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Standard Precaution01:26

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Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
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First Do No Harm: Moving Beyond Universal Preprocedural Testing for COVID-19.

Jessica Penney1, Sajani Shah2, Shira Doron1

  • 1Division of Geographic Medicine and Infectious Disease, Tufts Medical Center, Boston, Massachusetts, USA.

Open Forum Infectious Diseases
|July 29, 2021
PubMed
Summary
This summary is machine-generated.

Universal preprocedural testing for SARS-CoV-2 is no longer necessary. A patient-centered approach focusing on PPE and testing only high-risk patients is recommended as community transmission decreases.

Keywords:
192COVIDCoVSARSpreproceduretesting

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Area of Science:

  • Infectious Diseases
  • Public Health
  • Healthcare Policy

Background:

  • Preprocedural testing for SARS-CoV-2 was implemented to protect healthcare workers and optimize PPE use.
  • The efficacy of PPE and complexities of PCR testing interpretation, especially with declining community transmission, warrant re-evaluation.
  • Current universal testing strategies may not align with evolving pandemic dynamics.

Purpose of the Study:

  • To advocate for a shift away from universal preprocedural SARS-CoV-2 testing.
  • To propose a patient-centered testing strategy.
  • To establish criteria for discontinuing preprocedural testing based on community infection rates.

Main Methods:

  • Review of current practices and literature regarding SARS-CoV-2 testing and PPE efficacy.
  • Analysis of the benefits and drawbacks of universal versus targeted preprocedural testing.
  • Development of a framework for a patient-centered approach.

Main Results:

  • Universal preprocedural testing may offer diminishing returns as community transmission declines.
  • A patient-centered approach can better allocate resources and focus on outcomes.
  • Identifying specific patient populations who benefit from preprocedural testing is crucial.

Conclusions:

  • Transitioning from universal to a patient-centered approach for SARS-CoV-2 preprocedural testing is recommended.
  • Increased reliance on appropriate PPE and selective testing based on patient outcomes and community transmission rates is advised.
  • Defining community infection rate thresholds for discontinuing preprocedural testing is essential.