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dc.contributor.authorKowalski, LP
dc.contributor.authorSanabria, A
dc.contributor.authorRidge, JA
dc.contributor.authorNg, WT
dc.contributor.authorde Bree, R
dc.contributor.authorRinaldo, A
dc.contributor.authorTakes, RP
dc.contributor.authorMäkitie, AA
dc.contributor.authorCarvalho, AL
dc.contributor.authorBradford, CR
dc.contributor.authorPaleri, V
dc.contributor.authorHartl, DM
dc.contributor.authorVander Poorten, V
dc.contributor.authorNixon, IJ
dc.contributor.authorPiazza, C
dc.contributor.authorLacy, PD
dc.contributor.authorRodrigo, JP
dc.contributor.authorGuntinas-Lichius, O
dc.contributor.authorMendenhall, WM
dc.contributor.authorD'Cruz, A
dc.contributor.authorLee, AWM
dc.contributor.authorFerlito, A
dc.date.accessioned2021-05-20T14:12:45Z
dc.date.available2021-05-20T14:12:45Z
dc.identifier.citationHead & neck, 2020, 42 (6), pp. 1259 - 1267
dc.identifier.issn1043-3074
dc.identifier.urihttps://repository.icr.ac.uk/handle/internal/4571
dc.identifier.eissn1097-0347
dc.identifier.eissn1097-0347en_US
dc.identifier.doi10.1002/hed.26164
dc.identifier.doi10.1002/hed.26164en_US
dc.description.abstractThe 2019 novel coronavirus disease (COVID-19) is a highly contagious zoonosis produced by SARS-CoV-2 that is spread human-to-human by respiratory secretions. It was declared by the WHO as a public health emergency. The most susceptible populations, needing mechanical ventilation, are the elderly and people with associated comorbidities. There is an important risk of contagion for anesthetists, dentists, head and neck surgeons, maxillofacial surgeons, ophthalmologists, and otolaryngologists. Health workers represent between 3.8% and 20% of the infected population; some 15% will develop severe complaints and among them, many will lose their lives. A large number of patients do not have overt signs and symptoms (fever/respiratory), yet pose a real risk to surgeons (who should know this fact and must therefore apply respiratory protective strategies for all patients they encounter). All interventions that have the potential to aerosolize aerodigestive secretions should be avoided or used only when mandatory. Health workers who are: pregnant, over 55 to 65 years of age, with a history of chronic diseases (uncontrolled hypertension, diabetes mellitus, chronic obstructive pulmonary diseases, and all clinical scenarios where immunosuppression is feasible, including that induced to treat chronic inflammatory conditions and organ transplants) should avoid the clinical attention of a potentially infected patient. Health care facilities should prioritize urgent and emergency visits and procedures until the present condition stabilizes; truly elective care should cease and discussed on a case-by-case basis for patients with cancer. For those who are working with COVID-19 infected patients' isolation is compulsory in the following settings: (a) unprotected close contact with COVID-19 pneumonia patients; (b) onset of fever, cough, shortness of breath, and other symptoms (gastrointestinal complaints, anosmia, and dysgeusia have been reported in a minority of cases). For any care or intervention in the upper aerodigestive tract region, irrespective of the setting and a confirmed diagnosis (eg, rhinoscopy or flexible laryngoscopy in the outpatient setting and tracheostomy or rigid endoscopy under anesthesia), it is strongly recommended that all health care personnel wear personal protective equipment such as N95, gown, cap, eye protection, and gloves. The procedures described are essential in trying to maintain safety of health care workers during COVID-19 pandemic. In particular, otolaryngologists, head and neck, and maxillofacial surgeons are per se exposed to the greatest risk of infection while caring for COVID-19 positive subjects, and their protection should be considered a priority in the present circumstances.
dc.formatPrint-Electronic
dc.format.extent1259 - 1267
dc.languageeng
dc.language.isoeng
dc.rights.urihttp://www.rioxx.net/licenses/all-rights-reserved
dc.subjectHumans
dc.subjectPneumonia, Viral
dc.subjectCoronavirus Infections
dc.subjectOtolaryngology
dc.subjectPractice Guidelines as Topic
dc.subjectInfectious Disease Transmission, Patient-to-Professional
dc.subjectPandemics
dc.subjectPractice Patterns, Physicians'
dc.subjectBetacoronavirus
dc.subjectCOVID-19
dc.subjectSARS-CoV-2
dc.titleCOVID-19 pandemic: Effects and evidence-based recommendations for otolaryngology and head and neck surgery practice.
dc.typeJournal Article
dcterms.dateAccepted2020-03-31
rioxxterms.versionVoR
rioxxterms.versionofrecord10.1002/hed.26164
rioxxterms.typeJournal Article/Review
dc.relation.isPartOfHead & neck
pubs.issue6
pubs.notesNot known
pubs.organisational-group/ICR
pubs.organisational-group/ICR/Primary Group
pubs.organisational-group/ICR/Primary Group/Royal Marsden Clinical Units
pubs.organisational-group/ICR
pubs.organisational-group/ICR/Primary Group
pubs.organisational-group/ICR/Primary Group/Royal Marsden Clinical Units
pubs.publication-statusPublished
pubs.volume42en_US
pubs.embargo.termsNot known
dc.contributor.icrauthorPaleri, Vinidhen


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