Operational capabilities of the COVID-19 case definitions to detect patients diagnosed by RT-PCR
Journal Title: Revista Cuarzo - Year 2020, Vol 26, Issue 1
Abstract
Objetive. The operational case definitions (OCD) for the new coronavirus (COVID-19) were constructed to identify potentially infected persons (PIP), in this investigation we measured the operational capabilities of its components to discriminate COVID-19 persons infected. Methodology. A cross-sectional design was performed using data contained in the mandatory notification records and PPI medical records of COVID-19 between March-May / 2020, attended by the IPS Red Cross in Bogota, the sociodemographic and clinical characteristics were described, and determined the operational capabilities of OCDs and its components to discriminate patients diagnosed with COVID-19 by RT-PCR. Results. 2174 PIPs of COVID-19 were identified, the prevalence of those infected was 14.7%, median age 36 years, 57.7% women, the majority presented close contact, between 12.7-21.1% of those infected were health workers and 35.2% were asymptomatic carriers. Those infected more frequently presented fever (32.8%; p: <0.001), and in general, 50-60% presented respiratory symptoms. The sensitivity of the clinical manifestations was less than 50%. The components of the OCD most sensitive and specific to discriminate infected with COVID-19, respectively, were the history of close contact and trips to areas of local community transmission in the last 14 days. Discussion. The low sensitivity of clinical manifestations to discriminate patients infected with COVID-19, leads to update the OCD to improve PIP identification. Additionally, measures to prevent the spread in emergency care settings should be optimized and include a routine screening in Non-COVID rooms.
Authors and Affiliations
Teherán, A. , Camero Ramos, G. , Prado de la Guardia, R. , Sanabria, C. , Martínez, V. , Pombo, LM. , Ospina, M. del P. , & Mora, L.
Keywords
Related Articles
- EP ID EP694614
- DOI https://doi.org/10.26752/cuarzo.v26.n1.500
- Views 166
- Downloads 0
Prevalence of risk factor for Klebsiella pneumoniae carbapenemic-resistant in-fection in adults in a fourth level hospital, Bogota.
Introduction: Gram-negative infections acquired in the hospital are an important cause of death, Klebsiella pneumoniae is one of the most significant bacteria, it is also related to the appearance of new mechanisms of an...
Critical outcomes in pediatric patients with pulmonary hypertension and congenital cardiopathy carried out to diagnostic heart catheterization in the Cardiovascular Hospital of Soacha between 2013 and 2016
BACKGROUND: For every thousand live births in Colombia, two to three present some type of cardiac congenital anomaly; the majority of them will be associated with the development of pulmonary hypertension, which is a pat...
Chronic complications of diabetes mellitus: practical vision for the primary care physician
Diabetes is a chronic disease that is triggered when the pancreas does not produce enough insulin or when the body can ́tnot use it effectively, leading to serious complications and increasing the risk of deat...
Profile of Autoantibodies in Adults With Primary Inmune Thrombocytopenia in an Institution of Bogota.
Introduction. A platelet count below 150,000 and normality in the remainder of the blood count are necessary to consider primary immune thrombocytopenia (ITP). Although the pathogenesis has not been...
A model for health service provision
This article presents the results of an investigation that was under-taken to study how the formation of opinion leaders in health in com-munities is a key to improving the health status of them and ensure adherence to...