Pre-procedural screening for COVID-19 with nasopharyngeal polymerase chain reaction testing

Gershengorn, Hayley B.; Warde, Prem R.; Nguyen, Dao M.; Suarez, Maritza; Merchant, Nipun B.; Ferreira, Tanira; Shukla, Bhavarth

doi:10.1016/j.bja.2020.08.011

Cited by 5 publications

(5 citation statements)

References 7 publications

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“…Conversely, in low-risk countries, testing costs and procedural delays outweigh the benefts of screening. In fact, in populations with a low disease prevalence (<2%), RT-PCR screening failed to prove its advantages in clinical practice [23]. In these situations, screening can be more powerful with a symptom questionnaire.…”

Section: Discussionmentioning

confidence: 99%

Preoperative SARS-CoV-2 Infection Screening before Thoracic Surgery during COVID-19 Pandemic: A Multicenter Retrospective Study

Fiorelli

Menna

Piccioni

et al. 2023

International Journal of Clinical Practice

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Objectives. During coronavirus disease (COVID-19) pandemic, preoperative screening before thoracic surgery is paramount in order to protect patients and staff from undetected infections. This study aimed to determine which preoperative COVID-19 screening tool was the most effective strategy before thoracic surgery. Methods. This retrospective cohort multicenter study was performed at 3 Italian thoracic surgery centers. All adult patients scheduled for thoracic surgery procedures from 4th March until 24th April, 2020, and submitted to COVID-19 preoperative screenings were included. The primary outcome was the yield of screening of the different strategies. Results. A total of 430 screenings were performed on 275 patients; 275 anamnestic questionnaires were administered. 77 patients were screened by an anamnestic questionnaire and reverse transcriptase polymerase chain reaction (RT-PCR). 78 patients were selected to combine screening with anamnestic questionnaire and chest computed tomography (CT). The positive yield of screening using a combination of anamnestic questionnaire and RT-PCR was 7.8% (95% CI: 2.6–14.3), while using a combination of anamnestic questionnaire and chest CT was 3.8% (95% CI: 0–9). Individual yields were 1.1% (95% CI: 0–2.5) for anamnestic questionnaire, 5.2% (95% CI: 1.3–11.7) for RT-PCR, and 3.8% (95% CI: 0–9). Conclusions. The association of anamnestic questionnaire and RT-PCR is able to detect around 8 positives in 100 asymptomatic patients. This combined strategy could be a valuable preoperative SARS-CoV-2 screening tool before thoracic surgery.

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Section: Discussionmentioning

confidence: 99%

Preoperative SARS-CoV-2 Infection Screening before Thoracic Surgery during COVID-19 Pandemic: A Multicenter Retrospective Study

Fiorelli

Menna

Piccioni

et al. 2023

International Journal of Clinical Practice

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“…[ 10 ] In studies involving a larger sample size, the positive rates were significantly lower (0.5% or lower). [ 11 12 13 ] Up to December 2020, a total of 144 preoperative urology patients were tested using COVID-19 RT-PCR and all patients returned negative results. At present, we do not have data on preoperative screening of surgical patients from all specialities at our hospital or at the national level.…”

Section: Discussionmentioning

confidence: 99%

Urology services in a tertiary hospital: continuing work during the COVID-19 Movement Control Order in Malaysia

Khor¹,

Sidhu²,

Afiq³

et al. 2022

Singapore Medical Journal

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“…Whether universal pre-procedural testing is effective by itself in reducing risk of COVID-19 spread is controversial, with some arguing that protocols should focus on implementation of appropriate PPE. [2][3][4] COVID testing typically occurs days prior to surgery, utilizing a reverse transcriptase polymerase chain reaction (RT-PCR) nucleic acid amplification test (NAAT) that identifies genetic material present in COVID-19. This is widely considered the most sensitive test.…”

Section: Introductionmentioning

confidence: 99%

Routine pre-operative Covid testing in elective surgeries: Is it worth it?

Liu¹,

Porras²,

Hari³

et al. 2022

The American Journal of Surgery

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Pre-procedural screening for COVID-19 with nasopharyngeal polymerase chain reaction testing

Cited by 5 publications

References 7 publications

Preoperative SARS-CoV-2 Infection Screening before Thoracic Surgery during COVID-19 Pandemic: A Multicenter Retrospective Study

Preoperative SARS-CoV-2 Infection Screening before Thoracic Surgery during COVID-19 Pandemic: A Multicenter Retrospective Study

Urology services in a tertiary hospital: continuing work during the COVID-19 Movement Control Order in Malaysia

Routine pre-operative Covid testing in elective surgeries: Is it worth it?

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