產後嚴重特殊傳染性肺炎（COVID-19）陽性－病例報告

Test Positive for COVID-19 Immediately after Delivery: A Case Report

曹如謹(Ju-Chin Tsauer) ； 陳敬軒(Ching-Hsuan Chen) ； 黃婉容(Wan-Rong Huang)

《北市醫學雜誌》 預刊文章 Pp. 1-5

https://doi.org/10.6200/TCMJ.202201/PP.0002

摘要

目的：為求效率，臨產婦常以COVID-19抗原快篩結果做為住院或轉專責病房的依據，然而快篩準確度較低。本文報告一位快篩陰性後核酸陽性個案之住院經過，並有效防堵院內感染，做為各機構感控措施之參考。病例報告：34歲女性，前胎剖腹產，懷孕37周因產兆來診。COVID-19快篩陰性後入院，因核酸檢測未有結果臨床照護等級比照確診個案，手術後核酸報告為陽性（CT值35）。後轉至隔離病房治療，接觸人員追蹤核酸檢測均為陰性。結論：對於COVID-19抗原快篩陰性之產婦，如評估有潛在感染風險時，生產仍需有適當防護，防止院內感染的發生。

關鍵字

新冠病毒 ； 快篩 ； 核酸 ； 手術室

並列摘要

Objective: For efficacy, pregnant women often use the COVID-19 rapid antigen test result as the basis for hospitalization or transfer to special wards. However, the accuracy of the rapid antigen test is low. We reported the hospitalization process of a case negative in the rapid test which turned positive in the nucleic acid test and successful blocking of nosocomial infection to be used as a reference for institutional infection control. Case Report: A 34 years old parturient woman who had a Caesarean section in the last born came to the hospital at 37 gestational weeks with pre-delivery signs. She was admitted after a negative COVID-19 rapid antigen test, but due to the unknown result of the nucleic acid test, she was treated and cared at a confirmed case level. After the operation, she was diagnosed with a positive COVID-19 infection in nucleic acid test (CT value 35) and transferred to the isolation ward for further treatment. All follow-up COVID-19 nucleic acid tests for the contacted medical staff members were negative. Conclusion: For high-risk parturient women with negative COVID-19 rapid antigen test, proper protection is still required during delivery to prevent the occurrence of nosocomial infections.

並列關鍵字

COVID-19 ； rapid antigen test ； nucleic acid test ； operation room