入院前COVID-19检测是对资源的不必要使用

C. Henderson, Janelle M. Jackman, S. Rezai
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摘要

背景:入院前检测已被推荐为全国各专科医院的筛查工具,用于在手术前检测无症状的COVID-19阳性患者。卫生保健工作者(HCW)一直在使用这些结果来决定患者是否可以进行手术,并确定HCW是否应该使用个人防护装备。然而,这些建议大多来自专家意见,而不是基于证据的调查。在缺乏关于无症状患者普遍筛查益处的实际数据的情况下,临床医生应该真正考虑可能的利弊。我们着手审查先前发表的关于COVID-19检测的研究,以确定普遍筛查是否有科学依据。结论:目前,在没有接触者追踪的情况下,尚无基于证据的无症状患者普遍筛查方案。普遍使用个人防护装备、手卫生和个人预防措施应成为减少COVID-19在医院环境中传播的主要组成部分。关键词:新型冠状病毒,急性呼吸窘迫综合征,自身免疫,COVID-19,医护人员,新型冠状病毒2019,大流行,个人防护装备,聚合酶链反应,入院前检测,SARS冠状病毒,严重急性呼吸综合征冠状病毒2,严重急性呼吸综合征
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Preadmission COVID-19 testing is an unnecessary use of resources
Background: Preadmission testing has been recommended nationwide across specialties in hospitals as a screening tool for detecting asymptomatic COVID-19 positive patients prior to procedures. Healthcare workers (HCW) have been using these results to decide whether or not the patient can have the procedure done as well as to determine whether HCW should use PPE. However, the majorities of these recommendations are from expert opinion and not evidenced based investigations. In the absence of actual data on the benefits of universal screening in asymptomatic patients, clinicians should really consider the possible pros and cons of this. We set out to review previously published research on COVID-19 testing to determine if universal screening can be justified with science. Conclusion: At this time, there is no evidence-based data for a universal screening program of asymptomatic patients in the absence of contact tracing. Universal PPE use, hand hygiene and the practice of personal prevention measures should be the major component in decreasing the spread of COVID-19 in the hospital setting. Keywords: 2019-nCoV, acute respiratory distress syndrome, autoimmune, COVID-19, healthcare worker, novel coronavirus 2019, pandemic, personal protective equipment, polymerase chain reaction, preadmission testing, SARS coronavirus, severe acute respiratory syndrome coronavirus 2, severe acute respiratory syndrome
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