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Accuracy and Acceptance of a Self-Collection Model for Respiratory Tract Infection Diagnostics: A Concise Clinical Literature Review.
J Emerg Nurs ; 47(5): 798-806, 2021 Sep.
Article in English | MEDLINE | ID: covidwho-1284202
ABSTRACT

BACKGROUND:

Nurses are the primary clinicians who collect specimens for respiratory tract infection testing. The specimen collection procedure is time and resource-consuming, but more importantly, it places nurses at risk for potential infection. The practice of allowing patients to self-collect their diagnostic specimens may provide an alternative testing model for the current COVID-19 outbreaks. The objective of this paper was to evaluate the accuracy and patient perception of self-collected specimens for respiratory tract infection diagnostics.

METHODS:

A concise clinical review of the recently published literature was conducted.

RESULTS:

A total of 11 articles were included the review synthesis. The concept of self-collected specimens has a high patient acceptance rate of 83-99%. Self-collected nasal-swab specimens demonstrated strong diagnostic fidelity for respiratory tract infections with a sensitivity between 80-100%, this is higher than the 76% sensitivity observed with self-collected throat specimens. In a comparative study evaluating a professionally collected to a self-collected specimen for COVID-19 testing, a high degree of agreement (k = 0.89) was observed between the two methods.

CONCLUSION:

As we continue to explore for testing models to combat the COVID-19 pandemic, self-collected specimens is a practical alternative to nurse specimen collection.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Respiratory Tract Infections / Specimen Handling / COVID-19 Type of study: Diagnostic study / Experimental Studies / Observational study / Prognostic study / Reviews Limits: Humans Language: English Journal: J Emerg Nurs Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Respiratory Tract Infections / Specimen Handling / COVID-19 Type of study: Diagnostic study / Experimental Studies / Observational study / Prognostic study / Reviews Limits: Humans Language: English Journal: J Emerg Nurs Year: 2021 Document Type: Article