Novel Screening and Triage Strategy in Iran During Deadly Coronavirus Disease 2019 (COVID-19) Epidemic: Value of Humanitarian Teleconsultation Service
(چکیده مقاله) :
Abstract :
The current outbreak of coronavirus
disease 2019 (COVID-19) in at least
156 countries has been classified by
the World Health Organization as a
global pandemic [1]. The long
incubation period and low disease
severity in the early stage contributed
to rapid increase in case numbers.
The infection ranges from mild to
severe respiratory illness, potentially
progressing to acute respiratory
distress syndrome in 17% to 29% of
patients [2]. Disease severity resulted
in global public health efforts to
contain person-to-person viral spread
by early detection.
As of March 15, 2020, the total
number of infected cases in Iran has
reached 13,938, with 724 related
deaths (highest numbers apart from
China and Italy).
Currently, COVID-19 infection is
diagnosed by real-time reverse-transcription
polymerase chain reaction
(rRT-PCR) analysis of nasopharyngeal
swab specimens. The rapidly expanding
number of cases could exceed laboratory
testing capacity from potential testing
kit shortages worldwide. Despite high
specificity of rRT-PCR testing, the reported
sensitivity is as low as 60% to
70% [3]. Therefore, effective exclusion
of COVID-19 infection requires multiple
negative tests, possibly exacerbating
test kit shortage. Early problems
with distribution and performance of
test kits laboratories in theUnited States
and around the world have already been
reported.
Diagnostic issues pose challenges
for health systems over quarantine
decisions, such as shortage of hospital
beds and medical supplies, should the
number of suspected cases exceed a
certain threshold. The additional
... impact of
disease 2019 (COVID-19) in at least
156 countries has been classified by
the World Health Organization as a
global pandemic [1]. The long
incubation period and low disease
severity in the early stage contributed
to rapid increase in case numbers.
The infection ranges from mild to
severe respiratory illness, potentially
progressing to acute respiratory
distress syndrome in 17% to 29% of
patients [2]. Disease severity resulted
in global public health efforts to
contain person-to-person viral spread
by early detection.
As of March 15, 2020, the total
number of infected cases in Iran has
reached 13,938, with 724 related
deaths (highest numbers apart from
China and Italy).
Currently, COVID-19 infection is
diagnosed by real-time reverse-transcription
polymerase chain reaction
(rRT-PCR) analysis of nasopharyngeal
swab specimens. The rapidly expanding
number of cases could exceed laboratory
testing capacity from potential testing
kit shortages worldwide. Despite high
specificity of rRT-PCR testing, the reported
sensitivity is as low as 60% to
70% [3]. Therefore, effective exclusion
of COVID-19 infection requires multiple
negative tests, possibly exacerbating
test kit shortage. Early problems
with distribution and performance of
test kits laboratories in theUnited States
and around the world have already been
reported.
Diagnostic issues pose challenges
for health systems over quarantine
decisions, such as shortage of hospital
beds and medical supplies, should the
number of suspected cases exceed a
certain threshold. The additional
... impact of
(توضیحات تکمیلی) :
(توضیحات تکمیلی) :
Description :
مقاله ISI انگلیسی اصلی
سال انتشار: 2020
فایل ISI انگلیسی اصلی ، با فرمت Pdf
تعداد صفحات فایل ISI انگلیسی اصلی: 5 صفحه
سال انتشار: 2020
فایل ISI انگلیسی اصلی ، با فرمت Pdf
تعداد صفحات فایل ISI انگلیسی اصلی: 5 صفحه
Authors / Descriptions(نویسندگان/توضیحات): سال انتشار 2020 \ مقاله ISI انگلیسی اصلی \ نویسندگان: Amir H. Davarpanah, MD, Arash Mahdavi, MD, Ali Sabri, MD, Taraneh Faghihi Langroudi, MD, Shahram Kahkouee, MD, Sara Haseli, MD, Mohammad Ali Kazemi, MD, Payam Mehrian, MD, Ali Mahdavi, MD, Farahnaz Falahati, MD, Abuzar Moradi Tuchayi, MD, Mehrdad Bakhshayeshkaram, MD,Morteza Sanei Taheri, MD
Sent date(تاریخ ارسال) :
1399/02/05 | 4/24/2020
Number of visits(تعداد بازدید):
789
Key words (کلمات کلیدی):
Triage Strategy , COVID-19
Number of pages(تعداد صفحات) :
5
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