Reintroduction of elective paediatric otolaryngology procedures in South Africa during the COVID-19 pandemic.
S Afr Med J
; 110(7): 601-604, 2020 06 02.
Article
in English
| MEDLINE | ID: covidwho-994140
ABSTRACT
Cancelling elective clinical consultations and surgical procedures was instrumental in assisting hospitals prepare for the COVID-19 crisis. Essential bed space was made available, and it allowed mobilisation of health workers and enforced social distancing. A shift in patient-centred ethics to public health ethics was required to provide a utilitarian approach to the crisis. However, at some point, clinicians need to start becoming patient centred again, and this needs to happen within the utilitarian framework. Children only account for 1 - 5% of confirmed COVID-19 cases, and they present with a much milder disease spectrum than adults. Consequently, paediatric units may be at the forefront of implementing reintroduction of patient-centred elective clinical and surgical procedures. The following recommendations provide a framework to do this in a way that minimises risk to patients and clinicians. They are the first paediatric guidelines in the literature to propose a strategy to reintroduce elective surgical procedures.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Pneumonia, Viral
/
Otorhinolaryngologic Surgical Procedures
/
Infection Control
/
Practice Guidelines as Topic
/
Elective Surgical Procedures
/
Coronavirus Infections
/
Pandemics
Type of study:
Observational study
/
Prognostic study
Limits:
Adult
/
Child
/
Child, preschool
/
Female
/
Humans
/
Male
Country/Region as subject:
Africa
Language:
English
Journal:
S Afr Med J
Year:
2020
Document Type:
Article
Affiliation country:
SAMJ.2020.v110i7.14859
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