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10.1002/lary.29667

http://scihub22266oqcxt.onion/10.1002/lary.29667
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34037248!8242479!34037248
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suck abstract from ncbi


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pmid34037248      Laryngoscope 2021 ; 131 (11): E2749-E2754
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  • COVID-19 Cross-Infection Rate After Surgical Procedures: Incidence and Outcome #MMPMID34037248
  • Mettias B; Mair M; Conboy P
  • Laryngoscope 2021[Nov]; 131 (11): E2749-E2754 PMID34037248show ga
  • OBJECTIVES/HYPOTHESIS: Severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) is transmitted by droplet as well as airborne infection. Surgical patients are vulnerable to the infection during their hospital admission. Some surgical procedures are classified as aerosol generating (AGP). STUDY DESIGN: Retrospective observational study of four specialties associates with known AGP's during the 4 months of the first wave of UK COVID-19 epidermic to identify post-surgical cross-infection with SARSCoV-2 within 14 days of a procedure. METHODS: Retrospective observational study in a tertiary healthcare center of four specialties associates with known AGP's during the 4 months of the first wave of UK COVID-19 epidermic to identify post-surgical cross-infection with SARSCoV-2 within 14 days of a procedure. RESULTS: There were 3,410 procedures reported during this period. The overall cross-infection rate from tested patients was 1.3% (4 patients), that is, 0.11% of all operations over 4 months. Ear, nose, and throat carried slightly higher rate of infection (0.4%) than gastroenterology (0.08%). The mortality rate was 0.3% (one gastroenterology patient from 304 positive cases) compared to 0% if surgery performed after recovery from SARSCoV-2 and 37.5% when surgery was conducted during the incubation period of the disease. Routine preoperative rapid screening tests and self-isolation are crucial to avoid the risk of cross-infection. Patients with underlying malignancy or receiving chemotherapy were more prone to pulmonary complications and mortality. CONCLUSION: The risk of SARS-COV-2 cross-infection after surgical procedure is very low. Preoperative screening and self-isolation together with personal protective measures should be in place to minimize the cross-infection. LEVEL OF EVIDENCE: 4 Laryngoscope, 131:E2749-E2754, 2021.
  • |Aerosols[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |COVID-19/diagnosis/epidemiology/*transmission/virology[MESH]
  • |Cross Infection/*epidemiology/prevention & control[MESH]
  • |Disease Transmission, Infectious/*prevention & control/statistics & numerical data[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Incidence[MESH]
  • |Male[MESH]
  • |Mass Screening/methods[MESH]
  • |Middle Aged[MESH]
  • |Mortality/trends[MESH]
  • |Outcome Assessment, Health Care[MESH]
  • |Particulate Matter/adverse effects[MESH]
  • |Patient Isolation/methods[MESH]
  • |Personal Protective Equipment/standards[MESH]
  • |Preoperative Period[MESH]
  • |Retrospective Studies[MESH]
  • |Risk Assessment/methods[MESH]
  • |SARS-CoV-2/genetics[MESH]
  • |Surgical Procedures, Operative/*adverse effects/classification/statistics & numerical data[MESH]


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