Your browser doesn't support javascript.
An environmental study of tracheostomy on eight COVID-19 patients.
Xu, Kai; Zhang, Xin-Hao; Long, Xiao-Bo; Lu, Xiang; Liu, Zheng.
  • Xu K; Department of Otorhinolaryngology Head and Neck Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
  • Zhang XH; Department of Otorhinolaryngology Head and Neck Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
  • Long XB; Department of Otorhinolaryngology Head and Neck Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
  • Lu X; Department of Otorhinolaryngology Head and Neck Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China. luxiangent@hotmail.com.
  • Liu Z; Department of Otorhinolaryngology Head and Neck Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China. zhengliuent1@hotmail.com.
J Otolaryngol Head Neck Surg ; 50(1): 3, 2021 Jan 18.
Artículo en Inglés | MEDLINE | ID: covidwho-1059689
ABSTRACT

BACKGROUND:

Tracheostomy, as an aerosol-generating procedure, is considered as a high-risk surgery for health care workers (HCWs) during the coronavirus disease (COVID-19) pandemic. Current recommendations are to perform tracheostomy after a period of intubation of > 14 days, with two consecutive negative throat swab tests, to lower the risk of contamination to HCWs. However, specific data for this recommendation are lacking. Therefore, this study aimed to evaluate viral shedding into the environment, including HCWs, associated with bedside tracheostomy in the intensive care unit.

METHODS:

Samples obtained from the medical environment immediately after tracheostomy, including those from 19 surfaces, two air samples at 10 and 50 cm from the surgical site, and from the personal protective equipment (PPE) of the surgeon and assistant, were tested for the presence of severe acute respiratory syndrome coronavirus 2 in eight cases of bedside tracheostomy. We evaluated the rate of positive tests from the different samples obtained.

RESULTS:

Positive samples were identified in only one of the eight cases. These were obtained for the air sample at 10 cm and from the bed handrail and urine bag. There were no positive test results from the PPE samples. The patient with positive samples had undergone early tracheostomy, at 9 days after intubation, due to a comorbidity.

CONCLUSIONS:

Our preliminary results indicate that delayed tracheostomy, after an extended period of endotracheal intubation, might be a considerably less contagious procedure than early tracheostomy (defined as < 14 days after intubation).
Asunto(s)
Palabras clave

Texto completo: Disponible Colección: Bases de datos internacionales Base de datos: MEDLINE Asunto principal: Traqueostomía / Contaminación de Equipos / Esparcimiento de Virus / Microbiología del Aire / SARS-CoV-2 / Unidades de Cuidados Intensivos Tipo de estudio: Reporte de caso / Estudio experimental / Estudio pronóstico Límite: Anciano / Femenino / Humanos / Masculino / Middle aged Idioma: Inglés Revista: J Otolaryngol Head Neck Surg Asunto de la revista: Otorrinolaringologia Año: 2021 Tipo del documento: Artículo País de afiliación: S40463-021-00494-1

Similares

MEDLINE

...
LILACS

LIS


Texto completo: Disponible Colección: Bases de datos internacionales Base de datos: MEDLINE Asunto principal: Traqueostomía / Contaminación de Equipos / Esparcimiento de Virus / Microbiología del Aire / SARS-CoV-2 / Unidades de Cuidados Intensivos Tipo de estudio: Reporte de caso / Estudio experimental / Estudio pronóstico Límite: Anciano / Femenino / Humanos / Masculino / Middle aged Idioma: Inglés Revista: J Otolaryngol Head Neck Surg Asunto de la revista: Otorrinolaringologia Año: 2021 Tipo del documento: Artículo País de afiliación: S40463-021-00494-1