV pneumonia and CMV colitis).","PeriodicalId":13277,"journal":{"name":"Indian journal of medical sciences","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85172476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
K. Kumar, Aiman Danieal Bin Hishamudin, Durga Krishnan, Harvind Lingam, Jivananthini A/P Manogaran, Nurul Asyiqin Binti Yahya, A. Jeppu
Hemodialysis as a treatment modality for Stage V chronic kidney disease (CKD) has significantly decreased mortality. However, there have been several studies reporting sensorineural hearing loss (SNHL) in these patients which affects their quality of life. The role of hemodialysis in its etiology has been widely debated and the strength of available evidence has not yet been evaluated. A systematic literature review was conducted to identify a possible association of hemodialysis to hearing loss and guide in making informed decisions in the management of CKD patients. Relevant articles from PubMed, ScienceDirect, EBSCO Medline, SCOPUS, Google Scholar, and Clinical Key were identified using Preferred Reporting Items for Systematic Review and Meta-Analyses framework. Studies that were published since the inception of the database to May 2020 and written in the English language were analyzed. A total of 36 articles on hemodialysis and sudden or SNHL were retrieved. Many were observational (13 cohorts, 10 case-control, seven case series, and six cross-sectional) studies involving 99,020 participants with ages ranging from 1 to 80 years. This review elucidates the occurrence of SNHL in CKD patients on hemodialysis. Yet, the available literature fails to provide conclusive evidence on hemodialysis as a causative agent for SNHL. Audiological assessment of all CKD patients before hemodialysis and regular follow-up may help in early diagnosis and better management of hearing loss.
{"title":"The effect of hemodialysis on hearing in chronic kidney disease patients – A systematic review","authors":"K. Kumar, Aiman Danieal Bin Hishamudin, Durga Krishnan, Harvind Lingam, Jivananthini A/P Manogaran, Nurul Asyiqin Binti Yahya, A. Jeppu","doi":"10.25259/ijms_135_2021","DOIUrl":"https://doi.org/10.25259/ijms_135_2021","url":null,"abstract":"Hemodialysis as a treatment modality for Stage V chronic kidney disease (CKD) has significantly decreased mortality. However, there have been several studies reporting sensorineural hearing loss (SNHL) in these patients which affects their quality of life. The role of hemodialysis in its etiology has been widely debated and the strength of available evidence has not yet been evaluated. A systematic literature review was conducted to identify a possible association of hemodialysis to hearing loss and guide in making informed decisions in the management of CKD patients. Relevant articles from PubMed, ScienceDirect, EBSCO Medline, SCOPUS, Google Scholar, and Clinical Key were identified using Preferred Reporting Items for Systematic Review and Meta-Analyses framework. Studies that were published since the inception of the database to May 2020 and written in the English language were analyzed. A total of 36 articles on hemodialysis and sudden or SNHL were retrieved. Many were observational (13 cohorts, 10 case-control, seven case series, and six cross-sectional) studies involving 99,020 participants with ages ranging from 1 to 80 years. This review elucidates the occurrence of SNHL in CKD patients on hemodialysis. Yet, the available literature fails to provide conclusive evidence on hemodialysis as a causative agent for SNHL. Audiological assessment of all CKD patients before hemodialysis and regular follow-up may help in early diagnosis and better management of hearing loss.","PeriodicalId":13277,"journal":{"name":"Indian journal of medical sciences","volume":"420 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75766751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Recommendations by experts fail to impress","authors":"V. Gumaste","doi":"10.25259/ijms_316_2021","DOIUrl":"https://doi.org/10.25259/ijms_316_2021","url":null,"abstract":"","PeriodicalId":13277,"journal":{"name":"Indian journal of medical sciences","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80345366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Omicron in Delta dominant India: Implications and outcome","authors":"Shashank V. Joshi","doi":"10.25259/ijms_561_2021","DOIUrl":"https://doi.org/10.25259/ijms_561_2021","url":null,"abstract":"","PeriodicalId":13277,"journal":{"name":"Indian journal of medical sciences","volume":"282 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80177969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
There are numerous surgical techniques that have been demonstrated and utilized to repair small perforations in the tympanic membrane (TM) with various graft materials such as veins, perichondrium, periosteum, and others. In our study, fat was taken as the graft material and the main aim of the study was to evaluate the success rate of graft uptake, assessment of hearing improvement, and complications of the operative procedure. In this single-center study, 46 patients underwent fat myringoplasty, 52 ears were operated from October 2016 to September 2017 for a period of 1 year. A detailed history, general physical, and a through ear, nose, and throat examination were done. Audiometric assessment was done using pure tone audiometry. Patients between the age group of 15 and 50 years were included in the study. A total of 46 patients were included in the study who met the inclusion criteria. Six patients had bilateral perforations and 40 patients had unilateral perforation, a total of 52 perforations were operated. Forty-three (82.69%) patients had successful graft uptake and graft failure was seen in 9 (17.30%) patients. Maximum gain in hearing was seen in in patients with hearing loss between 20 and 30 dB, that is, 24 patients (46.1%). Fat myringoplasty is a methodized, precise, inexpensive, mini-invasive, and cosmetic outpatient procedure for small perforations of TM. It can be done under local anesthesia and has a good success rate if the patient selection is done appropriately.
