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the Ministry of health allowed doctors to diagnose COVID-19 without PCR tests, because they are 30% cases give false-negative result
Moscow-Live.ru / Budziszewski Nicholas, Minister of health Michael Murashko
the Press service of the President of Russia the Moscow doctors have proposed to combine in one system a hospital for treatment COVID-19, and pneumonia, as it dramatically increased the number of pneumonia without a laboratory confirmation of coronavirus
AGN Moscow / Sergei Kiselev the Moscow Department of health recently acknowledged low accuracy tests COVID-19, in connection with which there are high risks of severe forms of the disease
Photo: Denis Grishkin / Press service of the Mayor and Government of Moscow
the Disease COVID-19 is developing so quickly (sometimes within a few hours to 3-5 days after onset of illness) that the Ministry of health allowed doctors to put the diagnosis on a characteristic clinical picture without laboratory confirmation and testing.
As stated by the Minister of health of Michael Murashko in the program “Vesti” on TV channel “RoRussia 1”, the doctors are already working on the new algorithm: if hospitalization of the patient no test results, but when examined in the emergency Department revealed signs of pneumonia and characteristic clinical manifestations COVID-19, then it is treated as a patient with a coronavirus.
If you do not, then most patients of those who later went to the doctors, there are serious problems, up to lethal outcomes. Therefore, it is important to start treatment at the very first symptoms, not based on the tests, and the clinical picture in combination with the data of computer tomography or x-ray.
“Never seen”: the patient is talking to you, and lungs he has no
Ministry of health: up to 30% of PCR tests for COVID-19 can give false-negative result
on the Eve of the Moscow doctors have proposed to combine in one system a hospital for treatment COVID-19, and pneumonia since dramatically increased the number of pneumonia without a laboratory confirmation of coronavirus. The reason for that low percentage of accuracy tests on a SARS-CoV-2 and a significant proportion of false negative results.
health Ministry: 30% of PCR tests for COVID-19 can give false-negative result
the Department of health of Moscow recently acknowledged low accuracy tests COVID-19, in connection with which there are high risks of severe forms of the disease.
April 8, the Department of health of Moscow has warned the medical institutions of the capital on a large number of incorrect test results, which speak to the absence of coronavirus from patients. In a letter to the head of the Department Alexei Khripun swept aside, in this regard, there are high risks of developing severe forms of the disease. It is recommended to send patients with pneumonia on a CT scan in cases of suspected complications, calling the only reliable analysis of the combination of CT and clinical picture of the disease.
the Development of complications aboutcome swiftly, sometimes within a few hours, usually 3-5 days from the onset of the disease. While “the negative results of smears on the COVID-19 in patients with signs of respiratory disease will not completely eliminate the novel coronavirus infection and rapid development of complications.”
According to the head of the Moscow Department of healthcare, CT scan and x-rays – the most important methods of complex diagnostics coronaviruses infection, as severe cases of disease and deaths from COVID-19 are associated with the development in patients of viral and bacterial (secondary) pneumonia.
About 20-30% of the existing PCR tests for the detection of coronavirus infection COVID-19 give a false-negative result. That is one third of HIV-positive people tested may receive a false confirmation that they are healthy, although they are actually infected.
About a large number of false-negative results in PCR tests reported and the chief freelance pulmonologist of Ministry of health of the Russian Federation Sergey Avdeev. Speaking on 7 April at the Congress “Man and medicine”, he said that the accuracy of existing PCR tests for the identification of new coronavirus infection SARS-CoV-2 not more than 70-80%. He referred to the results of a study involving 1.4 thousand patients. 300 of them were negative laboratory test for SARS-CoV-2, but the results of computer tomography of the lungs showed changes characteristic of a new coronavirus infection.
“Thus, the most sensitive test to diagnose patients COVID-19 is computed tomography of the lungs. The sensitivity of CT methods is higher than that of PCR diagnostics”, – quotes the doctor portal “Medvednik”.
so doctors suggested to change the routing of patients: if the room in the hospital they still have no test results, but were identified CT signs of pneumonia COVID-19, such hospitalitynet patients in the hospital are as sick with coronavirus INFAkzia.
the letter of the head of the healthcare Department of Moscow, where he explicitly says: our tests are bullshit, they show nothing pic.twitter.com/Y2tk2s7c9M
— Alexey Navalny (@navalny) April 9, 2020
“Never seen”: the patient is talking to you, and lungs he has no
the Main risk of coronavirus infection COVID-19 is the damage to the human respiratory tract. The patient for a few hours may develop respiratory failure that is often fatal.
30% of cases the tests show false negative results, so to distinguish COVID-19 from other infections with certainty only after a comprehensive examination: a test on specific coronavirus, CT of lungs and blood.
As told by the cardiac resuscitator Irina Ilyenko, working in the Moscow municipal clinical hospital N15 them. Filatov, converted by the treatment of a coronavirus, patients with COVID-19 times heavier than those with whom she had worked with before.
“Now half my office is already on a ventilator, the second – potential candidates for it… People brought to the ambulance from home, from other hospitals – can 100 people a day to bring, can 200. Someone already connected to the ventilator. Recently examined a woman 50-60 years old with Covid-19 without severe comorbidity, she’s on oxygen, but is not particularly complaining: “Yes, it’s hard to breathe, but nothing tolerant”. Talking. The x – ray small pneumonia, is not critical. We such patients in the stomach for several hours, turn over to back breathing, radicalise departments, are clamped when a person is placed on the back. We have gizmo is, the finger is put on, we on it the blood oxygen saturation watch.”
“Indications for artificial ventilation there. But just in front of the testimony of these menprivate bathrooms with showers feature, and the patient sort of the same way is not particularly complaining. Taking her to CT. Here are the results of the pet scan and there is no light! Into dust! And I now understand why covenyi who have pneumonia, dying one by one! They talk to you, and lungs have been there! And they’re all like that! And it’s so scary! The woman was transferred immediately on a ventilator, I don’t know whether… I have over 20 years in intensive care work, but what’s happening today, never saw anything like it”, – quotes the story of the doctor portal “Pravmir”.
