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10.1016/j.surge.2021.01.007

http://scihub22266oqcxt.onion/10.1016/j.surge.2021.01.007
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33722466!7879046!33722466
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suck abstract from ncbi


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pmid33722466      Surgeon 2021 ; 19 (5): e304-e309
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  • Transmission of infection among health care personnel performing surgical tracheostomies on COVID-19 patients #MMPMID33722466
  • Angamuthu N; Geraldine Gagasa E; Baker D; Tsui J; Evan D'Souza R
  • Surgeon 2021[Oct]; 19 (5): e304-e309 PMID33722466show ga
  • 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.
  • |Adult[MESH]
  • |Aged[MESH]
  • |COVID-19/diagnosis/*epidemiology/transmission[MESH]
  • |Female[MESH]
  • |Hospitalization[MESH]
  • |Humans[MESH]
  • |Incidence[MESH]
  • |Infection Control[MESH]
  • |Infectious Disease Transmission, Patient-to-Professional/*statistics & numerical data[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Retrospective Studies[MESH]
  • |Risk Assessment[MESH]
  • |Surveys and Questionnaires[MESH]


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