The Role of Preprocedure Screening of SARS-CoV-2 Infection: A Tertiary Care Medical Center Analysis

Detalhes bibliográficos
Autor(a) principal: Correia, Catarina
Data de Publicação: 2021
Outros Autores: Almeida, Nuno, Figueiredo, Pedro
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10316/103285
https://doi.org/10.1159/000516912
Resumo: Purpose: This study aimed to understand the prevalence of asymptomatic COVID-19 infection among patients undergoing endoscopic procedures at a tertiary care hospital. The results allow prediction of the magnitude of cases which this endoscopic service might witness in the next months and planning of future actions accordingly. Methods: This retrospective study was conducted in the gastroenterology department of a large urban tertiary care medical center from October 15, 2020, to November 15, 2020. In this institution, all patients proposed for endoscopic procedures under deep sedation must be submitted to reverse transcription polymerase chain reaction (RT-PCR) for SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) detection. These results were thoroughly reviewed. Results: In the 1-month period, a total of 833 different procedures were done in 833 patients admitted to the endoscopy unit. Of these, 167 (20%) were submitted to nasal swab for SARS-CoV-2. Only 1 (0.6%) was positive for this infection, and her procedure was postponed. This RT-PCR-positive patient was not symptomatic for COVID- 19 infection at the time of preprocedure screening. She had no positive contacts for COVID-19 and had not traveled outside the country. Conclusion: We found that the proportion of patients proposed for an endoscopic intervention who were asymptomatic carriers of SARS-CoV-2 was low. However, only one fifth of patients were tested and, considering the proportion of 0.6%, it is reasonable to consider that exposure of healthcare workers and other patients can occur. So, all prevention measures must be strictly followed. However, the cost-benefit of an universal testing policy must be proven.
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spelling The Role of Preprocedure Screening of SARS-CoV-2 Infection: A Tertiary Care Medical Center AnalysisRastreio da infeção por SARS-CoV-2 pré-procedimentos – análise de um centro terciárioSARS-CoV-2 infectionScreeningGastroenterologyInfecção por SARS-CoV-2RastreioGastrenterologiaPurpose: This study aimed to understand the prevalence of asymptomatic COVID-19 infection among patients undergoing endoscopic procedures at a tertiary care hospital. The results allow prediction of the magnitude of cases which this endoscopic service might witness in the next months and planning of future actions accordingly. Methods: This retrospective study was conducted in the gastroenterology department of a large urban tertiary care medical center from October 15, 2020, to November 15, 2020. In this institution, all patients proposed for endoscopic procedures under deep sedation must be submitted to reverse transcription polymerase chain reaction (RT-PCR) for SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) detection. These results were thoroughly reviewed. Results: In the 1-month period, a total of 833 different procedures were done in 833 patients admitted to the endoscopy unit. Of these, 167 (20%) were submitted to nasal swab for SARS-CoV-2. Only 1 (0.6%) was positive for this infection, and her procedure was postponed. This RT-PCR-positive patient was not symptomatic for COVID- 19 infection at the time of preprocedure screening. She had no positive contacts for COVID-19 and had not traveled outside the country. Conclusion: We found that the proportion of patients proposed for an endoscopic intervention who were asymptomatic carriers of SARS-CoV-2 was low. However, only one fifth of patients were tested and, considering the proportion of 0.6%, it is reasonable to consider that exposure of healthcare workers and other patients can occur. So, all prevention measures must be strictly followed. However, the cost-benefit of an universal testing policy must be proven.Objetivos: Este estudo teve como objetivo avaliar a prevalência de infeção assintomática por COVID-19 em pacientes submetidos a procedimentos endoscópicos num hospital terciário. Os resultados permitem prever a magnitude dos casos que este serviço poderá testemunhar nos próximos meses e assim planear ações futuras. Métodos: Estudo retrospetivo realizado no serviço de Gastroenterologia de um centro terciário, de 15 de outubro de 2020 a 15 de novembro de 2020. Nesta instituição todos os pacientes propostos para procedimentos endoscópicos sob sedação profunda devem ser submetidos a RTPCR para deteção de SARS-CoV-2. Esses resultados foram analisados. Resultados: No período de um mês, foram realizados 833 procedimentos em 833 pacientes admitidos na unidade de endoscopia. Destes 167 (20%) foram submetidos à realização de