Targeted rapid testing for SARS-CoV-2 in the emergency department is associated with large reductions in uninfected patient exposure time.

Targeted rapid testing for SARS-CoV-2 in the emergency department is associated with large reductions in uninfected patient exposure time.
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DOI:
10.1016/j.jhin.2020.09.035
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发表时间:
2021-01
期刊:
The Journal of hospital infection
影响因子:
--
通讯作者:
Levin S
Levin S
中科院分区:
其他
文献类型:
--
作者:
Hinson JS;Rothman RE;Carroll K;Mostafa HH;Ghobadi K;Smith A;Martinez D;Shaw-Saliba K;Klein E;Levin S

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通过减少2019冠状病毒病(COVID-19)的诊断时间,有机会减少与医疗保健相关的严重急性呼吸系统综合征冠状病毒-2(SARS-CoV-2)暴露,保护感染控制资源,并提高护理能力。进行了回顾性队列分析,以衡量针对SARS-CoV-2的靶向快速分子检测对这些结果的影响。与标准平台检测相比,快速检测与阴性诊断结果患者从隔离队列中移除的中位时间减少65.6%(12.6小时)相关。这意味着COVID-19治疗能力增加了3028个床位小时,每周需要使用个人防护设备的患者互动次数减少了7500次。
Opportunity exists to decrease healthcare-related exposure to severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), preserve infection control resources, and increase care capacity by reducing the time to diagnosis of coronavirus disease 2019 (COVID-19). A retrospective cohort analysis was undertaken to measure the effect of targeted rapid molecular testing for SARS-CoV-2 on these outcomes. In comparison with standard platform testing, rapid testing was associated with a 65.6% reduction (12.6 h) in the median time to removal from the isolation cohort for patients with negative diagnostic results. This translated to an increase in COVID-19 treatment capacity of 3028 bed-hours and 7500 fewer patient interactions that required the use of personal protective equipment per week.
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