medigraphic.com
ISSN 2539-0859 (Electronic)
ISSN 0120-8411 (Print)
Asociación Colombiana de Otorrinolaringología y Cirugía de Cabeza y cuello, Maxilofacial y Estética Facial (ACORL)

2021, Number 3

<< Back Next >>

Acta de Otorrinolaringología CCC 2021; 49 (3)

Lessons learned from ENT activity during the peak of the COVID-19 pandemic in Spain

Lobo DD, Sánchez GS, Gandarillas MA, Williams CM, Parente AP

Language: Spanish
References: 25
Page: 189-198
PDF size: 259.54 Kb.


ABSTRACT

Introduction: severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection has a high incidence among healthcare professionals, especially otorhinolaryngologists (ENT). Study objective: The objective of this study was to collect organizational, safety and protection aspects of otorhinolaryngologists during the peak of the coronavirus disease 2019 (COVID-19) pandemic in Spain. Material and methods: Cross-sectional study with an e-mail survey to the ENT partners of the Spanish Society of Otorhinolaryngology and Head and Neck Surgery (SEORL-CCC). Results: 408 professionals completed the survey. Care of patients with COVID-19 represented more than 25% of healthcare activity for 24.4% of respondents. 213 respondents (52.6%) answered that a colleague tested positive or had been quarantined. The number of ENT surgeons diagnosed with COVID-19 or who were quarantined for compatible symptoms ranged between 1 and 12 per hospital (mean 2.2; median 2) and was related to regions with the highest incidence of coronavirus (62.1% vs. 41,8%; p ‹0.001), direct care for patients with COVID-19 (81% vs. 46.4%; p = 0.001) and on call activity (p = 0.01). 61.5% of the specialists attending inpatients and 40.4% attending outpatients did not always have the recommended personal protective equipment (PPE). Conclusions: The COVID-19 pandemic has altered the organization and care activity of the otorhinolaryngology departments. Clinical importance: ENT specialists have not always had the protective equipment recommended by the protocols and a significant number have been affected by COVID-19.


REFERENCES

  1. Wang W, Xu Y, Gao R, Lu R, Han K, Wu G, et al. Detection ofSARS-CoV-2 in Different Types of Clinical Specimens. JAMA. 2020;323(18):1843-1844. doi: 10.1001/jama.2020.3786

  2. Ralli M, Greco A, de Vincentiis M. The Effects of the COVID-19/SARS-CoV-2 Pandemic Outbreak on OtolaryngologyActivity in Italy. Ear Nose Throat J. 2020;99(9):565-566. doi:10.1177/0145561320923893

  3. Bai Y, Yao L, Wei T, Tian F, Jin DY, Chen L, Wang M. PresumedAsymptomatic Carrier Transmission of COVID-19. JAMA.2020;323(14):1406-1407. doi: 10.1001/jama.2020.2565

  4. Cheng X, Liu J, Li N, Nisenbaum E, Sun Q, Chen B, et al.Otolaryngology Providers Must Be Alert for Patients with Mildand Asymptomatic COVID-19. Otolaryngol Head Neck Surg.2020;162(6):809-810. doi: 10.1177/0194599820920649

  5. COVID-19. Información de la SEORL-CCC [internet].SEORL-CCC; 2020 [consultado el 22 de mayo de 2020].Disponible en: https://seorl.net/posicionamiento-de-la-seorlccc-sobre-la-pandemia-de-coronavirus/

  6. Recomendaciones de otras Sociedades Científicas [internet].SEORL-CCC; 2020 [consultado el 22 de mayo de 2020].Disponible en: https://seorl.net/recomendaciones-de-otrassociedades-cientificas/

  7. Heyd CP, Desiato VM, Nguyen SA, O’Rourke AK, ClemmensCS, Awad MI, et al. Tracheostomy protocols during COVID-19pandemic. Head Neck. 2020;42(6):1297-1302. doi: 10.1002/hed.26192

  8. Maxwell DN, Perl TM, Cutrell JB. “The Art of War” in the Eraof Coronavirus Disease 2019 (COVID-19). Clin Infect Dis.2020;71(16):2215-2217. doi: 10.1093/cid/ciaa229

  9. Coronavirus disease (COVID-19) Weekly EpidemiologicalUpdate and Weekly Operational Update [internet]. WHO[consultado el 28 de mayo de 2020]. Disponible en: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports

