Pediatric Otolaryngology Divisional and Institutional Preparatory Response at Seattle Children’s Hospital after COVID‐19 Regional Exposure

Parikh, Sanjay R.; Bly, Randall A.; Bonilla-Vélez, Juliana; Dahl, John P.; Evans, Sean; Horn, David L.; Johnson, Kaalan; Manning, Scott C.; Ou, Henry C.; Pattisapu, Prasanth; Perkins, Jonathan A.; Sie, Kathleen C.Y.

doi:10.1177/0194599820919748

Cited by 23 publications

(38 citation statements)

References 2 publications

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“…Considering the constant antigenic changes of the influenza virus and the ability of swine and avian subtypes to infect humans, the risk of occurrence of a new epidemic or pandemic of influenza, similar to the 1918 pandemic, is highly predictable [ 18 , 19 ]. SARS-CoC-2 infection often occurs without any specific upper respiratory tract symptoms, and distinguishing it from other similar diseases is one of the main challenges in this disease [ 20 ]. In this regard, influenza infection may have similar symptoms to COVID-19 in different aspects [ 21 ].…”

Section: Introductionmentioning

confidence: 99%

Immunopathological similarities between COVID-19 and influenza: Investigating the consequences of Co-infection

Khorramdelazad

Kazemi

Najafi

et al. 2021

Microbial Pathogenesis

100

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Coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has been a global public health emergency since December 2019, and so far, more than 980,000 people (until September 24, 2020) around the world have died. SARS-CoV-2 mimics the influenza virus regarding methods and modes of transmission, clinical features, related immune responses, and seasonal coincidence. Accordingly, co-infection by these viruses is imaginable because some studies have reported several cases with SARS-CoV-2 and influenza virus co-infection. Given the importance of the mentioned co-infection and the coming influenza season, it is essential to recognize the similarities and differences between the symptoms and pathogenesis of these two viruses and immunopathogenesis and treatment of SARS-CoV-2 and influenza virus. Therefore, we reviewed the virology, clinical features, and immunopathogenesis of both influenza virus and SARS-CoV-2 and evaluated outcomes in cases with SARS-CoV-2 and influenza virus co-infection.

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Section: Introductionmentioning

confidence: 99%

Immunopathological similarities between COVID-19 and influenza: Investigating the consequences of Co-infection

Khorramdelazad

Kazemi

Najafi

et al. 2021

Microbial Pathogenesis

100

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“…7,8 Several otolaryngology divisions and departments have documented their subjective response to this changing landscape, but little objective measurement on COVID-19's impact has been reported. 9,10 Herein, we discuss the affect that COVID-19 has had on our institution. The primary objectives were to examine the quantitative change in patient visits, as well as the modality in which they were completed, over the first month of the virus's impact within the United States, in comparison with the prior year.…”

mentioning

confidence: 99%

Outpatient Otolaryngology in the Era of COVID‐19: A Data‐Driven Analysis of Practice Patterns

Kasle

Torabi

Savoca

et al. 2020

Otolaryngol.--head neck surg.

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Introduction Coronavirus disease 2019 (COVID-19) has induced a prioritization of acute care and telehealth, affecting the quantity of patients seen and the modality of their care. Study Design Retrospective review. Setting Single-institution study conducted within the Division of Otolaryngology at the Yale School of Medicine. Subjects and Methods Data on all outpatient appointments within the Division of Otolaryngology were obtained from administrative records of billing and scheduling from March 16 to April 10, 2020. For comparison, a corresponding period from 2019 was also utilized. Results Of 5913 scheduled visits, 3665 (62.0%) were seen between March 18 and April 12, 2019, in comparison with 649 of 5044 (12.9%) during the corresponding COVID-19–affected period. The majority of completed visits performed in weeks 1 and 2 were in person, while the majority in weeks 3 and 4 were via telehealth. Among subspecialties, a larger proportion of completed visits in 2020 were performed by pediatric and head and neck oncology otolaryngologists as compared with general/specialty otolaryngologists ( P < .001). Older adults (≥65 years) were less likely to have telehealth visits than younger adults (18-64 years; 45.6% vs 59.6%, P = .003). Conclusions A major decrease in the completion rates of scheduled visits was seen in the COVID-19–affected period, though this was not proportional among subspecialties. An associated increase in telehealth visits was observed. After COVID-19–related hospital policy changes, approximately 2 weeks passed before telehealth visits surpassed in-person visits, though this was not true among older adults.

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“…35,38 (d) Choosing anesthetic gels over anesthetic sprays, and ensuring adequate surface anesthesia to reduce cough and sneeze reflexes. 33 (e) Practicing high-level disinfection of the endoscopes and decontamination of all surface areas of the examination room 28,36.…”

mentioning

confidence: 99%

Head and Neck Practice in the COVID-19 Pandemics Today: A Rapid Systematic Review

Hojaij

Chinelatto

Boog

et al. 2020

Int Arch Otorhinolaryngol

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Introduction Head and neck specialists and otorhinolaryngologists are greatly exposed to coronavirus disease 2019 (COVID-19) transmission in their everyday praxis. Many articles are being published regarding medical staff protection and patient management during the pandemic. Objective To provide an easy access to and a trustful review of the main aspects that have changed in the head and neck surgery and otorhinolaryngology practice due to the COVID-19 pandemic. Data Synthesis The search terms used were: (head and neck or otorhinolaryngology or ORL or thyroid) AND (severe acute respiratory syndrome coronavirus 2 [SARS-COV-2] or COVID-19 or CORONAVIRUS). The results were limited to the year of 2020. Articles were read in English, Portuguese, French, German, and Spanish or translated from Chinese. All included articles were read by at least two authors. Thirty-five articles were included. Most articles suggest postponing elective surgeries, with exception to cancer surgeries, which should be evaluated separately. Twenty-five articles recommended some kind of screening prior to surgery, using polymerase chain reaction (PCR) tests and epidemiological data. Extra precautions, such as use of personal protective equipment (PPE), are suggested for both tracheostomies and endoscopies. Fifteen articles give recommendation on how to use telemedicine. Conclusion The use of PPE (N95 or powered air-purifying respirator [PAPR]) during procedures should be mandatory. Patients should be evaluated about their COVID-19 status before hospital admission. Cancer should be treated. Tracheostomy tube cuff should be inflated inside the tracheal incision. All COVID-19 precautions should be kept until there is a validated antiviral treatment or an available vaccine.

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Pediatric Otolaryngology Divisional and Institutional Preparatory Response at Seattle Children’s Hospital after COVID‐19 Regional Exposure

Cited by 23 publications

References 2 publications

Immunopathological similarities between COVID-19 and influenza: Investigating the consequences of Co-infection

Immunopathological similarities between COVID-19 and influenza: Investigating the consequences of Co-infection

Outpatient Otolaryngology in the Era of COVID‐19: A Data‐Driven Analysis of Practice Patterns

Head and Neck Practice in the COVID-19 Pandemics Today: A Rapid Systematic Review

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