Hong Kong Med J . Findings from the first public COVID-19 temporary test centre in Hong Kong

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Hong Kong Med J


. 2021 Apr 1.
doi: 10.12809/hkmj208909. Online ahead of print.
Findings from the first public COVID-19 temporary test centre in Hong Kong


W L H Leung ¹ , E L M Yu ² , S C Wong ³ , M Leung ⁴ , L L Y Lee ⁵ , K L Chung ⁶ , V C C Cheng ⁷



Affiliations

• PMID: 33790053
• DOI: 10.12809/hkmj208909

Abstract

Introduction: The Hospital Authority of Hong Kong Special Administrative Region established a coronavirus disease 2019 (COVID-19) temporary test centre at the AsiaWorld-Expo from March 2020 to April 2020, which allowed high-risk individuals to undergo early assessment of potential severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. This study reviewed the characteristics and outcomes of individuals who attended the centre for COVID-19 testing.
Methods: This retrospective cross-sectional study collected epidemiological and clinical data. The primary outcome was a positive or negative SARS-CoV-2 test result, according to reverse transcription polymerase chain reaction analyses of pooled nasopharyngeal and throat swabs collected at the centre. The relationships of clinical characteristics with SARS-CoV-2 positive test results were assessed by multivariable binary logistic regression.
Results: Of 1258 attendees included in the analysis, 86 individuals tested positive for SARS-CoV-2 infection (positivity rate=6.84%; 95% confidence interval [CI]=5.57%-8.37%). Of these 86 individuals, 40 (46.5%) were aged 15 to 24 years and 81 (94.2%) had a history of recent travel. Symptoms were reported by 86.0% and 96.3% of individuals with positive and negative test results, respectively. The clinical characteristics most strongly associated with a positive test result were anosmia (adjusted odds ratio [OR_adj]=8.30; 95% CI=1.12-127.09) and fever OR_adj=1.32; 95% CI=1.02-3.28).
Conclusion: The temporary test centre successfully helped identify individuals with COVID-19 who exhibited mild disease symptoms. Healthcare providers should carefully consider the epidemiological and clinical characteristics of COVID-19 to arrange early testing to reduce community spread.

Keywords: COVID-19; Hong Kong.