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Poor agreement between clinical screening and universal pre-procedure SARS-CoV-2 PCR testing prior to endoscopy.
Khorrami Minaei, Sam; Garrido Durán, Carmen; García Hernández, Marcelo; García Amengual, Irene; Mena Ribas, Ana.
  • Khorrami Minaei S; Aparato Digestivo, Hospital Universitario Son Espases, España.
  • Garrido Durán C; Aparato Digestivo, Hospital Universitario Son Espases, España.
  • García Hernández M; Aparato Digestivo, Hospital Universitario Son Espases, España.
  • García Amengual I; Aparato Digestivo, Hospital Universitario Son Espases, España.
  • Mena Ribas A; Microbiología, Hospital Universitario Son Espases, España.
Rev Esp Enferm Dig ; 113(9): 649-655, 2021 09.
Article in English | MEDLINE | ID: covidwho-1084991
ABSTRACT

INTRODUCTION:

scientific societies recommend screening for SARS-CoV-2 in patients prior to endoscopy. There is no solid evidence regarding the efficiency of universal screening by PCR testing for SARS-CoV-2. The present study aimed to assess the usefulness of clinical screening and universal pre-procedure PCR testing for the identification of patients capable of transmitting the SARS-CoV-2 infection. Concordance between both strategies was also evaluated.

METHOD:

a retrospective review was performed in a consecutive cohort of patients undergoing endoscopy at a tertiary teaching hospital between April 22 and June 22, 2020, following a screening protocol.

RESULTS:

three hundred and sixty-one patients were included. Clinical screening detected 13 patients with a high risk of infection (3.6 %, 95 % CI 2.62-4.58) while the pre-procedure PCR test was positive in five patients (1.40 %, 95 % CI 0.20-2.60). Three patients developed COVID-19 and one died from the disease. Agreement between both strategies was poor, with a kappa value of 0.093 (95 % CI 0.001-0.185). Clinical screening only identified one of the five patients with a positive PCR test.

CONCLUSION:

clinical screening prior to endoscopy has a poor agreement with pre-procedure PCR testing.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: SARS-CoV-2 / COVID-19 Type of study: Cohort study / Diagnostic study / Experimental Studies / Observational study / Prognostic study Limits: Humans Language: English Journal: Rev Esp Enferm Dig Journal subject: Gastroenterology Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: SARS-CoV-2 / COVID-19 Type of study: Cohort study / Diagnostic study / Experimental Studies / Observational study / Prognostic study Limits: Humans Language: English Journal: Rev Esp Enferm Dig Journal subject: Gastroenterology Year: 2021 Document Type: Article