{"title":"Fat graft myringoplasty: A clinical study and review of literature","authors":"R. Mahajan, N. Mahajan, Bavneet Kour","doi":"10.25259/ijms_174_2021","DOIUrl":"https://doi.org/10.25259/ijms_174_2021","url":null,"abstract":"\u0000\u0000There are numerous surgical techniques that have been demonstrated and utilized to repair small perforations in the tympanic membrane (TM) with various graft materials such as veins, perichondrium, periosteum, and others. In our study, fat was taken as the graft material and the main aim of the study was to evaluate the success rate of graft uptake, assessment of hearing improvement, and complications of the operative procedure.\u0000\u0000\u0000\u0000In this single-center study, 46 patients underwent fat myringoplasty, 52 ears were operated from October 2016 to September 2017 for a period of 1 year. A detailed history, general physical, and a through ear, nose, and throat examination were done. Audiometric assessment was done using pure tone audiometry. Patients between the age group of 15 and 50 years were included in the study.\u0000\u0000\u0000\u0000A total of 46 patients were included in the study who met the inclusion criteria. Six patients had bilateral perforations and 40 patients had unilateral perforation, a total of 52 perforations were operated. Forty-three (82.69%) patients had successful graft uptake and graft failure was seen in 9 (17.30%) patients. Maximum gain in hearing was seen in in patients with hearing loss between 20 and 30 dB, that is, 24 patients (46.1%).\u0000\u0000\u0000\u0000Fat myringoplasty is a methodized, precise, inexpensive, mini-invasive, and cosmetic outpatient procedure for small perforations of TM. It can be done under local anesthesia and has a good success rate if the patient selection is done appropriately.\u0000","PeriodicalId":13277,"journal":{"name":"Indian journal of medical sciences","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81967548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kikuchi-Fujimoto disease (KD), also known as histiocytic necrotizing lymphadenitis, is a rare cause of unilateral cervical lymphadenopathy usually described in adolescents and young adults with female preponderance. Clinically patients present with palpable lymphadenopathy, fever, and loss of weight. Hence, it should be differentiated from other causes of lymphadenopathy such as tuberculosis, lymphoma, or malignancy. Although the majority resolve spontaneously without treatment some may require non-steroidal anti-inflammatory drug or steroids. It may also be associated with systemic lupus erythematosus. Hence early detection, prompt diagnosis, and follow-up of the patient are essential in all cases of unilateral cervical lymphadenopathy in young adults. Here, we describe a 22-year old female who presented with unilateral neck swelling and was clinically diagnosed initially as a case of tuberculous lymphadenitis which on biopsy turned out to be KD.
