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This summary is machine-generated.

Preoperative screening for coronavirus disease 2019 (COVID-19) is crucial for surgical safety. This review offers guidance on testing for active COVID-19 in low-prevalence settings, emphasizing patient history and diagnostic methods.

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Area of Science:

  • Medical research
  • Infectious disease epidemiology
  • Surgical safety protocols

Background:

  • Preoperative screening for COVID-19 is essential for patient and surgical team safety.
  • Guidance is needed for active COVID-19 screening in low prevalence settings.

Purpose of the Study:

  • To evaluate current evidence on COVID-19 screening for surgical patients.
  • To provide expert-informed guidance for preoperative screening in low prevalence settings.

Main Methods:

  • Rapid literature review of PubMed and Google Scholar (until July 2020).
  • Inclusion of clinical expert advice from surgeons and a virologist.
  • Focus on evidence relevant to clinical practice.

Main Results:

  • Patient history evaluation for SARS-CoV-2 exposure is key.
  • Hyposmia and hypogeusia can help differentiate COVID-19 from other illnesses.
  • Reverse transcription-polymerase chain reaction (RT-PCR) is the gold standard; CT scans are useful for pulmonary assessment.

Conclusions:

  • Evidence-based recommendations for preoperative screening of surgical patients with suspected COVID-19 have been developed.
  • Guidance incorporates literature review and expert consensus.