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Benefit and cost of repeating a severe acute respiratory coronavirus virus 2 (SARS-CoV-2) polymerase chain reaction (PCR) test after the second day of hospitalization in five hospitals during various community prevalences and vaccination rates

Part of: SARS-CoV-2/COVID-19

Published online by Cambridge University Press:  16 June 2022

Rene Bulnes ,
Mina Said ,
Melissa Bronstein ,
Jennifer Gutowski ,
Karan Alag ,
Jonathan Bress ,
Amber Dellefave ,
Dawn Riedy ,
Jose Alcantara  and
Hiloni Bhavsar
...Show all authors
Rene Bulnes
Affiliation:
Medicine Department, Rochester Regional Health, Rochester, New York
Mina Said
Affiliation:
Medicine Department, Rochester Regional Health, Rochester, New York
Melissa Bronstein
Affiliation:
Quality and Safety Department, Rochester Regional Health, Rochester, New York
Jennifer Gutowski
Affiliation:
Quality and Safety Department, Rochester Regional Health, Rochester, New York
Karan Alag
Affiliation:
Health Informatics, Rochester Regional Health, Rochester, New York
Jonathan Bress
Affiliation:
Medicine Department, Rochester Regional Health, Rochester, New York
Amber Dellefave
Affiliation:
Quality and Safety Department, Rochester Regional Health, Rochester, New York
Dawn Riedy
Affiliation:
Pathology Department, Rochester Regional Health, Rochester, New York
Jose Alcantara
Affiliation:
Health Informatics, Rochester Regional Health, Rochester, New York
Hiloni Bhavsar
Affiliation:
Quality and Safety Department, Rochester Regional Health, Rochester, New York
Bryan Gargano
Affiliation:
Executive Leadership, Rochester Regional Health, Rochester, New York
Emil Lesho*
Affiliation:
Infectious Diseases Department, Rochester Regional Health, Rochester, New York
*
Author for correspondence: Emil Lesho, E-mail: carolinelesho@yahoo.com
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Abstract

At our hospital, universal severe acute respiratory coronavirus virus 2 (SARS-CoV-2) polymerase chain reaction (PCR) testing was performed upon admission and again after 2 inpatient days. As community-wide prevalence, admission, and vaccination rates varied, the number needed to benefit fluctuated between 16 and 769 and the cost per additional detection fluctuated between $800 and $29,400. These 2 metrics were negatively associated with new hospital admissions. No other community indicator was associated with the number needed to benefit and cost per additional detection.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 44 , Issue 1 , January 2023 , pp. 106 - 109
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Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America

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