Leading microbiologists say hospitals may soon need to introduce Covid 19 testing.
It comes as The 29 staff at Middlemore Hospital have been in solitary confinement for 14 days. After a patient with abdominal pain tested positive for Covid 19. Four wards are closed and patients are being isolated at the hospital.
Sioux Wiles said. First up In an outbreak, the hospital may be testing a quick way to quickly identify Cove 19 patients.
“There are tests that are not as reliable as PCR tests, but if someone is actually actively affected, they will usually test positive for these rapid tests and that can be something to look at, whether We can bring them into New Zealand.
“Faster tests that can be done when someone first arrives at the hospital can be really helpful in this type of example.”
He did not think that a quick test was needed when there was no outbreak, but in the case of one, it would be helpful.
Wiles said it was unworkable to give patients a nasal swab and then put them in solitary confinement when they were presented to the hospital, unless they appeared to be suffering from Covid 19-related disease.
National Party leader Judith Collins also said this morning that rapid antigen testing would be helpful for a Middle Moore patient.
Collins said. Morning report. The result of the antigen test in 15 minutes was significantly better than the “wait days” to find out if someone has code 19.
“It would have been really helpful for a patient with Middle Moore who was diagnosed with covid, if they had been tested before being admitted to the ward.”
Dr Pat Watson, chief medical officer at Middlemore Hospital, said: Morning report. If there was a reliable, fast test, it would be widely used.
“I think the problem at the moment, as I understand it, is that the rapid antigen test is not as reliable as you know there are a lot of false-negative tests with it, so I think The question is, do we need to do this right now, I think, to continue to make sure we screen everyone thoroughly and check people as soon as we have any doubts. “
Screening process ‘tough’
Watson said Middlemore Hospital has seen the man’s screening and is reassuring people that it is severe.
“When this person presented it, there were no signs of Coved, nor was there any history of close contact with Coved in the place of interest or close context.
“So there was nothing in the presentation through the screening questions to show that he had covid. He presented with abdominal pain, which is not one of the common symptoms of covid, so at the moment he was our Went to a non-quaid stream.
“We have a really strict attitude to make sure that people who are at risk of covid go to our covid stream where they are all tested and cared for to make sure that First we must make sure that they are not.
After the man tested positive for the corona virus, it was discovered that he came from a family of 11, where eight people tested positive for Covid 19.
“One family was interrogated by the Regional Public Health Service for their contact – they have all been swept away.”
They had no reason to think they had been exposed but since the test turned out to be positive and a link was found.
“So the gentleman came, he was in the emergency department for a while, then he was sent to the surgical group, because you know he has a stomach ache – and he had a CT scan and he went to the surgical ward for examination. Taken in the morning by counselor
“When the consultant came away – it was Sunday morning they saw him – the signs were ready.”
A test was suggested at the time.
“There were no single rooms or isolated rooms in the ward at the time, so it was decided in consultation with our team to keep it there.”
The test came positive in the middle of the afternoon on Sunday and the patient was shifted to Code 19 ward.
Middle Moore now included abdominal pain as one of the symptoms of the novel corona virus.
As for the staff who came in contact with the case in Middlemore, Health Minister Andrew Little said. Morning report. They did not have the test results back.
The man showed no symptoms when he arrived at the hospital.
Little said, “They screened him when he was admitted to the hospital and before he was admitted, and there were no signs or symptoms, that he said it showed He has a virus. “
“I’ve seen the report from Middlemore Hospital and until he had a fever and the morning after he was admitted to the hospital he was sweeping for Cowade, he was interviewed about where he came from,” he said. He gave no indication that he was in a position of interest or otherwise exposed.
“Frontline health staff, they’re making real-world decisions in real time. They’re dealing with people when they present. They’re asking questions during screenings. They’re also taking precautions for these patients.” There are those who are not positive or have come across coward.
“The level of caution that is taken with PPE and protocol … I’m pretty sure it won’t happen again.”
Doctors and nurses weren’t sure about the timing of the close contacts, but he said: “Definitely a lot of staff needed to be isolated and had their tests done late yesterday.
“I don’t know, you know in terms of when they were at work, when they completed their shifts, when they were exposed.”
Asked if every hospitalized patient should be tested for code 19, Little said, “I’m not sure it’s necessary.”
“I think proper screening is needed, but I’m not sure the situation calls for every visitor to be tested for code.
“I think the management of Middlemore Hospital will take a closer look at what is happening and what other precautions need to be taken … Middlemore … Preventing their infection has been ideal.
“It’s been a hiccup for him, a reasonably serious one. They’re going to be checking what is needed, but there are protocols. There are ways to get there. They’re needed, too.” And they have to do it and they understand it. “
Little believed there would be a full investigation into the incident.
But Kate Weston, a professional nursing adviser at the New Zealand Nurses’ Organization, said. Morning report. Patients in hospitals needed more rigorous screening.
“I think there are some really strict procedures for how they are screening. [are needed] … to quickly discover the possibilities of this rapid testing, even the sputum test that is being offered for each patient.
“What bothers us is that patients are perceived as negative for covid unless they are positive instead of positive.
“So anyone who gets a respiratory sign as if this poor man is at the center of it – treat him as if he’s contagious.
Weston did not believe there was a gap between the positive test and the staff standing.
“As soon as a positive test returns, we would expect everyone who was in close contact to be immediately isolated.
“One of the things that is probably contributing to this is that they have very few staff, so putting anyone down in this environment is actually exacerbating the already existing, very strict staff situation. Gonna be, so we’re really looking forward to seeing in the review how many staff you had a way out of. Were there enough people working safely? Were they the right people?
“We’re really worried about how it’s handled because the staff comes to work and then stands up because he’s been exposed – it’s something that’s very serious, and it’s something to repeat. Can’t afford
“People are human beings. People are incomprehensible. But it’s actually more about systems and it’s really questioning whether that system was enough to save it from this threat.”
Weston said the situation was relevant.
“For those affected – nurses, doctors or healthcare assistants and others who are standing – it’s really an incredibly stressful time.
“He has gone to work to do his job, and in the course of his duty he has suffered from a highly contagious and dangerous disease.
“Yeah Al that sounds pretty crap to me, Looks like BT aint for me either, Looks like BT aint for me either, Looks like BT aint for me either.
“They are working in a very difficult and dangerous environment right now because there is a cove in the community, so you have to expect the cove to come through your door.”
“It was, unfortunately, an inevitable event,” Weston said.
The system is under pressure.
Watson said that regarding the level of staff at Middlemore, surgical teams were working in groups so the entire team, including the exposure, was not affected by other groups.
“In terms of nurses, we had to re-deploy nurses from other places but as a result of Level 4 we are doing less optional surgery and these are surgical wards, so we have been able to re-deploy the nursing staff from our staff. To support the Surgical Center Hospital in Manukau.
“We’re really grateful for the support of other DHBs around the country, and it was happening anyway.”
However, he acknowledged that there were a number of manpower issues.
Little said Auckland’s healthcare system was “not only running the business of running a hospital and in the Middle Moore situation – and Auckland and White Meta – are dealing with cowardly patients, but also the continuation of vaccinations.” The process and the pressure that is on staff resources, so yes, it’s under pressure. “
He said staff from other parts of the country were providing assistance in Auckland – so far, mainly in vaccination centers rather than hospitals.
“I know that work is going on to make sure that there is extra staff and that staff who are working 24 hours a day for several weeks and working extra hours and getting some respite.
“There’s a lot of coordination going on.”
It was possible to call in more staff from other parts of the country to help.