Infection Control and Hospital Epidemiology Unit, Soroka University Medical Centre, Beer-Sheva, Israel; Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel; Infectious Diseases Unit, Soroka University Medical Centre, Beer-Sheva, Israel.
Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel; Infectious Diseases Unit, Soroka University Medical Centre, Beer-Sheva, Israel.
J Hosp Infect. 2021 Aug;114:167-170. doi: 10.1016/j.jhin.2021.04.026. Epub 2021 Apr 30.
As the prevalence of coronavirus disease 2019 (COVID-19) increased in the local community, severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) universal screening was initiated for all adult patients admitted through the emergency departments (EDs) at Soroka University Medical Centre. Of 8518 patients screened, 288 (3.38%) tested positive. One hundred and thirty-three (46%) positive cases were asymptomatic and would have been admitted without necessary precautions. Patients with symptoms that may be attributable to COVID-19 were significantly older and were admitted through the medical ED. Patients of Bedouin Arab ethnicity accounted for half of those who tested positive, which was double their prevalence in the general population. These findings indicate that universal SARS-CoV-2 screening on adult hospital admission is crucial in areas with a high prevalence of COVID-19.
随着 2019 年冠状病毒病(COVID-19)在当地社区的流行率增加,索罗卡大学医学中心对通过急诊部(ED)收治的所有成年患者进行了严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)的普遍筛查。在筛查的 8518 名患者中,288 名(3.38%)检测呈阳性。133 例(46%)阳性病例为无症状患者,如果没有必要的预防措施,他们本会被收治入院。有 COVID-19 相关症状的患者明显年龄更大,并且是通过内科 ED 收治入院的。检测呈阳性的患者中,半数为贝都因阿拉伯族裔,这是他们在普通人群中流行率的两倍。这些发现表明,在 COVID-19 流行率较高的地区,对成年住院患者进行普遍的 SARS-CoV-2 筛查至关重要。