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10.1017/ice.2020.331

http://scihub22266oqcxt.onion/10.1017/ice.2020.331
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32669150!7417982!32669150
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suck abstract from ncbi


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pmid32669150      Infect+Control+Hosp+Epidemiol 2020 ; 41 (12): 1375-1377
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  • The utility of chest computed tomography (CT) and RT-PCR screening of asymptomatic patients for SARS-CoV-2 prior to semiurgent or urgent hospital procedures #MMPMID32669150
  • Shah AS; Walkoff LA; Kuzo RS; Callstrom MR; Brown MJ; Kendrick ML; Narr BJ; Berbari E
  • Infect Control Hosp Epidemiol 2020[Dec]; 41 (12): 1375-1377 PMID32669150show ga
  • OBJECTIVE: Presently, evidence guiding clinicians on the optimal approach to safely screen patients for coronavirus disease 2019 (COVID-19) to a nonemergent hospital procedure is scarce. In this report, we describe our experience in screening for SARS-CoV-2 prior to semiurgent and urgent hospital procedures. DESIGN: Retrospective case series. SETTING: A single tertiary-care medical center. PARTICIPANTS: Our study cohort included patients >/=18 years of age who had semiurgent or urgent hospital procedures or surgeries. METHODS: Overall, 625 patients were screened for SARS-CoV-2 using a combination of phone questionnaire (7 days prior to the anticipated procedure), RT-PCR and chest computed tomography (CT) between March 1, 2020, and April 30, 2020. RESULTS: Of the 625 patients, 520 scans (83.2%) were interpreted as normal; 1 (0.16%) had typical features of COVID-19; 18 scans (2.88%) had indeterminate features of COVID-19; and 86 (13.76%) had atypical features of COVID-19. In total, 640 RT-PCRs were performed, with 1 positive result (0.15%) in a patient with a CT scan that yielded an atypical finding. Of the 18 patients with chest CTs categorized as indeterminate, 5 underwent repeat negative RT-PCR nasopharyngeal swab 1 week after their initial swab. Also, 1 patient with a chest CT categorized as typical had a follow-up repeat negative RT-PCR, indicating that the chest CT was likely a false positive. After surgery, none of the patients developed signs or symptoms suspicious of COVID-19 that would indicate the need for a repeated RT-PCR or CT scan. CONCLUSION: In our experience, chest CT scanning did not prove provide valuable information in detecting asymptomatic cases of SARS-CoV-2 (COVID-19) in our low-prevalence population.
  • |*COVID-19 Nucleic Acid Testing/methods/statistics & numerical data[MESH]
  • |*COVID-19/diagnosis/epidemiology/prevention & control[MESH]
  • |Adult[MESH]
  • |Evidence-Based Practice[MESH]
  • |False Positive Reactions[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Infection Control/*methods[MESH]
  • |Male[MESH]
  • |Mass Screening/methods/standards[MESH]
  • |Minnesota/epidemiology[MESH]
  • |Pneumonia, Viral/*diagnosis/etiology[MESH]
  • |SARS-CoV-2/*isolation & purification[MESH]
  • |Safety Management[MESH]
  • |Surgery Department, Hospital/organization & administration[MESH]


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