Thoracic surgery during the coronavirus disease 2019 (COVID-19) pandemic in Madrid, Spain: single-centre report

Abstract OBJECTIVES We reviewed the incidence of coronavirus disease 2019 cases and the postoperative outcomes of patients who had thoracic surgery during the beginning and at the highest point of transmission in our community. METHODS We retrospectively reviewed patients who had undergone elective thoracic surgery from 12 February 2020 to 30 April 2020 and were symptomatic or tested positive for severe acute respiratory syndrome coronavirus 2 infection within 14 days after surgery, with a focus on their complications and potential deaths. RESULTS Out of 101 surgical procedures, including 57 primary oncological resections, 6 lung transplants and 18 emergency procedures, only 5 cases of coronavirus disease 2019 were identified, 3 in the immediate postoperative period and 2 as outpatients. All 5 patients had cancer; the median age was 64 years. The main virus-related symptom was fever (80%), and the median onset of coronavirus disease 2019 was 3 days. Although 80% of the patients who had positive test results for severe acute respiratory syndrome coronavirus 2 required in-hospital care, none of them were considered severe or critical and none died. CONCLUSIONS These results indicate that, in properly selected cases, with short preoperative in-hospital stays, strict isolation and infection control protocols, managed by a dedicated multidisciplinary team, a surgical procedure could be performed with a relatively low risk for the patient.

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Video-Assisted Thoracic Surgery (VATS) Talc Pleurodesis Versus Pleurectomy for Primary Spontaneous Pneumothorax: A Large Single-Centre Study with No Conversion

World Journal of Surgery ◽

10.1007/s00268-019-05001-2 ◽

2019 ◽

Vol 43 (8) ◽

pp. 2099-2105 ◽

Cited By ~ 1

Author(s):

Harish Mithiran ◽

Lowell Leow ◽

Kingsfield Ong ◽

Terence Liew ◽

Daveraj Siva ◽

...

Keyword(s):

Thoracic Surgery ◽

Spontaneous Pneumothorax ◽

Primary Spontaneous Pneumothorax ◽

Single Centre ◽

Talc Pleurodesis ◽

No Conversion ◽

Centre Study ◽

Video Assisted Thoracic Surgery ◽

Video Assisted ◽

Single Centre Study

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Evolution of severe acute respiratory syndrome coronavirus 2 RNA test results in a patient with fatal coronavirus disease 2019: a case report

Human Pathology ◽

10.1016/j.humpath.2020.04.015 ◽

2020 ◽

Vol 101 ◽

pp. 82-88 ◽

Cited By ~ 2

Author(s):

Chen Shao ◽

Hui Liu ◽

Lingjia Meng ◽

Lin Sun ◽

Yankun Wang ◽

...

Keyword(s):

Case Report ◽

Severe Acute Respiratory Syndrome ◽

Test Results

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Hospital-Acquired Myiasis

Infection Control ◽

10.1017/s019594170005325x ◽

1980 ◽

Vol 1 (5) ◽

pp. 319-320 ◽

Cited By ~ 13

Author(s):

Jay A. Jacobson ◽

Robert L. Kolts ◽

Marlyn Conti ◽

John P. Burke

Keyword(s):

Infection Control ◽

Thoracic Surgery ◽

Operating Room ◽

The Other ◽

Tissue Destruction ◽

Access Site ◽

Control Programs ◽

Hospital Acquired ◽

Unusual Problem ◽

Environmental Access

AbstractIn three years we encountered two patients with hospital-acquired myiasis, a rarely reported nosocomial problem. Both patients were elderly and had lengthy thoracic surgery in August in the same operating room. Larvae removed from the nares of one patient and from the chest incision of the other were of the same species, Phaenicia serricata. There was no evidence of tissue destruction or invasion in either case. Investigation revealed several factors that contributed to the presence of flies in the operating room. After a presumed environmental access site was closed and insecticide spraying was augmented, no additional cases occurred. This experience illustrates an unusual problem that may confront those responsible for infection control programs.

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Coronavirus and Its Impact on Dental Fraternity

Journal of Health and Allied Sciences NU ◽

10.1055/s-0040-1713835 ◽

2020 ◽

Vol 10 (02) ◽

pp. 49-56

Author(s):

Krishna Prasad D ◽

Anupama Prasad D ◽

Mayank Kumar Parakh

Keyword(s):

Severe Acute Respiratory Syndrome ◽

Personal Protective Equipment ◽

Close Contact ◽

Protective Equipment ◽

Emergency Procedures ◽

Current Vaccine ◽

The World ◽

Global Threat ◽

Respiratory Hygiene ◽

High Infectivity

AbstractThe coronavirus disease-2019 (COVID-19) is a pandemic the world is currently facing head on. It is a viral infection caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). No current vaccine is available nor a curative treatment option is available at present, thus making it even more important to prevent the disease. Since dentists are in very close contact with their patients and there is aerosol production in various dental treatments, they are at a heightened risk of contracting the disease. To prevent the disease, strict hand and respiratory hygiene needs to be followed. Personal protective equipment should be used for any emergency procedures and thorough history must be taken of every patient. Digitalization of seminars and classes has been adopted by various dental institutions. With high infectivity of the virus, social distancing and stringent prevention protocols can help in controlling this severe global threat.