{"title":"Kikuchi disease: An unusual cause of cervical lymphadenopathy in a young female","authors":"Vidyulata Madhu, R. Sreedharan, V. Vinukumar","doi":"10.25259/ijms_386_2021","DOIUrl":"https://doi.org/10.25259/ijms_386_2021","url":null,"abstract":"Kikuchi-Fujimoto disease (KD), also known as histiocytic necrotizing lymphadenitis, is a rare cause of unilateral cervical lymphadenopathy usually described in adolescents and young adults with female preponderance. Clinically patients present with palpable lymphadenopathy, fever, and loss of weight. Hence, it should be differentiated from other causes of lymphadenopathy such as tuberculosis, lymphoma, or malignancy. Although the majority resolve spontaneously without treatment some may require non-steroidal anti-inflammatory drug or steroids. It may also be associated with systemic lupus erythematosus. Hence early detection, prompt diagnosis, and follow-up of the patient are essential in all cases of unilateral cervical lymphadenopathy in young adults. Here, we describe a 22-year old female who presented with unilateral neck swelling and was clinically diagnosed initially as a case of tuberculous lymphadenitis which on biopsy turned out to be KD.","PeriodicalId":13277,"journal":{"name":"Indian journal of medical sciences","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79668086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Herein, we present a case of 44-year-old male who landed in our emergency department with altered mental status with difficulty in breathing after 14 days of consumption of chlorpyrifos. Organophosphorus (OP) poisoning is one of the most common causes of poisoning encountered in rural India. There are reported cases of its acute and sub-acute atypical presentation but very few of delayed onset intermediate syndrome. By means of this case report, we want to emphasize on the delayed complications post OP poisoning and importance of treating physician’s awareness to recognize and treat such complications.
{"title":"A complicated case of delayed onset intermediate syndrome post organophosphorus poisoning: A rare case report","authors":"Navtej Singh, Tarun Arora, Ankit Chamoli","doi":"10.25259/ijms_218_2021","DOIUrl":"https://doi.org/10.25259/ijms_218_2021","url":null,"abstract":"Herein, we present a case of 44-year-old male who landed in our emergency department with altered mental status with difficulty in breathing after 14 days of consumption of chlorpyrifos. Organophosphorus (OP) poisoning is one of the most common causes of poisoning encountered in rural India. There are reported cases of its acute and sub-acute atypical presentation but very few of delayed onset intermediate syndrome. By means of this case report, we want to emphasize on the delayed complications post OP poisoning and importance of treating physician’s awareness to recognize and treat such complications.","PeriodicalId":13277,"journal":{"name":"Indian journal of medical sciences","volume":"38 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74692632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
G. Mishra, N. Goel, Sudeep Gupta, S. Laskar, Apoorva V. Tiloda, Ankita A. Bhagwat, V. Kulkarni, H. Shaikh, C. Pramesh, S. Tandon, Sandeep S. Sawakare, M. Sengar, S. Biswas, S. Epari, O. Shetty, S. Desai, R. Badwe
Although commonly practiced, the accuracy, effectiveness, and safety of screening patients for COVID-19 at hospital entrances is not well documented. We performed a retrospective analysis of single institution data involving screening patients for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection at hospital entrances by trained health personnel, with thermal scanning and administration of a standard questionnaire eliciting risk factors and symptoms of COVID-19. SARS-CoV-2 positivity among patients screened positive and negative and among personnel involved in screening were estimated. Between May 22, 2020, and July 4, 2020, a total of 20152 patients involving 54955 hospital visits were screened at hospital entrances of whom 668 (3.31%, 95% CI 3.07–3.57) were screened positive for suspected COVID-19 and 19484 (96.69%, 95% CI 96.44–96.93) were screened negative. Among patients screened positive, of the 638 patients with available records, 109 (17.08%, 95% CI 14.24–20.23) were confirmed to be SARS-CoV-2 positive by polymerase chain reaction test, 288 (45.14%, 95% CI 41.23–49.10) were negative, 71 (11.13%, 95% CI 8.79–13.83) were not tested after secondary assessment, and 170 (26.65%, 95% CI 23.25–30.26) patients declined the test. Among screen negative patients, 162 (0.83%, 95% CI 0.71–0.97) were SARS-CoV-2 positive. Of the 104 personnel involved in screening, 03 (2.88%, 95% CI 0.60–8.20) were confirmed to be SARS-CoV-2 positive during study period. Screening patients with a combination of thermal scanning and a standard questionnaire for COVID-19 has a high positive predictive value for detecting this infection with low risk of SARS-COV-2 transmission to the involved health personnel.
