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Letter to the Editor| Volume 58, ISSUE 7, P876-877, September 2020

Re: Testing recommendation for COVID-19 and planned surgery

      Sir,
      We found that the publication on “Testing recommendation for COVID-19 (SARS-CoV-2) in patients planned for surgery - continuing the service and “suppressing” the pandemic” is very interesting.
      • Al-Muharraqi M.A.
      Testing recommendation for COVID-19 (SARS-CoV-2) in patients planned for surgery – continuing the service and ‘suppressing’ the pandemic.
      Al-Muharraqi noted that “The aforementioned recommendations may be expensive, but they can mitigate the risks to patients, staff, and public.
      • Al-Muharraqi M.A.
      Testing recommendation for COVID-19 (SARS-CoV-2) in patients planned for surgery – continuing the service and ‘suppressing’ the pandemic.
      ” In fact, surgeons are at a high risk of contracting COVID-9 in clinical practice. The COVID-19 patient might be asymptomatic and COVID-19 transmission to surgeon is possible.
      • Joob B.
      • Wiwanitkit V.
      Carpal fracture and COVID-19 infection: observation from Thailand.
      The concept to apply preoperative testing for COVID-19 is interesting. It might help screen for asymptomatic COVID-19. Nevertheless, it has to recognise that the PCR test might have a false negative result. The detection rate of COVID-19 is different in different types of specimens.
      • Wu J.
      • Liu J.
      • Li S.
      • Peng Z.
      • Xiao Z.
      • Wang X.
      • Yan R.
      • Luo J.
      Detection and analysis of nucleic acid in various biological samples of COVID-19 patients.
      The quality of available diagnostic tests is also important.
      • Wang X.
      • Tan L.
      • Wang X.
      • Liu W.
      • Lu Y.
      • Cheng L.
      • Sun Z.
      Comparison of nasopharyngeal and oropharyngeal swabs for SARS-CoV-2 detection in 353 patients received tests with both specimens simultaneously.
      It is necessary to have a good quality control of the test for preoperative testing. Regardless of preoperative testing for COVID-19, universal precautions for all patients are necessary.

      Ethics statement/confirmation of patients’ permission

      Not applicable.

      Conflict of interest

      We have no conflicts of interest.

      References

        • Al-Muharraqi M.A.
        Testing recommendation for COVID-19 (SARS-CoV-2) in patients planned for surgery – continuing the service and ‘suppressing’ the pandemic.
        Br J Oral Maxillofac Surg. 2020; ([Epub ahead of print]. pii: S0266-4356): 30164-30169https://doi.org/10.1016/j.bjoms.2020.04.014
        • Joob B.
        • Wiwanitkit V.
        Carpal fracture and COVID-19 infection: observation from Thailand.
        Indian J Orthop. 2020; ([Epub ahead of print]): 1https://doi.org/10.1007/s43465-020-00112-8
        • Wu J.
        • Liu J.
        • Li S.
        • Peng Z.
        • Xiao Z.
        • Wang X.
        • Yan R.
        • Luo J.
        Detection and analysis of nucleic acid in various biological samples of COVID-19 patients.
        Travel Med Infect Dis. 2020; ([Epub ahead of print])101673https://doi.org/10.1016/j.tmaid.2020.101673
        • Wang X.
        • Tan L.
        • Wang X.
        • Liu W.
        • Lu Y.
        • Cheng L.
        • Sun Z.
        Comparison of nasopharyngeal and oropharyngeal swabs for SARS-CoV-2 detection in 353 patients received tests with both specimens simultaneously.
        Int J Infect Dis. 2020; ([Epub ahead of print]. pii: S1201-9712): 30235-30236https://doi.org/10.1016/j.ijid.2020.04.023