Lesson from Indonesia: Covid-19 Testing Strategy In Obstetric Emergency Cases At Low-Resource Health Care Setting
ABSTRACT Background: COVID-19 identification in obstetric emergency cases with limited resources is problematic, particularly in asymptomatic cases. Aim: To examine the screening strategies of COVID-19 obstetric emergency cases in low-resource health care settings. Method: A retrospective cohor...
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| Main Authors: | , , , , , , , , , , |
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| Format: | Article PeerReviewed |
| Language: | English Indonesian English |
| Published: |
Pakistan Journal of Medical & Health Science
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| Subjects: | |
| Online Access: | https://repository.unair.ac.id/128370/1/Lesson%20From%20Indonesia.pdf https://repository.unair.ac.id/128370/2/Validasi%20%28Lesson%20..%29.pdf https://repository.unair.ac.id/128370/3/Lesson%20From%20Indonesia.pdf https://repository.unair.ac.id/128370/ https://pjmhsonline.com/2021/feb/508.pdf |
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| Institution: | Universitas Airlangga |
| Language: | English Indonesian English |
| Summary: | ABSTRACT
Background: COVID-19 identification in obstetric emergency cases with limited resources is problematic,
particularly in asymptomatic cases.
Aim: To examine the screening strategies of COVID-19 obstetric emergency cases in low-resource health care
settings.
Method: A retrospective cohort design was carried out on patients with COVID-19 positive screening results. It
was assessed based on symptoms, contact history, lymphocytopenia, chest X-rays, and rapid antibody tests
compared to RT-PCR results SARS-COV-2.
Result: Out of the 190 cases that came to the delivery room, the staff suspected 69 COVID-19 cases (36.3%)
through the first screening protocol. Positive SARS-COV-2 RT-PCR was found in 23 cases with a majority
asymptomatic (52.2%). The percentages of sensitivity and specificity from the parameters as follow: 48% and 74%
in COVID-19 symptoms (febris or respiratory symptoms); 9% and 100% in contact history; 22% and 83% in
lymphocytopenia; 52% and 48% in chest x-ray; 78% and 30% in rapid antibody test. Rapid antibody tests have the
highest sensitivity to increase the identification of 12 asymptomatic cases.
Conclusion: Other screening beyond symptoms and contact history such as lymphocytopenia, chest x-ray, and
rapid antibody test can improve the identification, especially for asymptomatic cases in areas with the limited
testing ability and high Covid-19 transmission |
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