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Lessons from Severe Acute Respiratory Syndrome (SARS): Implications for Infection Control

Archives of Medical Research ◽

10.1016/j.arcmed.2005.03.040 ◽

2005 ◽

Vol 36 (6) ◽

pp. 610-616 ◽

Cited By ~ 23

Author(s):

Richard P. Wenzel ◽

Gonzalo Bearman ◽

Michael B. Edmond

Keyword(s):

Severe Acute Respiratory Syndrome ◽

Infection Control

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Factors Associated With Critical-Care Healthcare Workers' Adherence to Recommended Barrier Precautions During the Toronto Severe Acute Respiratory Syndrome Outbreak

Infection Control and Hospital Epidemiology ◽

10.1086/521661 ◽

2007 ◽

Vol 28 (11) ◽

pp. 1275-1283 ◽

Cited By ~ 29

Author(s):

A. Shigayeva ◽

K. Green ◽

J. M. Raboud ◽

B. Henry ◽

A. E. Simor ◽

...

Keyword(s):

Severe Acute Respiratory Syndrome ◽

Infection Control ◽

Healthcare Workers ◽

Apache Ii ◽

Recent Infection ◽

Factors Associated ◽

Interactive Training ◽

Two Factors ◽

Score Apache ◽

Self Protection

Objective.To assess factors associated with adherence to recommended barrier precautions among healthcare workers (HCWs) providing care to critically ill patients with severe acute respiratory syndrome (SARS).Setting.Fifteen acute care hospitals in Ontario, CanadaDesign.Retrospective cohort study.Patients.All patients with SARS who required intubation during the Toronto SARS outbreak in 2003.Participants.HCWS who provided care to or entered the room of a SARS patient during the period from 24 hours before intubation until 4 hours after intubation.Methods.Standardized interviews were conducted with eligible HCWs to assess their interactions with the SARS patient, their use of barrier precautions, their practices for removing personal protective equipment, and the infection control training they received.Results.Of 879 eligible HCWs, 795 (90%) participated. In multivariate analysis, the following predictors of consistent adherence to recommended barrier precautions were identified: recognition of the patient as a SARS case (odds ratio [OR], 2.5 [95% confidence interval {CI}, 1.5-4.5); recent infection control training (OR for interactive training, 2.7 [95% CI, 1.7-4.4]; OR for passive training, 1.7 [95% CI, 1.0-3.0]), and working in a SARS unit (OR, 4.0 [95% CI, 1.8-8.9]) or intensive care unit (OR, 4.3 [95% CI, 2.0-9.0]). Two factors were associated with significantly lower rates of consistent adherence: the provision of care for patients with higher Acute Physiology and Chronic Health Evaluation (APACHE) II scores (OR for score APACHE II of 20 or greater, 0.4 [95% CI, 0.28-0.68]) and work on shifts that required more frequent room entry (OR for 6 or more entries per shift, 0.5 [95% CI, 0.32-0.86]).Conclusions.There were significant deficits in knowledge about self-protection that were partially corrected by education programs during the SARS outbreak. HCWs' adherence to self-protection guidelines was most closely associated with whether they provided care to patients who had received a definite diagnosis of SARS.

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Nosocomial Acquisition of Methicillin-ResistantStaphylococcus aureusDuring an Outbreak of Severe Acute Respiratory Syndrome

Infection Control and Hospital Epidemiology ◽

10.1086/502516 ◽

2005 ◽

Vol 26 (2) ◽

pp. 134-137 ◽

Cited By ~ 6

Author(s):

Susan M. Poutanen ◽

Mary Vearncombe ◽

Allison J. McGeer ◽

Michael Gardam ◽

Grant Large ◽

...

Keyword(s):

Severe Acute Respiratory Syndrome ◽

Infection Control ◽

Retrospective Cohort ◽

Healthcare Workers ◽

Community Hospital ◽

Tertiary Care ◽

Appropriate Use ◽

Contact Precautions ◽

Control Education ◽

Tertiary Care Hospitals

AbstractObjective:The four hospitals assessed in this study use active surveillance cultures for methicillin-resistantStaphylococcus aureus(MRSA) and contact precautions for MRSA-positive patients as part of routine infection control practices. The objective of this study was to determine whether nosocomial acquisition of MRSA decreased in these hospitals during an outbreak of severe acute respiratory syndrome (SARS) when barrier precautions were routinely used for all patients.Design:Retrospective cohort study.Setting:Three tertiary-care hospitals (a 1,100-bed hospital; a 500-bed hospital; and an 823-bed hospital) and a 430-bed community hospital, each located in Toronto, Ontario, Canada.Patients:All admitted patients were included.Results:The nosocomial rate of MRSA in all four hospitals combined during the SARS outbreak (3.7 per 10,000 patient-days) was not significantly different from that before (4.7 per 10,000 patient-days) or after (3.4 per 10,000 patient-days) the outbreak (P= .30 andP= .76, respectively). The nosocomial rate of MRSA after the outbreak was significantly lower than that before the outbreak (P= .003). Inappropriate reuse of gloves and gowns and failure to wash hands between patients on non-SARS wards were observed during the outbreak. Increased attention was paid to infection control education following the outbreak.Conclusions:Inappropriate reuse of gloves and gowns and failure to wash hands between patients may have contributed to transmission of MRSA during the SARS outbreak. Attention should be paid to training healthcare workers regarding the appropriate use of precautions as a means to protect themselves and patients.

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