尽管这种做法很普遍，但在医院入口处对患者进行COVID-19筛查的准确性、有效性和安全性并没有得到很好的记录。我们对单个机构的数据进行了回顾性分析，这些数据涉及由训练有素的卫生人员在医院入口处筛查严重急性呼吸综合征冠状病毒2 (SARS-CoV-2)感染患者，并使用热扫描和标准问卷调查，以了解COVID-19的危险因素和症状。估计筛查阳性和阴性患者以及参与筛查人员的SARS-CoV-2阳性情况。2020年5月22日至7月4日期间，在医院入口处共筛查了20152例患者，涉及54955次就诊，其中668例(3.31%，95% CI 3.07-3.57)为疑似COVID-19阳性，19484例(96.69%，95% CI 96.44-96.93)为阴性。在筛查阳性的638例有记录的患者中，聚合酶链反应试验确诊SARS-CoV-2阳性109例(17.08%，95% CI 14.24 ~ 20.23)，阴性288例(45.14%，95% CI 41.23 ~ 49.10)，二次评估后未检测71例(11.13%，95% CI 8.79 ~ 13.83)，拒绝检测170例(26.65%，95% CI 23.25 ~ 30.26)。在筛查阴性患者中，162例(0.83%，95% CI 0.71-0.97)为SARS-CoV-2阳性。在参与筛查的104名人员中，有03人(2.88%，95% CI 0.60-8.20)在研究期间被确认为SARS-CoV-2阳性。结合热扫描和标准问卷筛查患者COVID-19，对相关卫生人员发现这种低风险的SARS-COV-2感染具有较高的阳性预测价值。
{"title":"Efficacy of screening cancer patients at hospital entrance for COVID-19 with a questionnaire and thermal scanning: An audit","authors":"G. Mishra, N. Goel, Sudeep Gupta, S. Laskar, Apoorva V. Tiloda, Ankita A. Bhagwat, V. Kulkarni, H. Shaikh, C. Pramesh, S. Tandon, Sandeep S. Sawakare, M. Sengar, S. Biswas, S. Epari, O. Shetty, S. Desai, R. Badwe","doi":"10.25259/ijms_193_2021","DOIUrl":"https://doi.org/10.25259/ijms_193_2021","url":null,"abstract":"\u0000\u0000Although commonly practiced, the accuracy, effectiveness, and safety of screening patients for COVID-19 at hospital entrances is not well documented.\u0000\u0000\u0000\u0000We performed a retrospective analysis of single institution data involving screening patients for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection at hospital entrances by trained health personnel, with thermal scanning and administration of a standard questionnaire eliciting risk factors and symptoms of COVID-19. SARS-CoV-2 positivity among patients screened positive and negative and among personnel involved in screening were estimated.\u0000\u0000\u0000\u0000Between May 22, 2020, and July 4, 2020, a total of 20152 patients involving 54955 hospital visits were screened at hospital entrances of whom 668 (3.31%, 95% CI 3.07–3.57) were screened positive for suspected COVID-19 and 19484 (96.69%, 95% CI 96.44–96.93) were screened negative. Among patients screened positive, of the 638 patients with available records, 109 (17.08%, 95% CI 14.24–20.23) were confirmed to be SARS-CoV-2 positive by polymerase chain reaction test, 288 (45.14%, 95% CI 41.23–49.10) were negative, 71 (11.13%, 95% CI 8.79–13.83) were not tested after secondary assessment, and 170 (26.65%, 95% CI 23.25–30.26) patients declined the test. Among screen negative patients, 162 (0.83%, 95% CI 0.71–0.97) were SARS-CoV-2 positive. Of the 104 personnel involved in screening, 03 (2.88%, 95% CI 0.60–8.20) were confirmed to be SARS-CoV-2 positive during study period.\u0000\u0000\u0000\u0000Screening patients with a combination of thermal scanning and a standard questionnaire for COVID-19 has a high positive predictive value for detecting this infection with low risk of SARS-COV-2 transmission to the involved health personnel.\u0000","PeriodicalId":13277,"journal":{"name":"Indian journal of medical sciences","volume":"360 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84897188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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