Article: Transmission of infection among health care personnel performing surgical tracheostomies on COVID-19 patients.
The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
2021 Volume 19, Issue 5, Page(s) e304–e309
Abstract: ... of COVID-19 infection among the healthcare personnel (HCP) performing ST on COVID-19 patients.: Methods ... 26th March 2020 and 27th May 2020 were identified. A COVID-19 health questionnaire was distributed ... tracheostomy (ST) during the corona virus disease (COVID-19) pandemic. The aim was to assess the incidence ...
| Abstract | Background: Staff and patient safety are of paramount importance while performing a surgical tracheostomy (ST) during the corona virus disease (COVID-19) pandemic. The aim was to assess the incidence of COVID-19 infection among the healthcare personnel (HCP) performing ST on COVID-19 patients. Methods: One hundred and twenty-two HCP participating in 71 ST procedures performed at our institution between 26th March 2020 and 27th May 2020 were identified. A COVID-19 health questionnaire was distributed among staff with their consent. Data related to the presence of COVID-19 symptoms (new onset continuous cough, fever, loss of taste and/or loss of smell) among HCP involved in ST as well as patient related data were collected. Results: Of the HCP who responded, eleven (15%,11/72) reported key COVID-19 symptoms and went into self-isolation. Ten members from this group underwent a COVID-19 swab test and three tested positive. Only one HCP attended hospital for symptomatic treatment, none required hospitalisation. Sixty percent (43/72) of the responders had a COVID-19 antibody test with a positive rate of 18.6% (8/43). Among the patients undergoing a ST, 67% (37/55) required a direct intensive care unit (ICU) admission; the mean age was 58 years (29-78) with a male preponderance (65.5%). The median time from intubation to ST was 15 days (range 5-33,IQR = 9). The overall mortality was 11% (6/55). Conclusions: ST can be carried out safely with strict adherence to both, personnel protective equipment and ST protocols which are vital to mitigate the potential transmission of COVID-19 to the HCP. |
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| MeSH term(s) | Adult ; Aged ; COVID-19/diagnosis ; COVID-19/epidemiology ; COVID-19/transmission ; Female ; Hospitalization ; Humans ; Incidence ; Infection Control ; Infectious Disease Transmission, Patient-to-Professional/statistics & numerical data ; Male ; Middle Aged ; Retrospective Studies ; Risk Assessment ; Surveys and Questionnaires ; Tracheostomy/adverse effects |
| Language | English |
| Publishing date | 2021-02-12 |
| Publishing country | Scotland |
| Document type | Journal Article |
| ZDB-ID | 2102927-1 |
| ISSN | 1479-666X |
| ISSN | 1479-666X |
| DOI | 10.1016/j.surge.2021.01.007 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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