ABSTRACT
BACKGROUND: It has become clear that healthcare workers are at high risk, and otolaryngology has been theorized to be among the highest risk specialties for coronavirus disease 2019 (COVID-19). The purpose of this study was to detail the international impact of COVID-19 among otolaryngologists, and to identify instructional cases. METHODS: Country representatives of the Young Otolaryngologists-International Federation of Otolaryngologic Societies (YO-IFOS) surveyed otolaryngologists through various channels. Nationwide surveys were distributed in 19 countries. The gray literature and social media channels were searched to identify reported deaths of otolaryngologists from COVID-19. RESULTS: A total of 361 otolaryngologists were identified to have had COVID-19, and data for 325 surgeons was available for analysis. The age range was 25 to 84 years, with one-half under the age of 44 years. There were 24 deaths in the study period, with 83% over age 55 years. Source of infection was likely clinical activity in 175 (54%) cases. Prolonged exposure to a colleague was the source for 37 (11%) surgeons. Six instructional cases were identified where infections occurred during the performance of aerosol-generating operations (tracheostomy, mastoidectomy, epistaxis control, dacryocystorhinostomy, and translabyrinthine resection). In 3 of these cases, multiple operating room attendees were infected, and in 2, the surgeon succumbed to complications of COVID-19. CONCLUSION: The etiology of reported cases within the otolaryngology community appear to stem equally from clinical activity and community spread. Multiple procedures performed by otolaryngologists are aerosol-generating procedures (AGPs) and great care should be taken to protect the surgical team before, during, and after these operations.
Subject(s)
Coronavirus Infections/epidemiology , Otolaryngologists/statistics & numerical data , Pneumonia, Viral/epidemiology , Registries/statistics & numerical data , Surgeons/statistics & numerical data , Adult , Aerosols , Aged , Aged, 80 and over , Betacoronavirus , COVID-19 , Coronavirus Infections/prevention & control , Coronavirus Infections/transmission , Female , Humans , Male , Middle Aged , Occupational Health , Otorhinolaryngologic Surgical Procedures/adverse effects , Otorhinolaryngologic Surgical Procedures/statistics & numerical data , Pandemics/prevention & control , Pneumonia, Viral/prevention & control , Pneumonia, Viral/transmission , SARS-CoV-2 , Surveys and QuestionnairesSubject(s)
History, 19th Century , History, 20th Century , Public Health/history , Disease , ArgentinaSubject(s)
History, 19th Century , History, 20th Century , Public Health/history , Disease , ArgentinaSubject(s)
Disease , History, 19th Century , History, 20th Century , Public Health/history , ArgentinaABSTRACT
Analiza la conformacion de las instituciones dedicadas a la atencion de la salud y la constitucion de la corporacion medica en Mar del Plata. Trata no solo de reconstruir una topografia de esas instituciones, sino de establecer la dinamica en la que se produce su aparicion, senalando, al mismo tiempo, las vinculaciones entre el estado y los sectores privado y publico. Otro aspecto explorado es la aparicion de una corporacion gremial de los medicos, su evolucion y sus problemas.(AU)
