ABSTRACT
Objectives: Although commonly practiced, the accuracy, effectiveness, and safety of screening patients for COVID-19 at hospital entrances is not well documented. Material and Methods: We performed a retrospective analysis of single institution data involving screening patients for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection at hospital entrances by trained health personnel, with thermal scanning and administration of a standard questionnaire eliciting risk factors and symptoms of COVID-19. SARS-CoV-2 positivity among patients screened positive and negative and among personnel involved in screening were estimated. Results: Between May 22, 2020, and July 4, 2020, a total of 20152 patients involving 54955 hospital visits were screened at hospital entrances of whom 668 (3.31%, 95% CI 3.07–3.57) were screened positive for suspected COVID-19 and 19484 (96.69%, 95% CI 96.44–96.93) were screened negative. Among patients screened positive, of the 638 patients with available records, 109 (17.08%, 95% CI 14.24–20.23) were confirmed to be SARS-CoV-2 positive by polymerase chain reaction test, 288 (45.14%, 95% CI 41.23–49.10) were negative, 71 (11.13%, 95% CI 8.79–13.83) were not tested after secondary assessment, and 170 (26.65%, 95% CI 23.25–30.26) patients declined the test. Among screen negative patients, 162 (0.83%, 95% CI 0.71–0.97) were SARS-CoV-2 positive. Of the 104 personnel involved in screening, 03 (2.88%, 95% CI 0.60–8.20) were confirmed to be SARS-CoV-2 positive during study period. Conclusion: Screening patients with a combination of thermal scanning and a standard questionnaire for COVID-19 has a high positive predictive value for detecting this infection with low risk of SARS-COV-2 transmission to the involved health personnel
ABSTRACT
Introduction: Various approaches are used by pedodontistsacross India and all over world for management of activecarious lesion considering various factors as patient needs.Current study aimed to evaluate current trends towardsmanagement options of active carious lesions among PediatricDentists across India.Material and methods: Web based cross sectional surveywas done. A thirteen point questionnaire was prepared andsent via email to pediatric dentists registered in Indian Societyof Pediatric and preventive Dentistry across India. Data wasanalysed using descriptive statistics and chi square test withsignificance level p<0.05.Results: A total of 212 pediatric dentists responded out of 1150sent e-mail and results from their responses concluded thatmajority of the pedodontists (83.96%) are using noninvasivecaries management techniques in private practice, 14.1%responded that they don’t use and 1.88% pedodontists didn’tresponded. Most of the respondents (61.79%) use Silverdiamine fluoride (SDF) in their clinical practice where as35.84% pedodontists not using SDF in their practice.Conclusion: Within limitation of the study, it can be concludedthat Current trends towards management of active cariouslesion among pediatric dentists is shifting towards minimalinvasive dentistry where current material of choice amongthem is Silver diamine fluoride. Although more studies areencouraged to enhance knowledge and awareness about SDFuse in future.