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SARS-CoV-2 surges in hospitals after universal screening ends

SARS-CoV-2 surges in hospitals after universal screening ends

 


April 13, 2023

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Park T et al. Discontinuation of universal SARS-CoV-2 inpatient testing in England and Scotland and its association with hospital-acquired SARS-CoV-2. Venue: American Society of Medical Epidemiology Spring Meeting. April 11-14, 2023. Seattle.

Disclosure:
Pak reports that he is the founder of East Harlem Software.


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Important points:

  • Completing asymptomatic SARS-CoV-2 screening on admission was associated with an increase in hospital-acquired cases in England and Scotland.
  • Rate increased between delta and ohmic waves.

SEATTLE — New hospital-acquired cases of SARS-CoV-2 infection outnumber community-onset cases after England and Scotland stopped requiring hospitals to test asymptomatic patients on admission, study finds person reported.

“The question that motivates this research is: should we stop? universal screening of all hospitalized patients with COVID-19? This has become a hot topic.” Theodore Park medical doctor, Infectious Diseases Fellow at Massachusetts General Hospital said during a presentation at the American Society of Medical Epidemiology Spring Meeting:

IDN0423Pak_IG4_WEB

Data obtained from Pak T et al. Discontinuation of universal SARS-CoV-2 inpatient testing in England and Scotland and its association with hospital-acquired SARS-CoV-2. Venue: American Society of Medical Epidemiology Spring Meeting. April 11-14, 2023. Seattle.

A recent position paper published by the SHEA Board in November 2022 addressed challenges and considerations for universal screening for SARS-CoV-2. This screening has been performed in many US hospitals since the early days of the pandemic. In the paper, the authors recommend that facilities not perform procedural, pre-procedural, and pre-hospital SARS-CoV-2 testing for asymptomatic patients, Park explained.

Theodore Park

“Putting aside the conclusions of the Opinion, [there are] Limited data on this topic — especially that influence,” He said.

In their summary, Pack and colleagues found that universal SARS-CoV-2 screening was questioned due to the strain on resources, impact on timely care, and lack of data on impact on nosocomial infections. I pointed out that

For their study, the researchers used data from the UK National Health Service and the Scottish Public Health Service to determine when the general entrance exam for SARS-CoV-2 will be completed in these two countries on 31 August 2022. Evaluate the impact of what you have done.

They defined hospital-acquired SARS-CoV-2 infection as a case diagnosed more than 7 days after admission between 1 July 2021 and 16 December 2022. -Two admissions to clarify changes related to suspension of universal admissions testing.

They divided the results into three periods – delta dominance with entrance exam, omiron dominance with entrance exam, and omiron dominance without entrance exam.

During the study period, there were a total of 518,379 COVID-19 hospitalizations in England — including 398,264 community-acquired and 120,115 nosocomial infections — 46,517 COVID-19 hospitalizations in Scotland — 34,183 community-acquired and 12,334 nosocomial infections.

According to this study, the average weekly ratio of new hospital-acquired to community-acquired infections in England increased from 0.12 during the delta dominance period to 0.33 during the omicron period, and again to 0.48 after universal inpatient testing was discontinued. Increased. Similar results were seen in Scotland, where the weekly average ratio rose from 0.11 to 0.43 and then again to 0.89.

The researchers found the relative increase in cases during the Delta to Omicron period (113% and 92%) and after the end of entrance examinations (32% and 72%) in England and Scotland to be “significant.” pointed out.

“Stop Asymptomatic Screening The number of hospitalized patients in the health systems of the two countries was associated with a significant increase in hospital-acquired SARS-CoV-2 infections,” Pak and colleagues wrote. “Hospitals should exercise caution when considering reductions in SARS-CoV-2 admission screening.”

References:

Sources

1/ https://Google.com/

2/ https://www.healio.com/news/infectious-disease/20230413/sarscov2-surged-in-hospitals-after-end-of-universal-screening

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