Acta Scientific Otolaryngology (ASOL) (ISSN: 2582-5550)

Research Article Volume 3 Issue 12

Otolaryngology and Covid-19: New Guidelines and Triage for Dealing with the Second Wave

Vikas Kakkar1, Akriti Sharma2*, Arun Kumar Sharma3, Rohit Bhardwaj4 and Ritesh Kumar5

1Department of Otorhinolaryngology, SGT Medical College, Hospital and Research Institute, Village Budhera, Gurugram, Haryana, India

2Assistant Professor, Department of Otorhinolaryngology, SGT Medical College, Hospital and Research Institute, Village Budhera, Gurugram, Haryana, India

3Department of Otorhinolaryngology, SGT Medical College, Hospital and Research Institute, Village Budhera, Gurugram, Haryana, India

4Assistant Professor, Department of Otorhinolaryngology, Army College of Medical Sciences and Base Hospital, Delhi, India

5Assistant Professor, Department of Pharmacology, Department of Otorhinolaryngology, SGT Medical College, Hospital and Research Institute, Village Budhera, Gurugram, Haryana, India

*Corresponding Author: Akriti Sharma, Assistant Professor, Department of Otorhinolaryngology, SGT Medical College, Hospital and Research Institute, Village Budhera, Gurugram, Haryana, India.

Received: September 16, 2021; Published: November 18, 2021

Abstract

Purpose: Main aim of the study was to provide fresh guidelines for triage of patients during the second wave of covid-19 pandemic, along with laying emphasis upon the need for taking stricter precautions by the healthcare staff in diagnosis and management of patients during this time. These revised guidelines and recommendations, drafted specifically for ENT procedures, have been shared by us after taking into account recently published literature on the second wave of the COVID-19 pandemic put together with our own experience of managing patients in these unprecedented times.

Methods: The ENT Cochrane, PubMed and Web of Science databases were searched without a time limit using the terms ‘Covid-19 and SARS-CoV-2 in conjunction with ENT surgery and ‘second wave’ in India.

Results: Only absolutely essential and emergent procedures need to be carried out with the use of the highest level of Personal protective equipment comprising of powered air-purifying respirators along with eye protection, fluid resistant gowns and disposable aprons and gloves. As RT-PCR alone cannot be relied upon for diagnosis of covid patients, the diagnosis of covid-19 must be based on a comprehensive evaluation taking clinical and radiological findings into account and every patient must be treated as a covid positive patient unless proved otherwise.

Conclusion: Enhanced level of precautions and revised triage strategies would be of immense help to the ENT surgeon in minimizing the exposure to health care workers and patients during the second wave of the covid-19 pandemic. With an additional burden on the Otolaryngologists due to a sudden rise in cases of Mucormycosis and with increasing mortality amongst doctors, protecting the healthcare staff must be an absolute priority.

 

Keywords: COVID-19; Second Wave; ENT Surgeon; Triage; Precautions

References

  1. Chang D., et al. “Protecting health-care workers from subclinical coronavirus infection”. The Lancet Respiratory Medicine3 (2020): e13.
  2. Why Surgeons Don't Want to Operate Right Now - BNN Bloomberg. BNN (2020).
  3. Pedro S., et al. “Conditions for a Second Wave of COVID-19 Due to Interactions Between Disease Dynamics and Social Processes”. Frontiers in Physics (2020): 8.
  4. Chetterje P. “Gaps in India's preparedness for COVID-19 control”. The Lancet Infectious Diseases5 (2020): 544.
  5. Saraya A. “Indian response to COVID-19: Expertise and transparency”. Indian Journal of Public Health6 (2020): 243.
  6. MoHFW | Home. Mohfw.gov.in (2021).
  7. Ing E., et al. “Physician deaths from corona virus (COVID-19) disease”. Occupational Medicine (Chic Ill)5 (2020): 370-374.
  8. Davies N., et al. “Estimated transmissibility and impact of SARS-CoV-2 lineage B.1.1.7 in England”. Science6538 (2021).
  9. Volz E., et al. “Assessing transmissibility of SARS-CoV-2 lineage B.1.1.7 in England”. Nature7858 (2021): 266-269.
  10. Chen J., et al. “Mutations Strengthened SARS-CoV-2 Infectivity”. Journal of Molecular Biology19 (2020): 5212-5226.
  11. Xu S and Li Y. “Beware of the second wave of COVID-19”. The Lancet10233 (2020): 1321-1322.
  12. Huang C., et al. “Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China”. The Lancet10233 (2020): 497-506.
  13. COVID Live Update: 170,262,216 Cases and 3,540,517 Deaths from the Coronavirus - Worldometer. Worldometers.information (2020).
  14. Bai Y., et al. “Presumed Asymptomatic Carrier Transmission of COVID-19”. JAMA14 (2020): 1406.
  15. Coronavirus Disease 2019 (COVID-19). Centers for Disease Control and Prevention (2021).
  16. Bhardwaj R., et al. “Covid-19 and Ear Surgery: Treatment Strategies and Triage during the Post-lockdown Period”. Indian Journal of Otolaryngology and Head and Neck Surgery (2021).
  17. Wang Y., et al. “Combination of RT‐qPCR testing and clinical features for diagnosis of COVID‐19 facilitates management of SARS‐CoV‐2 outbreak”. Journal of Medical Virology6 (2020): 538-539.
  18. Tay J., et al. “Surgical Considerations for Tracheostomy During the COVID-19 Pandemic”. JAMA Otolaryngology-Head and Neck Surgery6 (2020): 517.
  19. Coronavirus Disease (COVID-19) Situation Reports. WHO International (2021).
  20. Givi B., et al. “Safety Recommendations for Evaluation and Surgery of the Head and Neck During the COVID-19 Pandemic”. JAMA Otolaryngology-Head and Neck Surgery6 (2020): 579.
  21. hps.scot.nhs.uk.https://www.nipcm.hps.scot.nhs.uk/media/1437/2019-02-11-aide-memoire-for-levels-of-personal-protective-equipment-ppe-for-healthcare-workers-for-patient-care.pdf.
  22. Heikkinen T., et al. “Prevalence of Various Respiratory Viruses in the Middle Ear during Acute Otitis Media.” New England Journal of Medicine4 (1999): 260-264.
  23. Jewett D., et al. “Blood-Containing Aerosols Generated by Surgical Techniques: A Possible Infectious Hazard”. American Industrial Hygiene Association Journal4 (1992): 228-231.
  24. Workman A., et al. “Endonasal instrumentation and aerosolization risk in the era of COVID‐19: simulation, literature review, and proposed mitigation strategies”. International Forum of Allergy and Rhinology7 (2020): 798-805.
  25. He F., et al. “Coronavirus disease 2019: What we know?” Journal of Medical Virology7 (2020): 719-725.
  26. Juvekar M and Sarkar B. “Guidelines for otorhinolaryngologists and head neck surgeons in coronavirus disease 2019 pandemic”. The Egyptian Journal of Otolaryngology 37 (2021): 22.

Citation

Citation: Akriti Sharma., et al. “Otolaryngology and Covid-19: New Guidelines and Triage for Dealing with the Second Wave". Acta Scientific Otolaryngology 3.12 (2021): 03-07.

Copyright

Copyright: © 2021 Akriti Sharma., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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