The coronavirus is gathering more and more cases of infection in Romania, and the INSP has decided to publish information about the people who have priority for testing for the new virus, all to create a little order in the chaos that exists now.
Those from the INSP have created a rather complex list in which they show the order in which people who have symptoms of coronavirus, who do not have symptoms, or belong to certain budget categories, or people with certain diseases, must be tested, and you have the list down.
"1. Symptomatic persons, including medical-sanitary and auxiliary personnel, according to the case definition;
2. Symptomatic close contacts of confirmed cases;
3. Patients with a maximum of 48 hours before the transplant procedure (asymptomatic) and donors of organs, tissues and hematopoietic stem cells before donation; patients with organ, tissue and stem cell transplantation
hematopoietic patients under immunosuppressive treatment, before each admission in the post-transplant monitoring period – 2 tests at 24-hour intervals;
4. The medical teams for sampling organs for transplantation that move from the transplant center to the sampling centers - every 2 weeks;
5. Asymptomatic patients with immunosuppression in the context of the disease or drug-induced, with a maximum of 48 hours before hospitalization;
(In this context, the term immunosuppression refers to: cytotoxic chemotherapy, long-acting biological agents, cellular immunotherapy, and high-dose glucocorticoids, according to the Infectious Diseases Society of America guideline (6.05.2020/XNUMX/XNUMX), accessible HERE)
6. Asymptomatic oncological patients undergoing chemotherapy and/or radiotherapy:
- Asymptomatic oncological patients undergoing chemotherapy - maximum 48 hours before each treatment, respectively each presentation to the hospital for monitoring;
– Asymptomatic oncological patients undergoing radiotherapy – before the first session and then 14 days later, until the end of the treatment;
7. Asymptomatic oncological patients before operative interventions or invasive maneuvers, with a maximum of 48 hours before the intervention/maneuver;
(With reference to points 6. and 7., in the case of child patients admitted with a companion, the companion is also tested.
Document developed by the National Center for Surveillance and Control of Communicable Diseases)
8. Asymptomatic hemodialysis patients - 2 times a month;
– Asymptomatic hemodialysis patients in contact with a confirmed case, 2 tests 6-7 days apart; during this period they will be dialyzed in separate sessions from the rest of the patients;
9. Symptomatic hemodialysis patients;
10. Asymptomatic institutionalized persons – 2 times a month;
11. Nursing staff in residential centers – twice a month;
12. Asymptomatic pregnant women who are in quarantine / isolation at home or have
former close contact with a confirmed case – on day 14, if they have not become symptomatic;
13. Medical and sanitary personnel and asymptomatic auxiliary direct contact with a confirmed case, on the 6th-7th day after the last possible infectious contact**;
** In the period immediately after the possible infectious contact and until the laboratory result is received, the medical and sanitary and auxiliary personnel will carry out their work in compliance with the standard protective measures.
Symptomatic or asymptomatic positive cases among health personnel will follow the isolation procedures imposed for the rest of the infected persons.
Changing epidemiological context may lead to the revision of these recommendations.
Medical units can establish testing protocols for medical staff and/or patients through RT-PCR techniques, in addition to these recommendations, which can be carried out with their own resources, in the laboratories they own or in other laboratories.
The analysis bulletins with positive test results will be reported immediately, scanned, in the same message sent by e-mail by the laboratory that performed the test, to the requesting hospital, the public health direction of the case and the INSP, and measures will be taken necessary for hospitalization / isolation of infected persons.
In these cases, the health units will carry out their own epidemiological investigation and adopt measures to limit the infection, actions that fall under the direct responsibility of the manager.
The report of the epidemiological investigation will be sent within 24 hours to the public health department of the county to which the case belongs."
