Rhinologic Procedures in the Era of COVID-19: Health-care Provider Protection Protocol.

Autor:	Taha MA; Rhinology and Skull Base Research Group, Baton Rouge General Medical Center, Baton Rouge, Louisiana.; Department of Otorhinolaryngology, Cairo University, Cairo, Egypt., Hall CA; Rhinology and Skull Base Research Group, Baton Rouge General Medical Center, Baton Rouge, Louisiana.; Sinus and Nasal Specialists of Louisiana, Baton Rouge, Louisiana., Rathbone RF; Rhinology and Skull Base Research Group, Baton Rouge General Medical Center, Baton Rouge, Louisiana., Corsten LA; Rhinology and Skull Base Research Group, Baton Rouge General Medical Center, Baton Rouge, Louisiana.; The NeuroMedical Center, Baton Rouge, Louisiana., Bowie CR; Rhinology and Skull Base Research Group, Baton Rouge General Medical Center, Baton Rouge, Louisiana.; The NeuroMedical Center, Baton Rouge, Louisiana., Waguespack PJ; Rhinology and Skull Base Research Group, Baton Rouge General Medical Center, Baton Rouge, Louisiana.; The NeuroMedical Center, Baton Rouge, Louisiana., Stanger R; Rhinology and Skull Base Research Group, Baton Rouge General Medical Center, Baton Rouge, Louisiana.; The NeuroMedical Center, Baton Rouge, Louisiana., Stevenson MM; Rhinology and Skull Base Research Group, Baton Rouge General Medical Center, Baton Rouge, Louisiana.; Sinus and Nasal Specialists of Louisiana, Baton Rouge, Louisiana., Zito BA; Rhinology and Skull Base Research Group, Baton Rouge General Medical Center, Baton Rouge, Louisiana.; Sinus and Nasal Specialists of Louisiana, Baton Rouge, Louisiana., Barham HP; Rhinology and Skull Base Research Group, Baton Rouge General Medical Center, Baton Rouge, Louisiana.; Sinus and Nasal Specialists of Louisiana, Baton Rouge, Louisiana.
Jazyk:	angličtina
Zdroj:	American journal of rhinology & allergy [Am J Rhinol Allergy] 2020 Jul; Vol. 34 (4), pp. 451-455. Date of Electronic Publication: 2020 May 14.
DOI:	10.1177/1945892420927178
Abstrakt:	Introduction: SARS-CoV-2 has been identified as the pathogen causing the outbreak of Coronavirus Disease 2019 (COVID-19) that started in Wuhan, China, in December 2019. SARS-CoV-2 has human-to-human transmission ability and universally contagious to all populations. The main transmission patterns are respiratory droplets transmission and contact transmission. The purpose of this study is to propose a protocol that may be used as a guide to reduce the incidence of COVID-19 infections among otolaryngology care teams. Methods: A prospective cohort study was conducted to show the efficacy of our protocol to prevent transmission to health-care providers from March 11, 2020 through April 14, 2020. The protocol consisted of a series of protective measures that we applied to all health-care providers, then testing of our providers for COVID-19 using reverse transcription polymerase chain reaction along with immunoglobulin M (IgM) and immunoglobulin G (IgG) testing at the end of the study period to ensure effectiveness. Results: Our protocol resulted in zero transmissions to our health-care providers during the duration of the initial study. We were involved in greater than 150 sinonasal, skull base, open airway, and endoscopy procedures during this study. At the conclusion of the initial 5 weeks, we had no health-care providers test positive for SARS-CoV-2. Conclusion: According to our proposed protocol, we were able to provide care for all patients in clinic, hospital, emergent, intensive, and surgical settings with no transmission of SARS-CoV-2 by symptomatology and post evaluation testing.
Databáze:	MEDLINE
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