  10. Informes COVID-19 [internet]. ISCIII [consultado el 22de mayo de 2020]. Dsiponible en: https://www.isciii.es/QueHacemos/Servicios/VigilanciaSaludPublicaRENAVE/EnfermedadesTransmisibles/Paginas/InformesCOVID-19.aspx

  11. Vukkadala N, Qian ZJ, Holsinger FC, Patel ZM, Rosenthal E.COVID-19 and the Otolaryngologist: Preliminary Evidence-Based Review. Laryngoscope. 2020;130(11):2537-2543. doi:10.1002/lary.28672

  12. Kowalski LP, Sanabria A, Ridge JA, Ng WT, de Bree R,Rinaldo A, et al. COVID-19 pandemic: Effects and evidencebasedrecommendations for otolaryngology and head and necksurgery practice. Head Neck. 2020;42(6):1259-1267. doi:10.1002/hed.26164

  13. Bann DV, Patel VA, Saadi R, Gniady JP, Goyal N, McGinn JD,et al. Impact of coronavirus (COVID-19) on otolaryngologicsurgery: Brief commentary. Head Neck. 2020;42(6):1227-1234. doi: 10.1002/hed.26162

  14. Liu Z, Zhang L. At the center of the COVID-19 pandemic:Lessons learned for otolaryngology-head and neck surgery inChina. Int Forum Allergy Rhinol. 2020;10(5):584-586. doi:10.1002/alr.22585

  15. Pollock K, Setzen M, Svider PF. Embracing telemedicine intoyour otolaryngology practice amid the COVID-19 crisis: Aninvited commentary. Am J Otolaryngol. 2020;41(3):102490.doi: 10.1016/j.amjoto.2020.102490

  16. Krajewska J, Krajewski W, Zub K, Zatoński T. COVID-19 inotolaryngologist practice: a review of current knowledge. EurArch Otorhinolaryngol. 2020;277(7):1885-1897. doi: 10.1007/s00405-020-05968-y

  17. Meccariello G, Gallo O. What ENT doctors should know aboutCOVID-19 contagion risks. Head Neck. 2020;42(6):1248-1249. doi: 10.1002/hed.26190

  18. Chan JYK, Wong EWY, Lam W. Practical Aspects ofOtolaryngologic Clinical Services During the 2019 NovelCoronavirus Epidemic: An Experience in Hong Kong. JAMAOtolaryngol Head Neck Surg. 2020;146(6):519-520. doi:10.1001/jamaoto.2020.0488

  19. Ti LK, Ang LS, Foong TW, Ng BSW. What we do whena COVID-19 patient needs an operation: operating roompreparation and guidance. Can J Anaesth. 2020;67(6):756-758.doi: 10.1007/s12630-020-01617-4

  20. Cai J, Sun W, Huang J, Gamber M, Wu J, He G. Indirect VirusTransmission in Cluster of COVID-19 Cases, Wenzhou, China,2020. Emerg Infect Dis. 2020;26(6):1343-1345. doi: 10.3201/eid2606.200412

  21. Chughtai AA, Stelzer-Braid S, Rawlinson W, Pontivivo G,Wang Q, Pan Y, et al. Contamination by respiratory viruseson outer surface of medical masks used by hospital healthcareworkers. BMC Infect Dis. 2019;19(1):491. doi: 10.1186/s12879-019-4109-x

  22. Strategies for Optimizing the Supply of Facemasks [internet].Centers for Disease Control and Prevention; 2020 [consultado el22 de mayo de 2020]. https://www.cdc.gov/coronavirus/2019-ncov/hcp/ppe-strategy/face-masks.html

  23. Zhu Z, Xu S, Wang H, Liu Z, Wu J, Li G, et al. COVID-19 inWuhan: Sociodemographic characteristics and hospital supportmeasures associated with the immediate psychological impacton healthcare workers. EClinicalMedicine. 2020;24:100443.doi: 10.1016/j.eclinm.2020.100443

  24. Shuman AG. Navigating the Ethics of COVID-19 inOtolaryngology. Otolaryngol Head Neck Surg. 2020;162(6):811-812. doi: 10.1177/0194599820920850

  25. Ng ASH, Chew MH, Charn TC, Wong MK, Wong WK, LeeLS. Keeping a cut above the coronavirus disease: surgicalperspectives from a public health institution in Singaporeduring Covid-19. ANZ J Surg. 2020;90(5):666-669. doi:10.1111/ans.15904




2020     |     www.medigraphic.com