zaragatoa nasal para deteção de SARS-CoV-2. Apenas um (0,6%) foi positivo para a infeção e seu procedimento foi adiado. Este paciente RT-PCR positivo era assintomático para infeção por COVID-19 no momento da triagem pré-procedimento, não teve contatos positivos para COVID-19 e não realizou nenhuma viagem para fora do país. Conclusão: Verificamos que a proporção de pacientes propostos para intervenção endoscópica portadores assintomáticos de SARS-CoV-2 foi baixa. Porém, apenas um quinto dos pacientes foi testado e considerando a proporção de 0.6% é razoável considerar que pode ocorrer exposição de profissionais de saúde e outros pacientes. Portanto, todas as medidas de prevenção devem ser rigorosamente seguidas. No entanto, o custobenefício de uma política universal de testes deve ser comprovado.2021-07-05info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://hdl.handle.net/10316/103285http://hdl.handle.net/10316/103285https://doi.org/10.1159/000516912eng2341-4545Correia, CatarinaAlmeida, NunoFigueiredo, Pedroinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2022-11-03T21:33:54Zoai:estudogeral.uc.pt:10316/103285Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T21:20:08.703192Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv The Role of Preprocedure Screening of SARS-CoV-2 Infection: A Tertiary Care Medical Center Analysis
Rastreio da infeção por SARS-CoV-2 pré-procedimentos – análise de um centro terciário
title The Role of Preprocedure Screening of SARS-CoV-2 Infection: A Tertiary Care Medical Center Analysis
spellingShingle The Role of Preprocedure Screening of SARS-CoV-2 Infection: A Tertiary Care Medical Center Analysis
Correia, Catarina
SARS-CoV-2 infection
Screening
Gastroenterology
Infecção por SARS-CoV-2
Rastreio
Gastrenterologia
title_short The Role of Preprocedure Screening of SARS-CoV-2 Infection: A Tertiary Care Medical Center Analysis
title_full The Role of Preprocedure Screening of SARS-CoV-2 Infection: A Tertiary Care Medical Center Analysis
title_fullStr The Role of Preprocedure Screening of SARS-CoV-2 Infection: A Tertiary Care Medical Center Analysis
title_full_unstemmed The Role of Preprocedure Screening of SARS-CoV-2 Infection: A Tertiary Care Medical Center Analysis
title_sort The Role of Preprocedure Screening of SARS-CoV-2 Infection: A Tertiary Care Medical Center Analysis
author Correia, Catarina
author_facet Correia, Catarina
Almeida, Nuno
Figueiredo, Pedro
author_role author
author2 Almeida, Nuno
Figueiredo, Pedro
author2_role author
author
dc.contributor.author.fl_str_mv Correia, Catarina
Almeida, Nuno
Figueiredo, Pedro
dc.subject.por.fl_str_mv SARS-CoV-2 infection
Screening
Gastroenterology
Infecção por SARS-CoV-2
Rastreio
Gastrenterologia
topic SARS-CoV-2 infection
Screening
Gastroenterology
Infecção por SARS-CoV-2
Rastreio
Gastrenterologia
description Purpose: This study aimed to understand the prevalence of asymptomatic COVID-19 infection among patients undergoing endoscopic procedures at a tertiary care hospital. The results allow prediction of the magnitude of cases which this endoscopic service might witness in the next months and planning of future actions accordingly. Methods: This retrospective study was conducted in the gastroenterology department of a large urban tertiary care medical center from October 15, 2020, to November 15, 2020. In this institution, all patients proposed for endoscopic procedures under deep sedation must be submitted to reverse transcription polymerase chain reaction (RT-PCR) for SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) detection. These results were thoroughly reviewed. Results: In the 1-month period, a total of 833 different procedures were done in 833 patients admitted to the endoscopy unit. Of these, 167 (20%) were submitted to nasal swab for SARS-CoV-2. Only 1 (0.6%) was positive for this infection, and her procedure was postponed. This RT-PCR-positive patient was not symptomatic for COVID- 19 infection at the time of preprocedure screening. She had no positive contacts for COVID-19 and had not traveled outside the country. Conclusion: We found that the proportion of patients proposed for an endoscopic intervention who were asymptomatic carriers of SARS-CoV-2 was low. However, only one fifth of patients were tested and, considering the proportion of 0.6%, it is reasonable to consider that exposure of healthcare workers and other patients can occur. So, all prevention measures must be strictly followed. However, the cost-benefit of an universal testing policy must be proven.
publishDate 2021
dc.date.none.fl_str_mv 2021-07-05
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.identifier.uri.fl_str_mv http://hdl.handle.net/10316/103285
http://hdl.handle.net/10316/103285
https://doi.org/10.1159/000516912
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https://doi.org/10.1159/000516912
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