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Objective: To determine the diagnostic value of rapid COVID-19 antigen test (Panbio, Abbott) in comparison with Reverse Transcriptase Polymerase Chain Reaction (RT-PCR) in suspected community cases of SARS-CoV-2 infection at a tertiary care center in Pakistan Study Design: Cross sectional study. Place and Duration of Study: Pathology Department, Combined Military Hospital, Lahore Pakistan, from Jun 2020 to Jun 2021. Methodology: The diagnostic value of the Panbio®COVID-19 Antigen Rapid Test (Panbio, Abbott), was determined in comparison with RT-PCR in suspected community cases of SARS-CoV-2 infection at a tertiary care center on samples taken simultaneously. 200 individuals reporting to the hospital with signs and symptoms of potential COVID infection or history of significant contact exposure (>1 hour without masking and social distancing) to a RT-PCR positive COVID patient and concurrently requiring a rapid COVID antigen test due to an underlying health condition were included in the study by consecutive sampling. Results: Out of 200 individuals, 53(26.5 %) were COVID positive by RT-PCR whereas 147(73.5%) were clearly negative with no cases of indeterminate viremia on RT PCR. 32(60.3%) out of 53 RT-PCR positive COVID cases were also found to be positive by COVID-19 Antigen Rapid Test, whereas 21(39.6%) were negative. Out of 147 RT-PCR negative COVID cases, 146(99.3%) were negative by COVID-19 Antigen Rapid Test as well whereas 1(0.68%) was positive. Conclusion: COVID-19 Antigen Rapid Test is suitable adjunct to RT-PCR testing in suspected cases in emergent settings in early days of admission. [ABSTRACT FROM AUTHOR]

Objective: To determine the diagnostic value of rapid COVID-19 antigen test (Panbio, Abbott) in comparison with Reverse Transcriptase Polymerase Chain Reaction (RT-PCR) in suspected community cases of SARS-CoV-2 infection at a tertiary care center in Pakistan Study Design: Cross sectional study. Place and Duration of Study: Pathology Department, Combined Military Hospital, Lahore Pakistan, from Jun 2020 to Jun 2021. Methodology: The diagnostic value of the Panbio®COVID-19 Antigen Rapid Test (Panbio, Abbott), was determined in comparison with RT-PCR in suspected community cases of SARS-CoV-2 infection at a tertiary care center on samples taken simultaneously. 200 individuals reporting to the hospital with signs and symptoms of potential COVID infection or history of significant contact exposure (>1 hour without masking and social distancing) to a RT-PCR positive COVID patient and concurrently requiring a rapid COVID antigen test due to an underlying health condition were included in the study by consecutive sampling. Results: Out of 200 individuals, 53(26.5%) were COVID positive by RT-PCR whereas 147(73.5%) were clearly negative with no cases of indeterminate viremia on RT PCR. 32(60.3%) out of 53 RT-PCR positive COVID cases were also found to be positive by COVID-19 Antigen Rapid Test, whereas 21(39.6%) were negative. Out of 147 RT-PCR negative COVID cases, 146(99.3%) were negative by COVID-19 Antigen Rapid Test as well whereas 1(0.68%) was positive. Conclusion: COVID-19 Antigen Rapid Test is suitable adjunct to RT-PCR testing in suspected cases in emergent settings in early days of admission. [ABSTRACT FROM AUTHOR]

Objective: The number of extremely drug-resistant (XDR) Salmonella typhi isolates is growing in the northwest of Pakistan, where health-care facilities are already under strain due to the coronavirus disease 2019 (COVID-19) issue. In Khyber Pakhtunkhwa, Pakistan, we currently describe the first widespread appearance of an XDR Salmonella typhi epidemic during the COVID-19 pandemic. This strain of Salmonella typhi is resistant to all first- and second-line drugs and even the third-generation cephalosporin. Methods: Salmonella species isolated from pediatric blood samples shown a high level of resistance to the various antibiotic classes evaluated between November and December 2020. Gender, age, address, and clinical symptoms were among the demographic information that was recorded. A total of 562 blood cultures from symptomatic patients have been collected by the Pathology Laboratory at a tertiary care institution of Rehman Medical Institute, Peshawar. All samples have been processed in accordance with regulatory requirements and incubated in BacT/ALERT 3D. Results: Of the 562 blood samples, 71 included Salmonella typhi, of which 66 (92.9%) and 5 (7%) were multidrug resistant (MDR) and XDR, respectively. Ciprofloxacin (100%), chloramphenicol (100%), ceftriaxone (100%), ampicillin (100%), and cotrimoxazole (93%) were completely resistant to all isolates. Azithromycin and carbapenems were effective against every Salmonella typhi isolate that was MDR or XDR. Males (76%) were more commonly affected than females (24%), and the frequency was substantially higher in children under 15 years of age (88%) than in adults (P = 0.0016). Conclusion: The emergence of XDR Salmonella typhi with a high level of resistance is in fact alarming. Due to the lack of viable treatment alternatives, the current situation necessitates the immediate implementation of efficient preventive measures, such as campaigns for typhoid vaccination and food and water safety. [ABSTRACT FROM AUTHOR]