Effectiveness of a SARS-CoV-2 infection prevention model in elective surgery patients – a prospective study: does universal screening make sense?

Moreno-Pérez, Óscar; Merino, Esperanza; Chico-Sánchez, Pablo; Gras-Valentí, Paula; Sánchez‐Paya, José

doi:10.1016/j.jhin.2021.04.032

Cited by 8 publications

(10 citation statements)

References 9 publications

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“…In fact, in the same period in our hospital, patients who underwent surgery were screened for COVID-19 with universal preprocedural PCR and the incidence of a positive test was 0.0022 among asymptomatic patients. No healthcare workers-associated infections were detected [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

Coronavirus Disease Transmission Prevented in an Endoscopy Unit with Universal Protective Measures and No Systematic Preprocedural Testing

Guilabert

Tormo

Medina-Prado

et al. 2022

JCM

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Background and aims: Even after two years of pandemic, there are still uncertainties on how to proceed when we schedule endoscopic procedures. During the COVID-19 pandemic, some scientific societies recommended universal preprocedural testing for all patients. However, other societies recommended against and considered enough to maintain strict infection control strategies. Our aim was to evaluate this approach in order to see if it was safe for both patients and healthcare workers to proceed with the endoscopies without performing a systematic PCR on all patients. Methods: Retrospective chart review of all patients undergoing endoscopy without preprocedural COVID testing at our center from March 2020 to May 2021. PCR tests performed in the patients receiving an endoscopic procedure were analyzed, and patients who tested positive between 14 days before and after the endoscopic procedure were selected. The registry of the endoscopy unit members participating in these procedures was also analyzed. Results: A total of 10,132 procedures were performed in the unit with 26 patients infected with SARS-CoV-2. Nineteen of these procedures were performed in patients with unknown SARS-CoV-2 carrier status. In 23 (88.5%) cases, transmission occurred through social or familial contact, and in 3 (11.5%), transmission occurred in the hospital. Four health care workers became infected during this period and none of them were related to the endoscopic procedures performed in patients with COVID-19. Conclusions: SARS-CoV-2 positive testing in asymptomatic ambulatory patients is rare and the adequate use of individual protective measures emerges as the main way to control the spread of COVID-19 infection in endoscopy centers.

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Section: Discussionmentioning

confidence: 99%

Coronavirus Disease Transmission Prevented in an Endoscopy Unit with Universal Protective Measures and No Systematic Preprocedural Testing

Guilabert

Tormo

Medina-Prado

et al. 2022

JCM

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show abstract

“…Screening procedures will, and already have, become less involved, with many institutions no longer requiring PCR testing and only relying on symptom screening. A selective rather than universal approach to PCR testing prior to elective surgery has been shown to be safe ( 72 ). The role of antigen testing is unclear although has been proposed ( 73 ).…”

Section: Introductionmentioning

confidence: 99%

What Have We Learned About Transmission of Coronavirus Disease-2019

Kaminsky

Husnain

Khemasuwan

2023

Clinics in Chest Medicine

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“…Patient may be asymptomatically, or more notably, pre-symptomatically infected with SARS-CoV-2 at the time of a surgical procedure 1 , potentially increasing the risk of both post-procedural mortality 2,3 and the risk of transmission. Previous studies found that that the utilization of preoperative testing may be beneficial in certain settings [4][5][6] .…”

Section: Introductionmentioning

confidence: 99%

Determining coronavirus disease 2019 (COVID-19) community incidence threshold for preoperative testing

Zhou

Wituik

Al-Salem

et al. 2022

Infect. Control Hosp. Epidemiol.

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Effectiveness of a SARS-CoV-2 infection prevention model in elective surgery patients – a prospective study: does universal screening make sense?

Abstract: On behalf of COVID19-ALC research group, Effectiveness of a SARS-CoV-2 infection-prevention model in elective surgery patients, a prospective study: Does Universal Screening Make Sense?.

Cited by 8 publications

References 9 publications

Coronavirus Disease Transmission Prevented in an Endoscopy Unit with Universal Protective Measures and No Systematic Preprocedural Testing

Coronavirus Disease Transmission Prevented in an Endoscopy Unit with Universal Protective Measures and No Systematic Preprocedural Testing

What Have We Learned About Transmission of Coronavirus Disease-2019

Determining coronavirus disease 2019 (COVID-19) community incidence threshold for preoperative testing

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