Laser Plume From Human Papillomavirus–Infected Tissue: A Systematic Review
| Autor: | Surget V. Cox, Christopher B. Zachary, Allison S. Dobry, Joel L. Cohen |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Skin Neoplasms Laser plume Dermatology English language Alphapapillomavirus Laryngeal Diseases 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine Protective Clothing Occupational Exposure medicine Humans Medical physics Human papillomavirus Skin Aerosols Surgeons Inhalation Exposure Squamous Cell Carcinoma of Head and Neck business.industry Incidence Papillomavirus Infections Masks General Medicine Occupational Diseases Data extraction Head and Neck Neoplasms 030220 oncology & carcinogenesis Practice Guidelines as Topic Inclusion and exclusion criteria Surgery Laser Therapy business Dermatologists |
| Zdroj: | Dermatologic Surgery. 46:1676-1682 |
| ISSN: | 1524-4725 1076-0512 |
| Popis: | BACKGROUND Laser procedures are becoming more prevalent across multiple medical specialties for a variety of indications. The plumes created by these lasers have raised concern for the dissemination of an infectious material. OBJECTIVE To review and summarize the information on viral dissemination in laser plumes available in the literature. MATERIALS AND METHODS Data Sources A systematic review was performed on English and non-English articles using the PubMed and the Cochrane databases. A manual search of bibliographies from relevant articles was also performed to collect additional studies. STUDY SELECTION Only articles in the English language with full texts available that pertained to viral particles in laser plumes were included. Data Extraction Two authors performed independent article selections using predefined inclusion and exclusion criteria. RESULTS There have been case reports of possible transmission of human papillomavirus (HPV) by inhalation of laser-produced aerosols. Multiple investigators have attempted to recreate this scenario in the laboratory to qualify this risk. Others have conducted clinical experiments to determine the presence of HPV in laser plumes. CONCLUSION The current body of the literature suggests that laser surgeons are at a risk for HPV exposure by inhalation of laser-derived aerosols. We offer best practice recommendations for laser operators. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|