使用醋和水在工作场所入口筛查方案中识别 COVID-19 病例。
Use of Vinegar and Water to Identify COVID-19 Cases During a Workplace Entrance Screening Protocol.
机构信息
Department of Medicine, Johns Hopkins School of Medicine (Dr Kalia, Dr Bernacki, Dr Tao); Animal Nutrition Health & Technology Lead for Latin America, Cargill, Inc., Condominio Estefania, Managua, Nicaragua (Dr Moraga); Sub Regional Occupational Health Lead for Central America & Mexico, Cargill, Inc., Heredia, Costa Rica (Dr Manzanares); Sub Regional Occupational Health Lead for Brazil, Cargill, Inc., Uberlândia, MG, Brazil (Dr Friede); Optimal Workplace & Environmental Wellness Corporation, Pittsburgh, Pennsylvania (Dr Kusti); Department of Population Health, Dell Medical School, University of Texas at Austin (Dr Bernacki, Dr Tao).
出版信息
J Occup Environ Med. 2021 Apr 1;63(4):e184-e186. doi: 10.1097/JOM.0000000000002166.
OBJECTIVE
To evaluate an empirical olfactory test to identify COVID-19 cases during a workplace entrance screening.
METHOD
An active screening for olfactory dysfunction using water and vinegar was conducted in April to June 2020 among 4120 meat packing workers in Latin America.
RESULTS
The sensitivity and specificity of the active olfactory screening examination were 41.2% and 85.3%, respectively, using reverse transcription polymerase chain reaction (RT-PCR) tests as a gold standard. 10.6% of employees who tested positive for COVID-19 had an olfactory dysfunction as their only symptom. These individuals would not have been identified with standard workplace screening measures including temperature screening.
CONCLUSION
Active screening for olfactory dysfunction may serve as a valuable tool to both identify potential COVID-19 infections and exclude those who do not have infection and should be a part of parallel algorithm combined with standard workplace entrance screening procedures.
目的
评估一种经验性嗅觉测试，以在工作场所入口筛查中识别 COVID-19 病例。
方法
在 2020 年 4 月至 6 月期间，对拉丁美洲的 4120 名肉类包装工人进行了水和醋的主动嗅觉障碍筛查。
结果
以逆转录聚合酶链反应（RT-PCR）检测为金标准，主动嗅觉筛查检测的敏感性和特异性分别为 41.2%和 85.3%。10.6%的 COVID-19 检测呈阳性的员工嗅觉障碍是其唯一症状。这些人如果仅通过体温筛查等标准工作场所筛查措施，将无法被识别。
结论
主动筛查嗅觉障碍可能是识别潜在 COVID-19 感染的有效工具，也可排除那些未感染的人，应成为与标准工作场所入口筛查程序并行的算法的一部分。
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