A knowledge gap unmasked: viral transmission in surgical smoke: a systematic review
| العنوان: | A knowledge gap unmasked: viral transmission in surgical smoke: a systematic review |
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| المؤلفون: | Connal Robertson-More, Ted Wu |
| المصدر: | Surgical Endoscopy |
| بيانات النشر: | Springer US, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Plume, medicine.medical_specialty, Infectious Disease Transmission, Patient-to-Professional, COVID19, Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), Viral transmission, MEDLINE, Review Article, Bioinformatics, Virus, 03 medical and health sciences, 0302 clinical medicine, Internal medicine, Smoke, Pandemic, medicine, Animals, Humans, Minimally Invasive Surgical Procedures, Pandemics, Aerosols, business.industry, Transmission (medicine), SARS-CoV-2, COVID-19, Hepatology, Smoke Inhalation Injury, Surgical smoke, 030220 oncology & carcinogenesis, DNA, Viral, RNA, Viral, 030211 gastroenterology & hepatology, Surgery, business, Infection |
| الوصف: | Background Concerns regarding the aerosolized transmission of SARS-CoV-2 via SS have caused significant apprehension among surgeons related to the use of minimally invasive surgery (MIS) during the COVID19 pandemic. While a limited number of studies have previously demonstrated the presence of viral material in SS, no comprehensive systematic review exists on the subject of viral transmission in SS. Methods A systematic review of the literature was conducted as per PRISMA guidelines. MEDLINE, EMBASE, and CENTRAL databases were searched for publications reporting the primary outcome of the presence of viral particles in SS and secondary outcomes of indices suggesting transmission of viable virus particles in SS producing clinically important infection. All human, animal, and in vitro studies which used accepted analytic techniques for viral detection were included. A meta-analysis was not complete due to methodologic heterogeneity and inconsistent reporting of outcomes of interest. Results 23 publications addressed the presence of viral components in SS, and 19 (83%) found the presence of viral particles in SS. 21 publications additionally studied the ability of SS to induce clinically relevant infection in host cells, with 9 (43%) demonstrating potential for viral transmission. Conclusion Evidence exists for viral transmission via SS. However, HPV remains the only virus with documented transmission to humans via SS. While meaningful translation into practical guidelines during the COVID pandemic remains challenging, no evidence exists to suggest increased risk in MIS. Supplementary Information The online version contains supplementary material available at 10.1007/s00464-020-08261-5. |
| اللغة: | English |
| تدمد: | 1432-2218 0930-2794 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e5f275a883e6199ed6bb9d88307aa811 http://europepmc.org/articles/PMC7833447 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....e5f275a883e6199ed6bb9d88307aa811 |
| قاعدة البيانات: | OpenAIRE |
Find this article in full text from Springer Verlag. | تدمد: | 14322218 09302794 |
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