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Hong Kong Med J ; 27(2): 99-105, 2021 04.
Artigo em Inglês | MEDLINE | ID: mdl-33790053

RESUMO

INTRODUCTION: The Hospital Authority of Hong Kong Special Administrative Region established a coronavirus disease 2019 (COVID-19) temporary test centre at the AsiaWorld-Expo from March 2020 to April 2020, which allowed high-risk individuals to undergo early assessment of potential severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. This study reviewed the characteristics and outcomes of individuals who attended the centre for COVID-19 testing. METHODS: This retrospective cross-sectional study collected epidemiological and clinical data. The primary outcome was a positive or negative SARS-CoV-2 test result, according to reverse transcription polymerase chain reaction analyses of pooled nasopharyngeal and throat swabs collected at the centre. The relationships of clinical characteristics with SARS-CoV-2 positive test results were assessed by multivariable binary logistic regression. RESULTS: Of 1258 attendees included in the analysis, 86 individuals tested positive for SARS-CoV-2 infection (positivity rate=6.84%; 95% confidence interval [CI]=5.57%-8.37%). Of these 86 individuals, 40 (46.5%) were aged 15 to 24 years and 81 (94.2%) had a history of recent travel. Symptoms were reported by 86.0% and 96.3% of individuals with positive and negative test results, respectively. The clinical characteristics most strongly associated with a positive test result were anosmia (adjusted odds ratio [ORadj]=8.30; 95% CI=1.12-127.09) and fever ORadj=1.32; 95% CI=1.02-3.28). CONCLUSION: The temporary test centre successfully helped identify individuals with COVID-19 who exhibited mild disease symptoms. Healthcare providers should carefully consider the epidemiological and clinical characteristics of COVID-19 to arrange early testing to reduce community spread.


Assuntos
Teste para COVID-19 , COVID-19 , Transmissão de Doença Infecciosa/prevenção & controle , Unidades de Diagnóstico Rápido , SARS-CoV-2/isolamento & purificação , Adolescente , Adulto , COVID-19/diagnóstico , COVID-19/epidemiologia , COVID-19/fisiopatologia , Teste para COVID-19/métodos , Teste para COVID-19/estatística & dados numéricos , Estudos Transversais , Feminino , Hong Kong/epidemiologia , Humanos , Masculino , Unidades de Diagnóstico Rápido/métodos , Unidades de Diagnóstico Rápido/organização & administração , Unidades de Diagnóstico Rápido/estatística & dados numéricos , Avaliação de Sintomas/estatística & dados numéricos , Doença Relacionada a Viagens
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