应避免快速抗原检测COVID-19作为查测试在大型体育赛事与竞争对手之间的身体接触
Ivan Bohaček1, Mihovil Plečko1, Hrvoje Lindi2
1Department of Orthopedic Surgery, Zagreb University Hospital Center, School of Medicine, University of Zagreb, Zagreb, Croatia.
Acta clinica Croatica
|October 6, 2025
概括
在柔道比赛中,点诊测试 (POCT) 有效地识别了负面的COVID-19病例. 然而,POCT的敏感性不足以检测所有阳性病例,需要结合RT-PCR测试来预防疫情爆发.
科学领域:
- 运动医学 运动医学
- 传染病控制和控制传染病
- 诊断测试 诊断测试 诊断测试
背景情况:
- 大型体育赛事需要"COVID-19免费区",隔离和定期测试.
- 护理点检测 (POCT) 为检测COVID-19提供了一个快速,经济高效的RT-PCR替代方案.
- 在诸如柔道之类的高接触体育运动中,POCT的有效性仍未得到证实.
研究的目的:
- 评估POCT与RT-PCR在柔道比赛中检测COVID-19的有效性.
- 评估POCT在近距离接触体育赛事中的COVID-19风险管理的适用性.
主要方法:
- 一项观察性研究涉及来自36个国家的670名参与者参加了两场柔道比赛.
- 进行了839次RT-PCR测试和839次COVID-19的POCT测试.
- 参与者在入境时进行了测试,有些人在两个时间点进行了测试.
主要成果:
- 根据RT-PCR结果 (7例阳性病例),COVID-19的流行率为1.04%.
- POCT确定了4个阳性病例,证明了真负结果的高准确性.
- POCT的敏感性不足以检测所有真正的COVID-19感染.
结论:
- POCT有效地识别了体育赛事中的COVID-19阴性个体.
- 由于敏感性较低,POCT应在与身体接触密切的事件中补充RT-PCR测试.
- 联合测试策略对于防止大型体育赛事中COVID-19爆发至关重要.
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