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COVID19 Testing Guidelines

COVID19 Testing Guidelines

  • Centers for Disease Control (CDC) currently has a packaged kit for testing of patients who meet current criteria
  • Current criteria for testing is evolving and at time of writing is based on February 27, 2020 guidelines.[1]
    • Presence of clinical lower respiratory symptoms (cough, shortness of breath or fever) and known contact with confirmed case
    • Fever and lower respiratory symptoms requiring hospitalization and travel from affected areas (China, Iran, Italy, Japan, South Korea)
    • Fever with sever, acute lower respiratory illness requiring hospitalization and without alternative explanatory diagnosis and no source of exposure identified
  • “Centers for Disease Control and Prevention (CDC) 2019-Novel Coronavirus (2019-nCoV) Real-Time Reverse Transcriptase (RT)-PCR Diagnostic Panel.” It is intended for use with the Applied Biosystems 7500 Fast DX Real-Time PCR Instrument with SDS 1.4 software. This test is intended for use with upper and lower respiratory specimens collected from persons who meet CDC criteria for COVID-19 testing. [2]
  • As of February 3rd 2020 an emergency use authorization (EUA) was granted for the use of unapproved, but potentially life-saving medical or diagnostic products during a public health emergency14
  • 40 state public health labs can begin testing for COVID-19 using parts of the original CDC test[3]
  • There has been difficulty in developing an accurate test as this is a new pathogen
  • A goal of being able to perform 10,000 tests per day

 

[1] https://www.cdc.gov/coronavirus/2019-ncov/hcp/clinical-criteria.html

[2] https://www.cdc.gov/coronavirus/2019-ncov/about/testing.html

[3] http://www.cidrap.umn.edu/news-perspective/2020/02/feds-allow-state-public-health-labs-test-covid-19