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suck abstract from ncbi


10.1159/000514928

http://scihub22266oqcxt.onion/10.1159/000514928
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33784700!ä!33784700

suck abstract from ncbi


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pmid33784700      Respiration 2021 ; 100 (6): 510-514
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  • Pre-Procedural COVID-19 Nasopharyngeal Swab Has Good Concordance with Bronchoalveolar Lavage in Patients at Low Risk for Viral Infection #MMPMID33784700
  • Oberg CL; Ronaghi R; Folch EE; Channick CL; He T; Susanto I; Oh SS
  • Respiration 2021[]; 100 (6): 510-514 PMID33784700show ga
  • BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic has drastically affected hospital and operating room (OR) workflow around the world as well as trainee education. Many institutions have instituted mandatory preoperative SARS-CoV-2 PCR nasopharyngeal swab (NS) testing in patients who are low risk for COVID-19 prior to elective cases. This method, however, is challenging as the sensitivity, specificity, and overall reliability of testing remains unclear. OBJECTIVES: The objective of this study was to assess the concordance of a negative NS in low risk preoperative patients with lower airway bronchoalveolar lavage (BAL) specimens obtained from the same patients. METHODS: We prospectively sent intraoperative lower airway BAL samples collected within 48 h of a negative mandatory preoperative NS for SARS-CoV-2 PCR testing. All adult patients undergoing a scheduled bronchoscopic procedure for any reason were enrolled, including elective and nonelective cases. RESULTS: One-hundred eighty-nine patients were included. All BAL specimens were negative for SARS-CoV-2 indicative of 100% concordance between testing modalities. CONCLUSIONS: These results are promising and suggest that preoperative nasopharyngeal SARS-CoV-2 testing provides adequate screening to rule out active COVID-19 infection prior to OR cases in a population characterized as low risk by negative symptom screening. This information can be used for both pre-procedural screening and when reintroducing trainees into the workforce.
  • |*Bronchoalveolar Lavage Fluid[MESH]
  • |*Nasopharynx[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |Bronchoalveolar Lavage[MESH]
  • |Bronchoscopy[MESH]
  • |COVID-19 Nucleic Acid Testing/*methods[MESH]
  • |COVID-19/*diagnosis[MESH]
  • |Carrier State/*diagnosis[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Mass Screening[MESH]
  • |Middle Aged[MESH]
  • |Preoperative Care[MESH]
  • |Prospective Studies[MESH]
  • |Risk[MESH]
  • |Sensitivity and Specificity[MESH]


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