Effectiveness of a SARS-CoV-2 infection prevention model in elective surgery patients - a prospective study: does universal screening make sense?

J Hosp Infect. 2021 Sep:115:27-31. doi: 10.1016/j.jhin.2021.04.032. Epub 2021 May 14.

Abstract

This observational study included patients who underwent pre-operative coronavirus disease 2019 (COVID-19) screening in order to preserve patient safety. Reverse transcriptase polymerase chain reaction (PCR) for severe acute respiratory syndrome coronavirus-2 was performed in 2292 of 8740 surgical procedures, and the incidence of a positive PCR result was 0.0022%. No healthcare-associated infections were detected. There was no difference in overall mortality or length of hospital stay compared with the same period from the previous year. A selective screening strategy to identify patients for PCR testing, based on isolation measures, presurgical clinical-epidemiological assessment and selected major surgeries susceptible to a poor COVID-19-related outcome, is effective and safe for patients and healthcare workers.

Keywords: COVID-19; Effectiveness; Length of hospital stay; Mortality; Pre-operative screening; Safety.

Publication types

  • Observational Study

MeSH terms

  • COVID-19*
  • Elective Surgical Procedures
  • Health Personnel
  • Humans
  • Mass Screening
  • SARS-CoV-2*