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Covid after 1 yr
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<blockquote data-quote="greybeard" data-source="post: 1677266" data-attributes="member: 18945"><p>Usually, a positive test will result in cancellation or rescheduling of anything short of a life saving procedure (non-emergency) </p><p>It may vary from medical facility and state to state but CDC has guidelines.</p><p></p><p>A population risk assessment identifying the prevalence of SARS-CoV-2 should be reviewed. When there is local or regional presence of SARS-CoV-2(14):</p><p></p><ol> <li data-xf-list-type="ol">All patients should be screened for symptoms prior to presenting to the hospital. Patients reporting symptoms should be referred for additional evaluation. All other patients should undergo nucleic acid amplification testing (including PCR tests) prior to undergoing non-emergent surgery.</li> <li data-xf-list-type="ol">Because false-negatives may occur with testing, droplet precautions (surgical mask and eye covering) should be used by OR staff for operative cases. Before performing an aerosol- generating procedure, health care providers within the room should wear an N95 mask, eye protection, gloves and a gown.(15)</li> <li data-xf-list-type="ol">If a patient tests positive for SARS-CoV-2, elective surgical procedures should be delayed until the patient is no longer infectious and has demonstrated recovery from COVID-19. A patient may be infectious until either:<ol> <li data-xf-list-type="ol">CDC recommended test-based strategy<ol> <li data-xf-list-type="ol">Resolution of fever without the use of fever-reducing medications; and,</li> <li data-xf-list-type="ol">Improvement in respiratory symptoms; and,</li> <li data-xf-list-type="ol">Negative results from two SARS-CoV-2 tests ≥ 24 hours apart</li> </ol></li> <li data-xf-list-type="ol">CDC non-test-based strategy<ol> <li data-xf-list-type="ol">At least 72 hours since resolution of fever without the use of fever-reducing medications and improvement in respiratory symptoms; and,</li> <li data-xf-list-type="ol">At least 7 days since symptoms first appeared.*</li> </ol></li> </ol></li> <li data-xf-list-type="ol">Recommendations regarding the definition of sufficient recovery from the physiologic changes from SARS-CoV-2 cannot be made at this time; however, evaluation should include an assessment of the patient's exercise capacity (metabolic equivalents or METS).</li> </ol><p>When there is little or no regional presence of SARS-CoV-2:</p><p></p><ol> <li data-xf-list-type="ol">All patients should be screened for symptoms before presenting to the hospital.</li> <li data-xf-list-type="ol">Patients reporting symptoms should be referred for further evaluation.</li> </ol><p><em>* Please note that the CDC recently revised its recommendation on time since symptoms first appeared (above 3.b.ii.) from 7 to 10 days.</em></p></blockquote><p></p>
[QUOTE="greybeard, post: 1677266, member: 18945"] Usually, a positive test will result in cancellation or rescheduling of anything short of a life saving procedure (non-emergency) It may vary from medical facility and state to state but CDC has guidelines. A population risk assessment identifying the prevalence of SARS-CoV-2 should be reviewed. When there is local or regional presence of SARS-CoV-2(14): [LIST=1] [*]All patients should be screened for symptoms prior to presenting to the hospital. Patients reporting symptoms should be referred for additional evaluation. All other patients should undergo nucleic acid amplification testing (including PCR tests) prior to undergoing non-emergent surgery. [*]Because false-negatives may occur with testing, droplet precautions (surgical mask and eye covering) should be used by OR staff for operative cases. Before performing an aerosol- generating procedure, health care providers within the room should wear an N95 mask, eye protection, gloves and a gown.(15) [*]If a patient tests positive for SARS-CoV-2, elective surgical procedures should be delayed until the patient is no longer infectious and has demonstrated recovery from COVID-19. A patient may be infectious until either: [LIST=1] [*]CDC recommended test-based strategy [LIST=1] [*]Resolution of fever without the use of fever-reducing medications; and, [*]Improvement in respiratory symptoms; and, [*]Negative results from two SARS-CoV-2 tests ≥ 24 hours apart [/LIST] [*]CDC non-test-based strategy [LIST=1] [*]At least 72 hours since resolution of fever without the use of fever-reducing medications and improvement in respiratory symptoms; and, [*]At least 7 days since symptoms first appeared.* [/LIST] [/LIST] [*]Recommendations regarding the definition of sufficient recovery from the physiologic changes from SARS-CoV-2 cannot be made at this time; however, evaluation should include an assessment of the patient’s exercise capacity (metabolic equivalents or METS). [/LIST] When there is little or no regional presence of SARS-CoV-2: [LIST=1] [*]All patients should be screened for symptoms before presenting to the hospital. [*]Patients reporting symptoms should be referred for further evaluation. [/LIST] [I]* Please note that the CDC recently revised its recommendation on time since symptoms first appeared (above 3.b.ii.) from 7 to 10 days.[/I] [/QUOTE]
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