Approaching Otolaryngology Patients During the COVID-19 Pandemic
Approaching Otolaryngology Patients During the COVID-19 Pandemic
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COVID-19 大流行期间接触耳鼻喉科患者
DOI：
10.1177/0194599820926144
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发表时间：
2020-05-12
影响因子：
3.4
通讯作者：
Liu, Xuezhong
中科院分区：
文献类型：
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作者：
Cui, Chong;Yao, Qi;Liu, Xuezhong
客观的。描述需要耳鼻喉科会诊的 2019 冠状病毒病 (COVID-19) 患者的情况，并根据 COVID-19 大流行期间中国 4 家医院耳鼻喉 (ENT) 科室的经验提供防护措施建议。研究设计。回顾性案例系列。环境。多中心。主题和方法。已确定来自武汉、上海和深圳 3 家指定的 COVID-19 医院的 20 名需要耳鼻喉科会诊的住院 COVID-19 患者。收集并分析了有关人口统计、合并症、COVID-19 症状和严重程度、咨询原因、治疗和个人防护装备 (PPE) 使用情况的数据。报告了复旦大学眼耳鼻喉医院耳鼻喉科门诊和急诊室实施的感染控制策略。结果。中位年龄为63岁，55%为男性，95%为重症或危重症。进行了六次气管切开术。气管切开术后的结果参差不齐（2 名患者死亡，2 名患者昏迷，所有活着的患者仍在住院）。其他咨询包括鼻出血、咽炎、鼻塞、嗅觉减退、鼻炎、外耳炎、头晕和耳鸣。所有医院都使用动力供气过滤式呼吸器 (PAPR) 进行气管切开术或止血。其他投诉则使用 PAPR 或 N95 等效口罩以及全套防护服。没有住院耳鼻喉科医生受到感染。复旦大学眼耳鼻喉医院实施门诊、急诊、手术感染控制策略后，无医护人员感染。结论和相关性。 COVID-19 患者因多种原因需要进行耳鼻喉科会诊，包括气管切开术。耳鼻喉科医生在治疗 COVID-19 患者中发挥着不可或缺的作用，但由于他们的工作，暴露的风险很高。适当的防护策略可以预防耳鼻喉科医生的感染。
Objective. To describe coronavirus disease 2019 (COVID-19) patient presentations requiring otolaryngology consultation and provide recommendations for protective measures based on the experience of ear, nose, and throat (ENT) departments in 4 Chinese hospitals during the COVID-19 pandemic. Study Design. Retrospective case series. Setting. Multicenter. Subjects and Methods. Twenty hospitalized COVID-19 patients requiring ENT consultation from 3 designated COVID-19 hospitals in Wuhan, Shanghai, and Shenzhen were identified. Data on demographics, comorbidities, COVID-19 symptoms and severity, consult reason, treatment, and personal protective equipment (PPE) use were collected and analyzed. Infection control strategies implemented for ENT outpatients and emergency room visits at the Eye and ENT Hospital of Fudan University were reported. Results. Median age was 63 years, 55% were male, and 95% were in severe or critical condition. Six tracheotomies were performed. Posttracheotomy outcomes were mixed (2 deaths, 2 patients comatose, all living patients still hospitalized). Other consults included epistaxis, pharyngitis, nasal congestion, hyposmia, rhinitis, otitis externa, dizziness, and tinnitus. At all hospitals, powered air-supply filter respirators (PAPRs) were used for tracheotomy or bleeding control. PAPR or N95-equivalent masks plus full protective clothing were used for other complaints. No inpatient ENT providers were infected. After implementation of infection control strategies for outpatient clinics, emergency visits, and surgeries, no providers were infected at the Eye and ENT Hospital of Fudan University. Conclusions and Relevance. COVID-19 patients require ENT consultation for many reasons, including tracheotomy. Otolaryngologists play an indispensable role in the treatment of COVID-19 patients but, due to their work, are at high risk of exposure. Appropriate protective strategies can prevent infection of otolaryngologists.