COVID-19 Updates

  • 1.  testing

    Posted 04-03-2020 14:11
    ​Considering the issue of non symptomatic shedding, is anyone doing "universal" testing on?
    1. all women in labor
    2. all pregnant women admitted to in house
    3 OB staff
    4. any variations on the above?
    5. Planning to do IGs testing  


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    Federico Mariona
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  • 2.  RE: testing

    Posted 04-03-2020 14:36
    I wish we could test all patient admitted to the hospital but still 48 hour turn around.  Working towards universal testing.
    Phil



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  • 3.  RE: testing

    Posted 04-03-2020 14:47
    Have you now considered the Abbott ID-NOW platform with a very rapid TAT ? 
    Are asymptomatic carriers a true concern ?  Do we know enough ?

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    Federico Mariona
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    Original Message


  • 4.  RE: testing

    Posted 04-03-2020 15:55
    Many labs have the Abbott ID NOW platform, but there will be very limited availability of the COVID-19 test kits until manufacturing ramps up. Until then, Abbott will be allocating their tests to areas of greatest need.
    Asymptomatic carriers are a true concern based on recent MMWR report indicating 6-13% of cases were due to presymptomatic transmission. (Wei, et al MMWR 2020;69:1-4). This report includes very detailed contact tracing data from Singapore and estimates from China.

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    Janet Andrews
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    Original Message


  • 5.  RE: testing

    Posted 04-03-2020 16:15

    Indeed. I am a firm believer in advocating for our patients. Will Abbott need 24/7 work to ramp up?  Do it.

     




    Original Message


  • 6.  RE: testing

    Posted 04-03-2020 15:37
    Due to testing capability limitations we are not able to test patients who do not have symptoms/findings that would warrant testing even if they were not pregnant.

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    Winston Campbell M.D.
    Professor Obstetrics & Gynecology
    University of Connecticut School of Medicine
    Farmington CT
    WCampbell@uchc.edu
    Office: 860-679-3267
    Work Cell: 860-471-9968
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    Original Message


  • 7.  RE: testing

    Posted 04-03-2020 16:09

    Thank you so very much W.  It looks to me that the limitation is put on by scarce resources more than on the true

    lack of need,  if we recognize the silent carrier.  Again, contacting the companies that advertise their ability to provide so our patients receive optimal care may be of use.  Abbott says they are producing 50,000 tests /day.

    Thanks a lot, stay healthy and corona free.

    Best

    Federico

     

     

    Federico G. Mariona, MD, MHSA, FACOG, FACS

    Founding Director Division of Maternal Fetal Medicine

    Clinical Professor

    Department of Obstetrics & Gynecology

    Wayne State University School of Medicine

    Beaumont Health Dearborn. 

    fmariona@att.net

     

     

     




    Original Message