COVID-19: Lessons in laboratory medicine, pathology, and autopsy

Khaldoon Aljerian1, Ahmed S BaHammam2,3

  • 1Department of Pathology, College of Medicine, King Saud University, Riyadh, Saudi Arabia.

Insights

This review synthesizes guidelines on handling deceased COVID-19 patients and performing autopsies. It aims to inform clinicians and healthcare facilities about safe pathological investigation protocols for coronavirus disease 2019.

Area of Science:

  • Anatomic Pathology
  • Infectious Disease Management
  • Public Health

Background:

  • Coronavirus disease 2019 (COVID-19) is a novel infectious disease.
  • Existing literature primarily focuses on clinical aspects, diagnostics, and hospital preparedness.
  • Pathological and laboratory issues, including autopsy procedures for COVID-19, remain underexplored.

Purpose of the Study:

  • To review and synthesize current literature on COVID-19 related to anatomic pathology.
  • To provide guidance on safe handling of dead bodies and autopsy procedures for COVID-19.
  • To support the development of standardized protocols in healthcare facilities.

Main Methods:

  • Literature review of guidelines and reports on COVID-19 and anatomic pathology.
  • Focused search on laboratory services, body handling, autopsy conduct, and postmortem investigations.
  • Synthesis of relevant knowledge for clinical awareness and standard development.

Main Results:

  • Identified a gap in published literature concerning postmortem investigations of COVID-19.
  • Synthesized recommendations for safe handling of deceased individuals with COVID-19.
  • Compiled information on precautions and safety measures for autopsies and pathological studies.

Conclusions:

  • There is a need for standardized protocols for postmortem examination in COVID-19 cases.
  • Clinicians require updated information on safety measures for handling deceased patients and conducting autopsies.
  • Further research and guideline development are essential for safe anatomic pathology practices during the pandemic.