SARS-CoV-2 Testing of Aerosols Emitted During Pediatric Minimally Invasive Surgery: A Prospective, Case-Controlled Study

Autor: Zaid Haddadin, Natasha Halasa, Rendie McHenry, Rebekkah Varjabedian, Tricia L. Lynch, Heidi Chen, Muhammad Owais Abdul Ghani, Jonathan E. Schmitz, Jennifer Sucre, Kimberly Isenberg, Irving Zamora, Melissa Danko, Martin Blakely, Jacob Olson, Gretchen P. Jackson, Harold N. Lovvorn
Rok vydání: 2022
Předmět:
Zdroj: The American Surgeon. 88:2710-2718
ISSN: 1555-9823
0003-1348
Popis: Background The COVID-19 pandemic has presented significant safety concerns for healthcare providers, especially those performing aerosol-generating procedures. Several surgical societies issued early warnings that aerosols generated during minimally invasive surgery (MIS) could harbor infectious quantities of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). This study tested the hypothesis that MIS-aerosols contain SARS-CoV-2. Methods To evaluate SARS-CoV-2 presence in aerosols emitted during intracavitary MIS, children Results From July 1, 2020, to June 30, 2021, 11 children requiring emergent MIS were discovered preoperatively to be SARS-CoV-2 positive (median age: 14 years [5-17]). SARS-CoV-2 was detected only in ETT swabs and not in surgical aerosols or specimens. Median operative time was 56.5 minutes (IQR: 46-66), and postoperative stay was 21.2 hours (IQR: 1.97-57.57). No complications or viral eruption were recorded, and none of 63 healthcare workers tested positive for SARS-CoV-2 within 6 weeks. Discussion SARS-CoV-2 was detected only in ETT secretions and not in surgical aerosols or specimens among a pediatric cohort of asymptomatic patients having emergent MIS.
Databáze: OpenAIRE