{"id":20570,"date":"2021-10-24T05:41:00","date_gmt":"2021-10-23T21:41:00","guid":{"rendered":"http:\/\/csccm.org.cn\/?p=20570"},"modified":"2021-10-24T06:22:17","modified_gmt":"2021-10-23T22:22:17","slug":"jama%e5%8f%91%e8%a1%a8%e8%ae%ba%e6%96%87%ef%bc%9a%e8%a7%a3%e8%af%bb%e6%96%b0%e5%86%a0%e7%97%85%e6%af%92%e6%a3%80%e6%b5%8b%e7%bb%93%e6%9e%9c","status":"publish","type":"post","link":"https:\/\/csccm.org.cn\/?p=20570","title":{"rendered":"[JAMA\u53d1\u8868\u8bba\u6587]\uff1a\u89e3\u8bfb\u65b0\u51a0\u75c5\u6bd2\u68c0\u6d4b\u7ed3\u679c\uff08\u95ee\u9898\uff09"},"content":{"rendered":"\n<p>JAMA Diagnostic Test Interpretation&nbsp;September&nbsp;17,&nbsp;2021<\/p>\n\n\n\n<h1 class=\"wp-block-heading\">Interpreting SARS-CoV-2 Test Results<\/h1>\n\n\n\n<h3 class=\"wp-block-heading\">KC&nbsp;Coffey,&nbsp;Daniel J.&nbsp;Diekema,&nbsp;Daniel J.&nbsp;Morgan,&nbsp;et al<\/h3>\n\n\n\n<h3 class=\"wp-block-heading\"><em>JAMA.&nbsp;<\/em>Published online September 17, 2021. doi:10.1001\/jama.2021.16146<\/h3>\n\n\n\n<p>Case<a><\/a><\/p>\n\n\n\n<p>A53-year-old woman was referred to the gastroenterology clinic for endoscopy because of a submucosal gastric nodule. She had not received a COVID-19 vaccination and lived in Maryland, which had a 7-day cumulative COVID-19 case rate of 70 per 100\u202f000 individuals at the time of her visit. Review of systems was unremarkable except for intermittent abdominal pain. She had no fever, cough, shortness of breath, difficulty breathing, muscle aches, headache, sore throat, anosmia, dysgeusia, or diarrhea. SARS-CoV-2 reverse transcriptase\u2013polymerase chain reaction (RT-PCR) testing prior to the procedure was performed, in accordance with the American Society of Anesthesiologists Statement on Perioperative Testing<sup><a href=\"https:\/\/jamanetwork.com\/journals\/jama\/fullarticle\/2784473#jdt210001r1\">1<\/a><\/sup>&nbsp;for monitored anesthesia. Results of preoperative testing are shown in&nbsp;<a href=\"https:\/\/jamanetwork.com\/journals\/jama\/fullarticle\/2784473#jdt210001t1\">Table 1<\/a>.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.jamanetwork.com\/ama\/content_public\/journal\/jama\/0\/jdt210001t1_1631824506.18594.png?Expires=1635211150&amp;Signature=z3bJiO33XifgvIO0F4TouMqyUPnNeRLI-RBlCYkkstcNQZh-JipQZvdYM-mw-4FD81pfyXnvUmZseMqDxrp-qmXd4z0V~cYQdY75Ucl4PADJFwhzn9QBEtRahn-9Z-oUdW-rD510HYM~46yZ64GE4zKeeiXtl54U8VzpVfz3j9tzZ7T5RfQfj-njmig0Jln~vwJp6njZsinNxUn4A~QJdzZLgctH~KmdX1bzptA7a7J5Lg~gDGIK72xOZoyzCj9j7nSk-T8H6MXUB0srcb8KUbLOYjKCf3pFHd5su7dd~ZTB-IknF2NPA7liOuNCq7SIxTJB75a3l5O5FHZvrU0CAw__&amp;Key-Pair-Id=APKAIE5G5CRDK6RD3PGA\" alt=\"\"\/><\/figure>\n\n\n\n<p>Based on the results, additional history was obtained. The patient reported testing positive for SARS-CoV-2 30 days prior at another hospital. At that time, she had symptoms of dry cough, low-grade fever, and body aches, which resolved after 14 days. Fourteen days before the current presentation, results of a rapid antigen test performed at a local pharmacy were negative for SARS-CoV-2.<\/p>\n\n\n<div id=\"polls-226\" class=\"wp-polls\">\n\t<form id=\"polls_form_226\" class=\"wp-polls-form\" action=\"\/index.php\" method=\"post\">\n\t\t<p style=\"display: none;\"><input type=\"hidden\" id=\"poll_226_nonce\" name=\"wp-polls-nonce\" value=\"d5fa73a811\" \/><\/p>\n\t\t<p style=\"display: none;\"><input type=\"hidden\" name=\"poll_id\" value=\"226\" \/><\/p>\n\t\t<p style=\"text-align: center;\"><strong>What Would You Do Next?<\/strong><\/p><div id=\"polls-226-ans\" class=\"wp-polls-ans\"><ul class=\"wp-polls-ul\">\n\t\t<li><input type=\"radio\" id=\"poll-answer-927\" name=\"poll_226\" value=\"927\" \/> <label for=\"poll-answer-927\">Cancel the endoscopy procedure due to likely reinfection<\/label><\/li>\n\t\t<li><input type=\"radio\" id=\"poll-answer-928\" name=\"poll_226\" value=\"928\" \/> <label for=\"poll-answer-928\">Cancel the endoscopy procedure due to persistent infection<\/label><\/li>\n\t\t<li><input type=\"radio\" id=\"poll-answer-929\" name=\"poll_226\" value=\"929\" \/> <label for=\"poll-answer-929\">Proceed with endoscopy, the patient is clinically recovered and not contagious<\/label><\/li>\n\t\t<li><input type=\"radio\" id=\"poll-answer-930\" name=\"poll_226\" value=\"930\" \/> <label for=\"poll-answer-930\">Repeat the RT-PCR testing now because this is likely a false-positive result<\/label><\/li>\n\t\t<\/ul><p style=\"text-align: center;\"><input type=\"button\" name=\"vote\" value=\"   Vote   \" class=\"Buttons\" onclick=\"poll_vote(226);\" \/><\/p><p style=\"text-align: center;\"><a href=\"#ViewPollResults\" onclick=\"poll_result(226); return false;\" title=\"View Results Of This Poll\">View Results<\/a><\/p><\/div>\n\t<\/form>\n<\/div>\n<div id=\"polls-226-loading\" class=\"wp-polls-loading\"><img src=\"https:\/\/csccm.org.cn\/wp-content\/plugins\/wp-polls\/images\/loading.gif\" width=\"16\" height=\"16\" alt=\"\u52a0\u8f7d\u4e2d ...\" title=\"\u52a0\u8f7d\u4e2d ...\" class=\"wp-polls-image\" \/>&nbsp;\u52a0\u8f7d\u4e2d ...<\/div>\n\n","protected":false},"excerpt":{"rendered":"<p>JAMA Diagnostic Test Interpretation&nbsp;September&#038;nbsp [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[13,18],"tags":[],"_links":{"self":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts\/20570"}],"collection":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=20570"}],"version-history":[{"count":5,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts\/20570\/revisions"}],"predecessor-version":[{"id":20579,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts\/20570\/revisions\/20579"}],"wp:attachment":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=20570"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=20570"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=20570"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}