“a TROD result, whether negative or positive, does not provide a ‘conventional’ confirmation,” health professionals point out. National
“a TROD result, whether negative or positive, does not provide a ‘conventional’ confirmation,” health professionals point out.
The National Council of the Medical Association, accompanied by several professional unions, condemned in a press release on Monday the permission for pharmacists to perform TROD (rapid tests of diagnostic orientation) serological tests for the purpose of detecting infection. in the past or present until Covid-19, since the publication of the decree on July 11.
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The board of doctors, which gave a “negative opinion” to the Ministry of Health prior to the publication of the order on July 10, pointed out that according to the High Health Administration, “the TROD result, whether negative or positive, does not issue a ‘conventional’ test confirmation”.
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In fact, a positive TROD test means that the person has been exposed to the coronavirus and that the person has developed or is developing an immune response to the coronavirus. But this does not mean that the person is still a carrier of the virus and therefore contagious. “The information needed to accompany the TROD result is particularly delicate; its insufficient understanding could be the cause of an unfounded sense of security and could lead to a decline in ‘self-protection’ in the event of a positive result, which does not guarantee any immunity, nor a reduction in environmental protection in in the case of negativity, which does not guarantee the absence of infectious diseases”, the press release states.
therefore, it is recommended that in all cases the result be confirmed in a biological laboratory, with a blood test and, if possible, a virological test (RT-PCR) to check whether the virus is still present in the body and therefore whether or not there is a risk of infecting other people .
“This position could evolve”
Equally annoying, according to the Regulation, these tests would prevent, paradoxically, a good monitoring of the evolution of the pandemic. In theory, by identifying persons who are or have been infected with the virus, TROD tests can be used in the epidemiological surveillance of the disease, as well as a diagnostic strategy, in addition to the virological test, RT-PCR.
However, “unlike the tests, virological and serological tests carried out in the laboratory for medical analysis, in which positive results are automatically transmitted to the prescribing doctor and the national information system SIDEP, the results of TRODs prepared by doctors in outpatient settings or the pharmacist’s summary do not it is not collected nor used epidemiologically”, they complain to the medical authorities. “TRODs could replace ‘conventional’ examinations and reduce the amount of epidemiologic data collected,” they write further.
In addition, the publication of the order was according to the Order of Doctors and the unions do not justify themselves with emergency equipment, because “the network for analysis laboratories and nurses who can perform sampling is satisfactory in the state territory”. .
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However, to close all doors, the press release states that “if the clinical significance of TROD results were better known, if their application could be integrated into the individual patient care pathway by physicians, and if they could contribute to knowledge on the epidemiology of Covid-19, this view could evolve.”
Date of update: 14 July 2020, 04:58
Categories: Optical Illusion
Source: newstars.edu.vn