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2020 ; 182
(6
): e195
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Emergency management of 2019 novel coronavirus: implications for the dermatology
department
#MMPMID32745237
Tao J
; Song Z
; Yang L
; Huang C
; Feng A
; Man X
Br J Dermatol
2020[Jun]; 182
(6
): e195
PMID32745237
show ga
Since cases first emerged in December 2019, COVID-19 (a type of coronavirus) has
rapidly become pandemic. This fast-tracked paper (published quickly) from China
on COVID-19 is written by dermatologists at the epicentre of the outbreak in
Wuhan. Dermatology clinic staff may be at risk because protective equipment is
not routinely available, and skin lesions might possibly transmit the virus
indirectly. These authors suggest preventive measures based on experience in this
and previous coronavirus outbreaks. Online consultation for non-urgent patients
reduces the numbers of patients attending clinics. Nurse-led triage, to identify
patients with possible COVID-19, at the entrances of hospital and skin clinics
directs patients with a cough or fever to a specific COVID-19 area and a
dermatologist is consulted if the fever might be related to skin disease. Clinic
staff wear N95 masks and observe hand hygiene during consultations. Patients are
admitted to a ward only if routine blood tests and chest CT scans exclude
COVID-19. Triage will not detect patients who are showing no symptoms but who are
developing the disease, so the hospital should provide an on-call expert team to
discuss inpatients suspected or diagnosed with COVID-19 and refer them to
radiology, respiratory or intensive care colleagues as required. Confirmed cases
are managed following local policies. Skin disorders in COVID-19 inpatients can
usually be managed remotely using photographs, email and teleconferencing. If
necessary a multidisciplinary team (a team of medical staff from different
specialties) can meet in the clean area of the isolation ward. If the
dermatologist must see the patient, all records should be provided in advance to
minimise exposure time. With these precautions, as of 20th February 2020 no
infected patients were detected in the Wuhan Dermatology Department. This is a
summary of the study: Emergency management for preventing and controlling
nosocomial infection of 2019 novel coronavirus: implications for the dermatology
department.