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Association between number of in-person healthcare visits and SARS-CoV-2 infection in obstetrical patients

JAMA Sep 25, 2020

Reale SC, Fields KG, Lumbreras-Marquez MG, et al. - Patient avoided even necessary medical care during the coronavirus disease 2019 pandemic, this has emerged as a major concern during this pandemic. Researchers here examined if the number of in-person healthcare visits was linked with the risk of SARS-CoV-2 infection. They assessed all patients who delivered at 4 hospitals in the Boston, Massachusetts, area between April 19, 2020, and June 27, 2020, a period during which test for SARS-CoV-2 infection was performed on all obstetrical patients at the time of admission. In the study population of 2,968 deliveries, 111 patients (3.7% [95% CI, 3.1%-4.5%]) were tested positive for SARS-CoV-2 infection. Among these 111 patients, 45 tested positive for SARS-CoV-2 infection antenatally and 66 tested positive at the time of admission for labor and delivery. Findings suggest no meaningful correlation between the number of in-person healthcare visits and the rate of SARS-CoV-2 infection in this sample of obstetrical population who had frequent in-person visits to a healthcare setting and underwent universal testing for SARS-CoV-2 infection. This indicates that in-person healthcare visits were not likely to be an important risk factor for infection and that necessary, in-person care can be safely performed. 

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