Guidance on infection control and plume management with Laser and Energy‐Based Devices taking into consideration COVID‐19
| Autor: | Philip S Bekhor, Greg J Goodman, John R Sullivan, Marius Rademaker, Firas Al-Niaimi |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
safety
medicine.medical_specialty Infectious Disease Transmission Patient-to-Professional Coronavirus disease 2019 (COVID-19) Health Personnel Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Review Article Dermatology Asepsis SARS‐CoV‐2 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine COVID‐19 medicine Humans Infection control Intensive care medicine Head and neck Personal Protective Equipment Review Articles Aerosols particulate matter Infection Control business.industry Respiratory pathogen COVID-19 030220 oncology & carcinogenesis Practice Guidelines as Topic Energy based Laser Therapy business lasers Skin preparation |
| Zdroj: | The Australasian Journal of Dermatology Australasian Journal of Dermatology |
| ISSN: | 1440-0960 0004-8380 |
| DOI: | 10.1111/ajd.13425 |
| Popis: | Background The COVID‐19 pandemic has disrupted the practice of medicine. Dermatologic laser and energy‐based device (EBD) treatments carry a potential risk for the transmission of SARS‐CoV‐2 both for the patient and the practitioner. These risks include close practitioner to patient proximity, the treatment of higher viral load areas such as the face, the potential for infective bioparticles being carried by generated plumes and aerosols, and the direct contact between device, practitioner and patient. Objectives SARS‐CoV‐2 is a highly infective respiratory pathogen transmitted by respiratory droplets, respiratory/mucosal secretions, medically generated aerosols and via its transfer from contaminated fomites. This requires a review of the appropriateness of infection control protocols in regard to dermatologic laser and energy‐based device treatments. Methods A critical evaluation of patient skin preparation including skin asepsis, device disinfection, laser and electrosurgical plume management and PPE in regard to SARS‐CoV‐2 was performed. Results The adherence to a high standard of skin preparation and asepsis, device disinfection, laser and electrosurgical plume and aerosol management and appropriate PPE should help mitigate or reduce some of the inherent treatment risks. Head and neck treatments along with aerosol and laser plume generating treatments likely carry greater risk. Conclusions COVID‐19 needs to be considered in the clinic set‐up along with the planning, treatment and post‐treatment care of patients utilising EBD procedures. Some of these treatment precautions are COVID‐19 specific; however, most represent adherence to good infectious disease and established laser and EBD safety precautions. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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