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Positive or Negative? Implementation Processes and Pitfalls of Preoperative SARS-CoV-2 Testing at a Single Academic
Julie R McSwain1, Kathryn H Bridges1, Sylvia H Wilson2
1Department of Anesthesia and Perioperative Medicine, Medical University of South Carolina, 25 Courtenay Drive STE 4200 MSC 240, Charleston, SC 2925, USA.
Background:
Preoperative screening and testing for SARS-CoV-2 are important aspects of reopening perioperative and procedural sites to elective cases after the initial wave of the novel coronavirus pandemic. However, given that modern healthcare has never experienced a pandemic of this magnitude, rapid operationalization of mass testing presents unique challenges. We aim to highlight our experiences and challenges for preoperative SARS-CoV-2 testing.
Methods:
We describe implementation of widespread screening tools and preoperative polymerase chain reaction (PCR) testing in a single, academic medical center.
Results:
As of August 2020, we have been able to achieve an over 90% success rate in preoperative SARS-CoV-2 PCR testing for both outpatient and inpatient procedures. However, there are certain challenges in obtaining high levels of compliance both on individual and institutional levels.
Conclusions:
Instituting preoperative SARS-CoV-2 testing and maintaining high levels of compliance is possible in the midst of a fluctuating pandemic.
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