Perioperative SARS-CoV-2 Infection in Patients Undergoing Elective Surgery in Gynecology Clinic: Tertiary Center Experience.
| Autor: | TOPTAS, Gulnihal Reyhan, UNLUBILGIN, Eylem, KINAY, Tugba, AKSAKAL, Sezin Erturk, AKGUL, Mehmet Akif, DOGAN, Ali Riza, ERCAN, Emel Ebru, ASLANOVA, Sitare, KORKMAZ, Vakkas, USTUN, Yaprak |
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| Předmět: |
PERIOPERATIVE care
ELECTIVE surgery REVERSE transcriptase polymerase chain reaction COVID-19 MEDICAL triage CROSS-sectional method TERTIARY care RETROSPECTIVE studies GYNECOLOGIC surgery SURVIVAL analysis (Biometry) DESCRIPTIVE statistics HOSPITAL care PERSONAL protective equipment DATA analysis software |
| Zdroj: | Gynecology Obstetrics & Reproductive Medicine (MN GORM); 2022, Vol. 28 Issue 2, p164-171, 8p |
| Abstrakt: | OBJECTIVE: The objective of this study was to determine the incidence of perioperative "severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2)" infection among women, operated during Coronavirus disease-2019 (COVID-19) era. STUDY DESIGN: All patients who were operated on between March 11, 2020, and December 31, 2020, in our gynecology clinic were included in this cross-sectional study. The clinical and demographic characteristics of the patients, preoperative and postoperative SARS-CoV-2 positivity, the progress of the infection, and the survival rates in positive cases were analyzed. COVID-19 cases were diagnosed by reverse transcription-polymerase chain reaction testing for SARS-CoV-2. RESULTS: Operations of 133 (33%) of 406 patients were canceled for various reasons. 275 patients were operated on. Preoperatively three patients were diagnosed with COVID-19. One of these patients died and two were operated on after treatment and self-isolation. Only one (0.4%) patient was diagnosed with COVID-19 30 days postoperatively and completely recovered. We calculated the perioperative SARS-CoV-2 positivity rate as 1.4% (276 surgeries were planned and 4 patients were diagnosed with COVID-19). During the study, 107 physicians worked in our clinic alternately. Two (1.8%) of these physicians were diagnosed with COVID-19 and completely recovered without the need for intensive care. In addition, nine patients who were previously diagnosed with COVID-19 were operated on. Postoperative respiratory and other system complications did not occur in nine patients, previously diagnosed with COVID-19. CONCLUSION: The results of our study show that gynecological surgical procedures do not increase the transmission and mortality rates of SARS-CoV-2 among patients and healthcare professionals as long as infection control measures are followed. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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