دورية أكاديمية

How Efficient Are Isolation Protocols? Outcome of Isolation Protocol in Surgery during COVID-19 Pandemic: A Single Institute Experience.

التفاصيل البيبلوغرافية
العنوان: How Efficient Are Isolation Protocols? Outcome of Isolation Protocol in Surgery during COVID-19 Pandemic: A Single Institute Experience.
المؤلفون: Gatty RCR; Department of Surgical Oncology, Father Muller Medical College Hospital, Mangalore 575 002, India., Job AM; Department of General Surgery, Father Muller Medical College Hospital, Mangalore 575 002, India., Shet D; Department of Medical Oncology, Father Muller Medical College Hospital, Mangalore 575 002, India.
المصدر: Surgery research and practice [Surg Res Pract] 2023 Mar 31; Vol. 2023, pp. 5774071. Date of Electronic Publication: 2023 Mar 31 (Print Publication: 2023).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Hindawi Publishing Corporation Country of Publication: United States NLM ID: 101628730 Publication Model: eCollection Cited Medium: Print ISSN: 2356-7759 (Print) Linking ISSN: 23566124 NLM ISO Abbreviation: Surg Res Pract Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: New York, NY : Hindawi Publishing Corporation, [2014]-
مستخلص: Background: The timing of screening for SARS-CoV-2 preoperatively by RT-PCR/CBNAAT, isolation protocols in preoperative wards, operation theatres, and postoperative wards are not well established.
Methods: Evaluating the effectiveness of maintaining three pathways of two COVID-19 negative pathways (1) immediate testing pathway (2) isolation, or quarantine for five days and testing prior to surgery pathway, and (3) the tested COVID-19-positive pathway, was the aim of the study. The primary objective was to assess the utility and outcome of the two COVID-19 negative pathways adopted before surgery in terms of infectivity (seroconversion; COVID-19 positivity rate before surgery and symptomatic COVID-19 disease after surgery). The secondary objective was to derive a practical protocol for isolation or quarantine for emergency and elective surgery. Enrolled patients were grouped based on the need for surgery; Group-1 emergency basis, Group-2 urgent basis, and Group-3 COVID-19 positive and the three channels were kept separate with separate dedicated healthcare staff for each channel.
Results: There were 199 (4.56%) COVID-19-positive patients, of whom 80 (40%) were operated. COVID-19 positivity rate was low in Group 2 (3% vs. Group 1, 11%). There was no seroconversion from negative to positive in our patients during the peri-operative period.
Conclusion: COVID-19 positivity rate in Group-2 was significantly less. None of the COVID-19-negative patients turned symptomatic and the probability of seroconversion from COVID-19-negative was less during the peri-operative period. The isolation protocol of non-COVID-19 positive patients with the separate channel is effective.
Competing Interests: The authors declare that they have no conflicts of interest.
(Copyright © 2023 Rohan Chandra R. Gatty et al.)
References: Euro Surveill. 2020 Jan;25(3):. (PMID: 31992387)
Br J Surg. 2020 Sep;107(10):e442. (PMID: 32749676)
Ann Surg. 2020 Aug;272(2):e58-e60. (PMID: 32675497)
J Virol. 2020 Mar 17;94(7):. (PMID: 31996437)
J Minim Invasive Gynecol. 2021 Mar;28(3):481-489. (PMID: 33359742)
Am J Infect Control. 2021 Jan;49(1):21-29. (PMID: 32659413)
J Bone Joint Surg Am. 2020 Jun 3;102(11):946-950. (PMID: 32282412)
Ann Intern Med. 2020 May 05;172(9):577-582. (PMID: 32150748)
Anaesthesia. 2021 Jun;76(6):748-758. (PMID: 33690889)
Gynecol Oncol. 2020 Aug;158(2):236-243. (PMID: 32532460)
Can J Anaesth. 2020 Jun;67(6):756-758. (PMID: 32144591)
Infect Control Hosp Epidemiol. 2021 Jun;42(6):790-791. (PMID: 32616120)
Ann Surg. 2020 Jul;272(1):e27-e29. (PMID: 32221117)
Ann Surg. 2020 Jul;272(1):e1-e2. (PMID: 32209891)
Lancet Oncol. 2021 Feb;22(2):155. (PMID: 33539736)
Infect Dis Poverty. 2021 Sep 17;10(1):119. (PMID: 34535192)
J Am Acad Orthop Surg. 2020 Jun 1;28(11):451-463. (PMID: 32282441)
World J Surg. 2020 Aug;44(8):2477-2481. (PMID: 32418028)
World J Emerg Surg. 2020 Apr 7;15(1):25. (PMID: 32264898)
JAMA Surg. 2020 Aug 1;155(8):691-702. (PMID: 32530453)
Biosens Bioelectron. 2021 Jan 15;172:112752. (PMID: 33126180)
Am J Surg. 2020 Jun;219(6):900-902. (PMID: 32312477)
J Orthop Sci. 2021 Jan;26(1):179-181. (PMID: 33199087)
تواريخ الأحداث: Date Created: 20230410 Latest Revision: 20230412
رمز التحديث: 20230412
مُعرف محوري في PubMed: PMC10081896
DOI: 10.1155/2023/5774071
PMID: 37033690
قاعدة البيانات: MEDLINE
الوصف
تدمد:2356-7759
DOI:10.1155/2023/5774071