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  1. Article ; Online: Otolaryngology during COVID-19: Preventive care and precautionary measures.

    Zhao, Chen / Viana, Alonço / Wang, Yan / Wei, Hong-Quan / Yan, Ai-Hui / Capasso, Robson

    American journal of otolaryngology

    2020  Volume 41, Issue 4, Page(s) 102508

    Abstract: ... characteristics and infection control measures of COVID-19 were reviewed, practical knowledge from first-line ... to enhance personal protection against COVID-19 and reduce the risk of nosocomial infection. ... that otolaryngology professionals should improve screening in suspected patients with relevant nasal and pharyngeal ...

    Abstract Since the outbreak of novel coronavirus disease (COVID-19) in December 2019, it has spread to various regions and countries, forming a global pandemic. Reducing nosocomial infection is a new issue and challenge for all healthcare systems. Otolaryngology is a high-risk specialty as it close contact with upper respiratory tract mucous, secretions, droplets and aerosols during procedures and surgery. Therefore, infection prevention and control measures for this specialty are essential. Literatures on the epidemiology, clinical characteristics and infection control measures of COVID-19 were reviewed, practical knowledge from first-line otolaryngologists in China, the United States, and Brazil were reviewed and collated. It was recommended that otolaryngology professionals should improve screening in suspected patients with relevant nasal and pharyngeal symptoms and signs, suspend non-emergency consultations and examinations in clinics, and rearrange the working procedures in operating rooms. The guidelines of personal protective equipment for swab sampling, endoscopy and surgery were listed. Indications for tracheotomy during the pandemic should be carefully considered to avoid unnecessary airway opening and aerosol-generation; precautions during surgery to reduce the risk of exposure and infection were illustrated. This review aimed to provide recommendations for otolaryngologists to enhance personal protection against COVID-19 and reduce the risk of nosocomial infection.
    MeSH term(s) Betacoronavirus ; Brazil ; COVID-19 ; China ; Coronavirus Infections/epidemiology ; Coronavirus Infections/prevention & control ; Coronavirus Infections/transmission ; Humans ; Infection Control ; Otolaryngology ; Pandemics/prevention & control ; Personal Protective Equipment ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/prevention & control ; Pneumonia, Viral/transmission ; SARS-CoV-2 ; Tracheotomy ; United States
    Keywords covid19
    Language English
    Publishing date 2020-04-22
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 604541-8
    ISSN 1532-818X ; 0196-0709
    ISSN (online) 1532-818X
    ISSN 0196-0709
    DOI 10.1016/j.amjoto.2020.102508
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Otolaryngology during COVID-19: Preventive care and precautionary measures

    Zhao, Chen / Viana, Alonço / Wang, Yan / Wei, Hong-Quan / Yan, Ai-Hui / Capasso, Robson

    Am J Otolaryngol

    Abstract: ... characteristics and infection control measures of COVID-19 were reviewed, practical knowledge from first-line ... to enhance personal protection against COVID-19 and reduce the risk of nosocomial infection. ... that otolaryngology professionals should improve screening in suspected patients with relevant nasal and pharyngeal ...

    Abstract Since the outbreak of novel coronavirus disease (COVID-19) in December 2019, it has spread to various regions and countries, forming a global pandemic. Reducing nosocomial infection is a new issue and challenge for all healthcare systems. Otolaryngology is a high-risk specialty as it close contact with upper respiratory tract mucous, secretions, droplets and aerosols during procedures and surgery. Therefore, infection prevention and control measures for this specialty are essential. Literatures on the epidemiology, clinical characteristics and infection control measures of COVID-19 were reviewed, practical knowledge from first-line otolaryngologists in China, the United States, and Brazil were reviewed and collated. It was recommended that otolaryngology professionals should improve screening in suspected patients with relevant nasal and pharyngeal symptoms and signs, suspend non-emergency consultations and examinations in clinics, and rearrange the working procedures in operating rooms. The guidelines of personal protective equipment for swab sampling, endoscopy and surgery were listed. Indications for tracheotomy during the pandemic should be carefully considered to avoid unnecessary airway opening and aerosol-generation; precautions during surgery to reduce the risk of exposure and infection were illustrated. This review aimed to provide recommendations for otolaryngologists to enhance personal protection against COVID-19 and reduce the risk of nosocomial infection.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #102007
    Database COVID19

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  3. Article ; Online: Otolaryngology during COVID-19

    Zhao, Chen / Viana, Alonço / Wang, Yan / Wei, Hong-quan / Yan, Ai-hui / Capasso, Robson

    American Journal of Otolaryngology

    Preventive care and precautionary measures

    2020  Volume 41, Issue 4, Page(s) 102508

    Keywords Otorhinolaryngology ; covid19
    Language English
    Publisher Elsevier BV
    Publishing country us
    Document type Article ; Online
    ZDB-ID 604541-8
    ISSN 0196-0709
    ISSN 0196-0709
    DOI 10.1016/j.amjoto.2020.102508
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Aerosol Generation During Myringotomy With Tympanostomy Tube Insertion: Implications for Otolaryngology in the COVID-19 Era.

