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J Clin Virol ; 146: 105053, 2022 01.
Article in English | MEDLINE | ID: covidwho-1561863


Throughout the ongoing SARS-CoV-2 pandemic, the recommended sample type for initial diagnostic testing for SARS-CoV-2 infection has been a nasopharyngeal swab. Shortages in swabs and difficulties in obtaining nasopharyngeal swabs in certain patient groups has prompted research into alternative specimen types for the diagnosis of COVID-19. The aim of this study was to assess how 'simply collected' saliva along with tongue swabs and buccal swabs preformed as an alternative specimen type for SARS-CoV-2 detection. It was observed that saliva samples allowed for the detection of 85.3% of positive patients, tongue swabs allowed for the detection of 67.6% of positive patients and buccal swabs allowed for detection of 20.8% of positive patients, when compared to nasopharyngeal swabs. From this data, it could be concluded that using simple saliva collection can provide a less invasive and reliable alternative method for the detection of SARS-CoV2 particularly in those patients where invasive sampling is difficult and where regular repeat testing is required.

COVID-19 , SARS-CoV-2 , COVID-19 Testing , Humans , Nasopharynx , RNA, Viral , Saliva , Specimen Handling , Tongue
Ulster Medical Journal ; 89(2):128-128, 2020.
Article in English | GIM | ID: covidwho-972982


This case report describe the clinical course and management of a 37-year-old right hand dominant male sustained a comminuted, displaced midshaft fracture of his left clavicle as the result of a motorcycle accident. He did not incur any other injuries. After discussing the treatment options, a decision was taken to proceed with open reduction and plate fixation of his left clavicular fracture. The procedure was performed under general anaesthesia in the beach chair position. A direct incision was made over the left clavicle and the fracture was exposed and reduced. The fracture was stabilised using a pre-contoured titanium plate with a combination of nonlocking and locking screws. No concerns were reported in the peri-operative period by the anaesthetic team. A routine check x-ray of the left clavicle was obtained the following day which demonstrated an excessively long medial screw. Pneumothorax in relation to clavicular fractures is a well-described preoperative complication existing in the literature. In this case, the patient had a preoperative chest x-ray which did not demonstrate pulmonary trauma and given the excessive difference in length between the most medial screw and the adjacent screw we conclude that the patient incurred an iatrogenic pneumothorax due to surgical error.

Ulster Med J ; 89(2): 128, 2020 09.
Article in English | MEDLINE | ID: covidwho-887877
J Plast Reconstr Aesthet Surg ; 74(2): 407-447, 2021 02.
Article in English | MEDLINE | ID: covidwho-733931


A vascular access device is defined as a catheter inserted into veins allowing fluids and medicines to be delivered intravenously1. The need for such devices in acutely unwell patients has remained steady throughout the COVID-19 pandemic. We describe here our experience of up-skilling the resident plastic surgery and maxillofacial surgical registrars to provide a vascular access service to reduce the workload on our intensive care colleagues. We hope that our practice and an 'all hands on deck' approach to the utilisation of baseline skills within the existing workforce will inform other departments to help ease the burden on critical care departments as we progress through the next stages of the COVID-19 pandemic.

COVID-19 , Surgery, Plastic , Humans , Pandemics , SARS-CoV-2 , Workforce