As we are entering the influenza season and are still seeing significant increases in COVID-19 patients, updates on available flu and COVID-19 testing are listed below with guidance to ordering the appropriate test for your patients.
Current Process – Influenza NOT Present in the Community
Below are two (2) scenarios for testing and admitting a symptomatic ED patient for COVID-19
|Scenario #1||Scenario #2|
|Abbott Rapid COVID-19 Test||Positive||Negative|
|ALERE Rapid Flu test||n/a||n/a|
|Admission unit (if applicable)||Admit to C-19 Unit||Admit to non–C–19 Unit|
|Additional COVID-19, influenza, or VRP testing needed||No other tests||Consider Roche PCR if high COVID-19 risk|
Initiate When Influenza Is Present in the Community
Both the Abbott Rapid COVID-19 test and the ALERE Rapid flu test should be done on all patients presenting with symptoms and workup consistent with a viral pneumonia.
Below are four (4) scenarios for testing and admitting a symptomatic ED patient for COVID-19, influenza, and viral respiratory.
|Scenario #1||Scenario #2||Scenario #3||Scenario #4**|
|Abbott Rapid COVID-19 Test||Positive||Positive||Negative||Negative|
|ALERE Rapid Flu test||Negative||Positive||Positive||Negative|
|Admission unit (if applicable)||Admit to C-19 Unit||Admit to C-19 Unit||Admit to non–C–19 Unit||Admit to non–C–19 Unit|
|Additional COVID-19, Influenza, or VRP testing needed||no other tests||no other tests||consider Roche PCR if high COVID-19 suspicion||order VRPC** = Biofire Viral Respiratory Panel with SARS-CoV-2|
** Scenario #4: VRPC cannot be ordered unless both an Abbott Rapid test and an Alere Rapid Flu test are negative
The attached table is a reference for all COVID-19 related testing that is available to providers inside the network: