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Dermatol Online J ; 26(8)2020 08 15.
Article in English | MEDLINE | ID: covidwho-979308

ABSTRACT

Dermatologic surgeons are at increased risk of contracting SARS-COV-2. At time of writing, there is no published standard for the role of pre-operative testing or the use of smoke evacuators, and personal protective equipment (PPE) in dermatologic surgery. Risks and safety measures in otolaryngology, plastic surgery, and ophthalmology are discussed. In Mohs surgery, cases involving nasal or oral mucosa are highest risk for SARS-COV-2 transmission; pre-operative testing and N95 masks should be urgently prioritized for these cases. Other key safety recommendations include strict control of patient droplets and expanded pre-clinic screening. Dermatologic surgeons are encouraged to advocate for appropriate pre-operative tests, smoke evacuators, and PPE. Future directions would include national consensus guidelines with continued refinement of safety protocols.


Subject(s)
Betacoronavirus , Coronavirus Infections/prevention & control , Dermatologists , Occupational Diseases/prevention & control , Pandemics/prevention & control , Pneumonia, Viral/prevention & control , Safety Management/methods , COVID-19 , COVID-19 Testing , Clinical Laboratory Techniques/methods , Coronavirus Infections/diagnosis , Coronavirus Infections/epidemiology , Coronavirus Infections/transmission , Elective Surgical Procedures , Humans , Mohs Surgery/adverse effects , Mohs Surgery/methods , Occupational Diseases/epidemiology , Ophthalmologic Surgical Procedures/methods , Otorhinolaryngologic Surgical Procedures/methods , Personal Protective Equipment , Pneumonia, Viral/diagnosis , Pneumonia, Viral/epidemiology , Pneumonia, Viral/transmission , Preoperative Care , Plastic Surgery Procedures/methods , SARS-CoV-2 , Smoke/prevention & control
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