How Can We Reduce the Use of Nasal Endoscopy in the Outpatient Setting During COVID-19?

Pendolino, Alfonso Luca; Randhawa, Premjit S; Andrews, Peter

doi:10.1177/1945892420939813

Cited by 2 publications

(2 citation statements)

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“…A greater use of less invasive diagnostic procedures where feasible has been advocated. 12 However, there remains a lack of hard data to support these guidelines.…”

Section: Discussionmentioning

confidence: 99%

Risk of disease transmission from flexible nasoendoscopy during the coronavirus disease 2019 pandemic

et al. 2021

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Background Concerns have emerged regarding infection transmission during flexible nasoendoscopy. Methods Information was gathered prospectively on flexible nasoendoscopy procedures performed between March and June 2020. Patients and healthcare workers were followed up to assess for coronavirus disease 2019 development. One-sided 97.5 per cent Poisson confidence intervals were calculated for upper limits of risk where zero events were observed. Results A total of 286 patients were recruited. The most common indication for flexible nasoendoscopy was investigation of ‘red flag’ symptoms (67 per cent). Forty-seven patients (16 per cent, 95 per cent confidence interval = 13–21 per cent) had suspicious findings on flexible nasoendoscopy requiring further investigation. Twenty patients (7.1 per cent, 95 per cent confidence interval = 4.4–11 per cent) had new cancer diagnoses. Zero coronavirus disease 2019 infections were recorded in the 273 patients. No. 27 endoscopists (the doctors and nurses who carried out the procedures) were followed up.The risk of developing coronavirus disease 2019 after flexible nasoendoscopy was determined to be 0–1.3 per cent. Conclusion The risk of coronavirus disease 2019 transmission associated with performing flexible nasoendoscopy in asymptomatic patients, while using appropriate personal protective equipment, is very low. Additional data are required to confirm these findings in the setting of further disease surges.

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“…A greater use of less invasive diagnostic procedures where feasible has been advocated. 12 However, there remains a lack of hard data to support these guidelines.…”

Section: Discussionmentioning

confidence: 99%

Risk of disease transmission from flexible nasoendoscopy during the coronavirus disease 2019 pandemic

et al. 2021

View full text Add to dashboard Cite

show abstract

“…More than 150 sinonasal, skull base, open airway, and endoscopy procedures were performed during the study period, although the aformentioned protocol requires the use of P100 mask, a scarce PPE supply that provides more protection than the commonly used N95 mask. A second letter by Pendolino, et al 18 while concurring to the importance of adequate PPE protection, argues that ENT surgeons need to rely more on patients' symptoms, QoL indices and potentially less invasive objective measurements in order to create an alternative diagnostic picture of the nose, especially for the post-treatment follow-ups. Certainly, with COVID-19 not receding anytime soon, the coping and adapting of our current practice will be an ongoing discussion that will hopefully involve the whole community.…”

Section: The Challenge Arise From Covid-19mentioning

confidence: 99%

Editorial

Zhao

2020

Am J Rhinol�Allergy

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How Can We Reduce the Use of Nasal Endoscopy in the Outpatient Setting During COVID-19?

Cited by 2 publications

References 4 publications

Risk of disease transmission from flexible nasoendoscopy during the coronavirus disease 2019 pandemic

Risk of disease transmission from flexible nasoendoscopy during the coronavirus disease 2019 pandemic

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