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Analisis de la demanda de deteccion de SARS-CoV-2 en un area de salud de Espana #MMPMID32945156
Garcia-Cruces J; Lopez Izquierdo R; Dominguez-Gil M; Lopez-Urrutia L; de Frutos M; Lorenzo B; Nogueira B; Puerta A; Fernandez-Esgueva M; Merino I; Ramos Sanchez MC; Eiros JM
Rev Esp Quimioter 2020[Dec]; 33 (6): 422-429 PMID32945156show ga
OBJECTIVE: Since the discovery of the SARS-CoV-2 virus, the polymerase chain reaction technique (RT-PCR) has become the fundamental method for diagnosing the disease in its acute phase. The objective is to describe the demand-based series of RT-PCR determinations received at a Microbiology Service at a third-level reference hospital for a health area for three months spanning from the onset of the epidemic by SARS-CoV-2. METHODS: A retrospective analysis of the total of the RT-PCR requested in the Microbiology Service analyzed from 02/25/2020 to 05/26/2020 (90 days) has been carried out. They have been grouped by epidemiological weeks and by the petitioner service. A descriptive analysis was carried out by age, gender and number of requests for each patient. In the tests carried out, a confidence level of 95% (p <0.05) was considered significant. RESULTS: A total of 27,106 requests was received corresponding to 22,037 patients. Median age 53.7 (RIC 40.9-71.7) years, women: 61.3%. Proportion of patients with any positive RT-PCR: 14%. Of the total requests for RT-PCR, positive 3,710. Week 13 had the highest diagnosis performance (39.0%). The primary care has been the service thar has made the most requests (15,953). Patients with 3 or more RT-PCR: 565, of them, 19 patients had a positive result after previously having a negative one. CONCLUSIONS: Requests have been increasing depending on the evolution of the epidemic. The RT-PCR has a high diagnostic performance in the phases of highest contagiousness and / or transmissibility of the virus.
|*Pandemics[MESH]
|Adolescent[MESH]
|Adult[MESH]
|Aged[MESH]
|Aged, 80 and over[MESH]
|COVID-19/*diagnosis/epidemiology[MESH]
|Child[MESH]
|Child, Preschool[MESH]
|Confidence Intervals[MESH]
|Female[MESH]
|Health Services Needs and Demand/statistics & numerical data[MESH]
|Humans[MESH]
|Infant[MESH]
|Infant, Newborn[MESH]
|Male[MESH]
|Middle Aged[MESH]
|Primary Health Care/statistics & numerical data[MESH]
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Rev+Esp+Quimioter 2020 ; 33 (6): 422-429
