Skip to main content
Commonmark migration
Source Link

CDC guidelines for when patients should be tested have changed since the ones you list. CDC now says:

Clinicians should use their judgment to determine if a patient has signs and symptoms compatible with COVID-19 and whether the patient should be tested. Most patients with confirmed COVID-19 have developed fever1 and/or symptoms of acute respiratory illness (e.g., cough, difficulty breathing). Priorities for testing may include:

 

Hospitalized patients who have signs and symptoms compatible with COVID-19 in order to inform decisions related to infection control.

 

Other symptomatic individuals such as, older adults (age ≥ 65 years) and individuals with chronic medical conditions and/or an immunocompromised state that may put them at higher risk for poor outcomes (e.g., diabetes, heart disease, receiving immunosuppressive medications, chronic lung disease, chronic kidney disease).

 

Any persons including healthcare personnel, who within 14 days of symptom onset had close contact with a suspect or laboratory-confirmed COVID-19 patient, or who have a history of travel from affected geographic areas (see below) within 14 days of their symptom onset.

This is a broad definition that gives clinicians the freedom to judge, though it still emphasizes priority for cases similar to the older guidelines.

However, guidelines and reality may not match. Via NPR:

There's still a big gap between what the federal government is promising and what state and local labs can deliver.

 

...

 

...those labs have a limited capacity to test, so some have been turning down doctors' requests.

 

The novel coronavirus test isn't simple, like the ones for the flu, strep or pregnancy. The kits detecting the coronavirus are configured more for a research lab than a hospital — and certainly can't be run in a doctor's office. It takes four to six hours to perform the tests on patient samples.

Therefore, at this point the main reason that people with symptoms are being denied tests seems to involve a shortage of the tests, and possibly prioritization of tests for other patients. Hopefully these problems will be resolved going forward.

CDC guidelines for when patients should be tested have changed since the ones you list. CDC now says:

Clinicians should use their judgment to determine if a patient has signs and symptoms compatible with COVID-19 and whether the patient should be tested. Most patients with confirmed COVID-19 have developed fever1 and/or symptoms of acute respiratory illness (e.g., cough, difficulty breathing). Priorities for testing may include:

 

Hospitalized patients who have signs and symptoms compatible with COVID-19 in order to inform decisions related to infection control.

 

Other symptomatic individuals such as, older adults (age ≥ 65 years) and individuals with chronic medical conditions and/or an immunocompromised state that may put them at higher risk for poor outcomes (e.g., diabetes, heart disease, receiving immunosuppressive medications, chronic lung disease, chronic kidney disease).

 

Any persons including healthcare personnel, who within 14 days of symptom onset had close contact with a suspect or laboratory-confirmed COVID-19 patient, or who have a history of travel from affected geographic areas (see below) within 14 days of their symptom onset.

This is a broad definition that gives clinicians the freedom to judge, though it still emphasizes priority for cases similar to the older guidelines.

However, guidelines and reality may not match. Via NPR:

There's still a big gap between what the federal government is promising and what state and local labs can deliver.

 

...

 

...those labs have a limited capacity to test, so some have been turning down doctors' requests.

 

The novel coronavirus test isn't simple, like the ones for the flu, strep or pregnancy. The kits detecting the coronavirus are configured more for a research lab than a hospital — and certainly can't be run in a doctor's office. It takes four to six hours to perform the tests on patient samples.

Therefore, at this point the main reason that people with symptoms are being denied tests seems to involve a shortage of the tests, and possibly prioritization of tests for other patients. Hopefully these problems will be resolved going forward.

CDC guidelines for when patients should be tested have changed since the ones you list. CDC now says:

Clinicians should use their judgment to determine if a patient has signs and symptoms compatible with COVID-19 and whether the patient should be tested. Most patients with confirmed COVID-19 have developed fever1 and/or symptoms of acute respiratory illness (e.g., cough, difficulty breathing). Priorities for testing may include:

Hospitalized patients who have signs and symptoms compatible with COVID-19 in order to inform decisions related to infection control.

Other symptomatic individuals such as, older adults (age ≥ 65 years) and individuals with chronic medical conditions and/or an immunocompromised state that may put them at higher risk for poor outcomes (e.g., diabetes, heart disease, receiving immunosuppressive medications, chronic lung disease, chronic kidney disease).

Any persons including healthcare personnel, who within 14 days of symptom onset had close contact with a suspect or laboratory-confirmed COVID-19 patient, or who have a history of travel from affected geographic areas (see below) within 14 days of their symptom onset.

This is a broad definition that gives clinicians the freedom to judge, though it still emphasizes priority for cases similar to the older guidelines.

However, guidelines and reality may not match. Via NPR:

There's still a big gap between what the federal government is promising and what state and local labs can deliver.

...

...those labs have a limited capacity to test, so some have been turning down doctors' requests.

The novel coronavirus test isn't simple, like the ones for the flu, strep or pregnancy. The kits detecting the coronavirus are configured more for a research lab than a hospital — and certainly can't be run in a doctor's office. It takes four to six hours to perform the tests on patient samples.

Therefore, at this point the main reason that people with symptoms are being denied tests seems to involve a shortage of the tests, and possibly prioritization of tests for other patients. Hopefully these problems will be resolved going forward.

Source Link
Bryan Krause
  • 14.4k
  • 4
  • 34
  • 54

CDC guidelines for when patients should be tested have changed since the ones you list. CDC now says:

Clinicians should use their judgment to determine if a patient has signs and symptoms compatible with COVID-19 and whether the patient should be tested. Most patients with confirmed COVID-19 have developed fever1 and/or symptoms of acute respiratory illness (e.g., cough, difficulty breathing). Priorities for testing may include:

Hospitalized patients who have signs and symptoms compatible with COVID-19 in order to inform decisions related to infection control.

Other symptomatic individuals such as, older adults (age ≥ 65 years) and individuals with chronic medical conditions and/or an immunocompromised state that may put them at higher risk for poor outcomes (e.g., diabetes, heart disease, receiving immunosuppressive medications, chronic lung disease, chronic kidney disease).

Any persons including healthcare personnel, who within 14 days of symptom onset had close contact with a suspect or laboratory-confirmed COVID-19 patient, or who have a history of travel from affected geographic areas (see below) within 14 days of their symptom onset.

This is a broad definition that gives clinicians the freedom to judge, though it still emphasizes priority for cases similar to the older guidelines.

However, guidelines and reality may not match. Via NPR:

There's still a big gap between what the federal government is promising and what state and local labs can deliver.

...

...those labs have a limited capacity to test, so some have been turning down doctors' requests.

The novel coronavirus test isn't simple, like the ones for the flu, strep or pregnancy. The kits detecting the coronavirus are configured more for a research lab than a hospital — and certainly can't be run in a doctor's office. It takes four to six hours to perform the tests on patient samples.

Therefore, at this point the main reason that people with symptoms are being denied tests seems to involve a shortage of the tests, and possibly prioritization of tests for other patients. Hopefully these problems will be resolved going forward.