Influential panel tells hospitals: Stop mass testing for Covid, it’s a waste of money and doctors’ time
- The doctors said the policy for asymptomatic testing increased wait times in the ED.
- The policy followed by many hospitals during the pandemic is also too expensive
- Testing should continue for people with compromised immune systems.
An influential panel of infectious disease experts has recommended hospitals stop testing for Covid on all new admissions, which they argue comes at too high a cost to patients and providers.
Revised guidelines from the Society for Healthcare Epidemiology of America reversed initial guidance on the pandemic, which urged hospitals to keep a close eye on who comes to their doors with Covid.
But such a policy has little or no benefit when other mitigation measures, such as mask use and proper ventilation, are followed, and it increases the cost burden on health care systems.
The panel included mention of studies showing that preadmission screening can actually hinder a patient’s ability to get the care they need and does little to prevent transmission.
This change comes as there is hope that America’s ‘triple epidemic’ of flu, covid and respiratory syncytial virus (RSV) is finally receding.
An influential panel of experts, the Society for Healthcare Epidemiology of America, is now discouraging hospitals from cumbersome testing that adds to hospital wait times and overcrowding, as well as the financial burden of keeping up with the double pandemic.
These experts also noted that a hospital policy of universal Covid testing creates a ripple effect of delays in emergency departments with patients.
Having to be tested before receiving care leads to longer wait times in the hospital.
Facilities dealing with the influx of flu, RSV and Covid patients cannot afford to have a crowded emergency department with people who cannot access specialized care.
The panel wrote: ‘The use of asymptomatic screening is a unique but resource-intensive tool that has arguably been overused.
The new guide was published in the journal Infection Control and Hospital Epidemiology.
“Although it is imperative to prevent the spread of healthcare-associated respiratory pathogens, we must critically evaluate interventions that, when added to core layers of infection prevention, may not achieve their intended impact and may have unintended consequences for patients.” and the HCP”.
The new guidelines are sure to be controversial, as they promote the removal of an initial pillar of viral mitigation.
A wide swath of hospitals in the US have been evaluating new admissions as well as patients in line for surgery in order to reduce the risk of complications.
But with the advent of highly effective vaccines and antiviral treatments, Covid hospital admissions have fallen sharply compared to their levels this time less than two years ago.
‘With increased population immunity to SARS-CoV-2, milder clinical outcomes, increased access to effective vaccines and therapies, and increased published experience on asymptomatic detection, it is important to assess the impact of this intervention and how it should fit into the infection. prevention programs advance,’ the group wrote.
Pre-admission COVID screening adds onerous delays in providing care required by sick patients, studies show
A May 2022 study by the Cook County Department of Emergency Medicine in Illinois reported that routine testing for asymptomatic covid extended patients’ time in the emergency department waiting room by an average of about seven hours.
The policy is also expensive. Each test costs about $54 to administer. Testing every patient who walks through the hospital doors is a prohibitively expensive undertaking.
The Cook County researchers cited an encouraging study published by Spanish scientists that said screening for only a quarter of new patients had no adverse effect on viral transmission.
Dr. Thomas Talbot, epidemiologist at Vanderbilt University and member of the SHEA Board of Directors said: ‘The small benefits that could be derived from asymptomatic testing at this stage of the pandemic are offset by the potential harms of procedural delays, delays in patient transfers, and strains on laboratory capacity and staff ‘.
However, the board did not recommend a universal end to preadmission screening, saying patients who are at higher risk of developing severe Covid, such as organ transplants and cancer patients, should still undergo screening. tests.