Guidelines for COVID-19 Laboratory Testing for Emergency Departments From the New Diagnostic Technology Team of the Taiwan Society of Emergency Medicine

Chien Chang Lee; Yi Tzu Lee; Chih Hung Wang; I. Min Chiu; Weide Tsai; Yan Ren Lin; Chih Huang Li; Chin Wang Hsu; Pei Fang Lai; Jiann Hwa Chen; Jeffrey Che Hung Tsai; Shih Hung Tsai; Chorng Kuang How

doi:10.6705/j.jacme.202206_12(2).0001

Guidelines for COVID-19 Laboratory Testing for Emergency Departments From the New Diagnostic Technology Team of the Taiwan Society of Emergency Medicine

Chien Chang Lee, Yi Tzu Lee, Chih Hung Wang, I. Min Chiu, Weide Tsai, Yan Ren Lin, Chih Huang Li, Chin Wang Hsu, Pei Fang Lai, Jiann Hwa Chen, Jeffrey Che Hung Tsai, Shih Hung Tsai, Chorng Kuang How

Research output: Contribution to journal › Review article › peer-review

1 Citation (Scopus)

Abstract

COVID-19 tests have different turnaround times (TATs), accuracy levels, and limitations, which emergency physicians should be aware of. Nucleic acid amplification tests (NAATs) can be divided into standard high throughput tests and rapid molecular diagnostic tests at the point of care (POC). The standard NAAT has the advantages of high throughput and high accuracy with a TAT of 3-4 hours. The POC molecular test has the same advantages of high accuracy as standard high throughput PCR, but can be done in 13-45 minutes. Roche cobas Liat is the most commonly used machine in Taiwan, displaying 99%-100% sensitivity and 100% specificity, respectively. Abbott ID NOW is an isothermal PCR-based POC machine with a sensitivity of 79% and a specificity of 100%. A high rate of false positives and false negatives is associated with rapid antigen testing. Antibody testing is mostly used as part of public health surveys and for testing for immunity.

Original language	English
Pages (from-to)	45-52
Number of pages	8
Journal	Journal of Acute Medicine
Volume	12
Issue number	2
DOIs	https://doi.org/10.6705/j.jacme.202206_12(2).0001
Publication status	Published - Jun 1 2022

Keywords

COVID-19
nucleic acid amplification testing
point-of-care testing
rapid point-of-care molecular testing

ASJC Scopus subject areas

Emergency Medicine
Critical Care and Intensive Care Medicine

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.6705/j.jacme.202206_12(2).0001

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Lee, C. C., Lee, Y. T., Wang, C. H., Chiu, I. M., Tsai, W., Lin, Y. R., Li, C. H., Hsu, C. W., Lai, P. F., Chen, J. H., Tsai, J. C. H., Tsai, S. H., & How, C. K. (2022). Guidelines for COVID-19 Laboratory Testing for Emergency Departments From the New Diagnostic Technology Team of the Taiwan Society of Emergency Medicine. Journal of Acute Medicine, 12(2), 45-52. https://doi.org/10.6705/j.jacme.202206_12(2).0001

Lee, CC, Lee, YT, Wang, CH, Chiu, IM, Tsai, W, Lin, YR, Li, CH, Hsu, CW, Lai, PF, Chen, JH, Tsai, JCH, Tsai, SH & How, CK 2022, 'Guidelines for COVID-19 Laboratory Testing for Emergency Departments From the New Diagnostic Technology Team of the Taiwan Society of Emergency Medicine', Journal of Acute Medicine, vol. 12, no. 2, pp. 45-52. https://doi.org/10.6705/j.jacme.202206_12(2).0001

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Guidelines for COVID-19 Laboratory Testing for Emergency Departments From the New Diagnostic Technology Team of the Taiwan Society of Emergency Medicine

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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