    Campiti, Vincent J / Ye, Michael J / Sharma, Dhruv / Matt, Bruce H / Mitchell, Ryan M / Ting, Jonathan Y / Illing, Elisa A / Park, Jae Hong / Burgin, Sarah J

    Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery

    2021  Volume 165, Issue 4, Page(s) 532–535

    Abstract: ... to health care workers during myringotomy and tympanostomy tube (MT) insertion is unknown. To determine the need ... sizer to measure aerosol generation intraoperatively during a case series of MT insertion. We also ... for enhanced precautions to prevent potential spread via aerosolized particles, we used an optical particle ...

    Abstract The risk of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) transmission to health care workers during myringotomy and tympanostomy tube (MT) insertion is unknown. To determine the need for enhanced precautions to prevent potential spread via aerosolized particles, we used an optical particle sizer to measure aerosol generation intraoperatively during a case series of MT insertion. We also discuss our institutional experience with safe pandemic-era perioperative practices. There was no measured increase in aerosol particle number during the procedure at a distance of 30 cm from the external auditory canal. These initial data are reassuring regarding the risk of SARS-CoV-2 transmission to the operating room team due to aerosol generation, but further study is necessary before making definitive recommendations.
    MeSH term(s) Aerosols ; COVID-19/epidemiology ; COVID-19/prevention & control ; COVID-19/transmission ; Child ; Humans ; Infection Control/organization & administration ; Infectious Disease Transmission, Patient-to-Professional/prevention & control ; Middle Ear Ventilation/adverse effects ; Operative Time
    Chemical Substances Aerosols
    Language English
    Publishing date 2021-02-09
    Publishing country England
    Document type Journal Article
    ZDB-ID 392085-9
    ISSN 1097-6817 ; 0161-6439 ; 0194-5998
    ISSN (online) 1097-6817
    ISSN 0161-6439 ; 0194-5998
    DOI 10.1177/0194599821989626
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Reverse-Surge Planning During the COVID-19 Pandemic: A Cautionary Ramp-up for the Otolaryngologist.

    Shipchandler, Taha Z / Nesemeier, B Ryan / Barnes, Kaitlyn J / Kelly, Leah R / Schmalbach, Cecelia E / Ting, Jonathan Y

    Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery

    2020  Volume 163, Issue 6, Page(s) 1137–1139

    Abstract: ... in the outpatient and operating room settings given the abundance of COVID-19 virus in the upper aerodigestive tract ... of safety for patients and our health care teams. ... As the coronavirus disease 2019 (COVID-19) pandemic continues to evolve through the United States ...

    Abstract As the coronavirus disease 2019 (COVID-19) pandemic continues to evolve through the United States and other countries, differing rates of progression and decline are occurring based on varied population densities. While some health systems are reaching a steady state of new patient cases, others are seeing a leveling off or decline, allowing for restoration of normal practices. This "reverse-surge" planning and implementation process is a colossal undertaking for health systems trying to reacquire patient access and financial stability while preserving necessary resources and maintaining precautions for another potential surge. For the otolaryngologist, reverse-surge planning involves additional workflow adjustments in the outpatient and operating room settings given the abundance of COVID-19 virus in the upper aerodigestive tract. As the reverse-surge best practices are still under development, open communication between otolaryngology colleagues and health system leadership is paramount to optimize efficiency and maintain an adequate measure of safety for patients and our health care teams.
    MeSH term(s) COVID-19/diagnosis ; COVID-19/prevention & control ; COVID-19/transmission ; COVID-19 Testing ; Disease Transmission, Infectious/prevention & control ; Health Personnel ; Humans ; Infection Control/methods ; Interdisciplinary Communication ; Otolaryngologists ; Otolaryngology/methods ; Pandemics ; Personal Protective Equipment ; United States
    Keywords covid19
    Language English
    Publishing date 2020-06-30
    Publishing country England
    Document type Journal Article
    ZDB-ID 392085-9
    ISSN 1097-6817 ; 0161-6439 ; 0194-5998
    ISSN (online) 1097-6817
    ISSN 0161-6439 ; 0194-5998
    DOI 10.1177/0194599820938045
    Database MEDical Literature Analysis and Retrieval System OnLINE

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