在医疗机构中对无症状人进行SARS-CoV-2测试:系统性审查
Olabisi A Oduwole1,2, Glory Bassey3, Grace Esebanmen4
1Department of Medical Microbiology and Parasitology, Faculty of Medical Laboratory Science, Achievers University, Owo, Nigeria.
在医疗机构对SARS-CoV-2的无症状测试显示,手术患者和工作人员的感染可能减少. 然而,证据质量有限,特别是对长期护理机构的住户来说.
科学领域:
- 传染病流行病学 传染病流行病学
- 公共卫生监督 公共卫生监督
- 医疗保健管理的管理
背景情况:
- 无症状测试COVID-19 (严重急性呼吸道综合征冠状病毒2 - SARS-CoV-2) 涉及测试没有症状的个人.
- 这种做法是使用各种实验室技术来检测病毒.
研究的目的:
- 评估无症状检测在医疗机构的有效性.
- 为了确定这种策略是否能减少患者,访客和工作人员之间的SARS-CoV-2感染.
主要方法:
- 对电子医疗保健数据库进行了系统审查.
- 包括从2020年到2022年9月以英语出版的研究.
- 数据使用固定效应模型进行分析,报告赔率比率 (OR) 与95%置信区间 (CI).
主要成果:
- 包括三项具有严重偏差风险的队列研究.
- 非常低的确定性证据表明,在手术患者 (OR:0.05) 和长期护理机构工作人员 (OR:0.31) 的无症状测试中,SARS-CoV-2感染的减少.
- 在长期护理机构的住户中观察到矛盾的效应.
结论:
- 有限,低质量的证据支持在医疗保健机构中进行无症状测试以预防SARS-CoV-2.
- 需要进一步的研究来确认益处,并了解对不同患者群体的影响.
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