Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial (ABORL-CCF), São Paulo, SP, Brazil.
Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial (ABORL-CCF), São Paulo, SP, Brazil.
Braz J Otorhinolaryngol. 2020 May-Jun;86(3):273-280. doi: 10.1016/j.bjorl.2020.04.002. Epub 2020 Apr 11.
We are facing a pandemic with a great impact worldwide, as a result of the rapid spread of the novel coronavirus (COVID-19). The medical community is still getting to know behavior of this virus and the consequences from a population point of view. All this knowledge is extremely dynamic, so some behaviors are still not well established. Otorhinolaryngologists have a central role in the management of this situation, in which they must assess the patient, avoid contamination to and by health professionals and other patients. Thus, the recommendations of the Brazilian Association of Otorhinolaryngology and Cervical-Facial Surgery (ABORL-CCF) have the main objective of reducing the spread of the new coronavirus during otorhinolaryngological care and assisting in the management of these patients.
Review of the main recommendations of national and international scientific societies, decisions by government agencies and class councils. The topics will be related to the general aspects of COVID-19, personal protective equipment, care in patient assistance, endoscopic exam routines and the management of sinonasal, otological and pediatric evaluations related to COVID-19.
The use of personal protective equipment is considered crucial in routine ENT care. We recommend postponing appointments, exams and elective surgeries to reduce the spread of COVID-19. Similarly, we recommend changing routines in several areas of otolaryngology. Additionally, guidance is provided on the use of telemedicine resources during the pandemic period.
We are still at the beginning of the COVID-19 pandemic and scientific evidence is still scarce and incomplete, so these ABORL-CCF recommendations for otorhinolaryngologists may be updated based on new knowledge and the pattern of the new coronavirus spread.
我们正面临着一场全球性的大流行，这是由新型冠状病毒（COVID-19）的快速传播引起的。医学界仍在了解这种病毒的行为及其对人群的影响。所有这些知识都是极其动态的，因此一些行为还没有得到很好的建立。耳鼻喉科医生在这种情况下的管理中起着核心作用，他们必须评估患者，避免医护人员和其他患者受到污染。因此，巴西耳鼻喉科学会（ABORL-CCF）的建议主要目的是减少新型冠状病毒在耳鼻喉科护理过程中的传播，并协助这些患者的管理。
回顾了国家和国际科学协会的主要建议、政府机构和委员会的决定。这些主题将与 COVID-19 的一般方面、个人防护设备、患者援助中的护理、内窥镜检查常规以及与 COVID-19 相关的鼻旁窦、耳科和儿科评估的管理有关。
在常规耳鼻喉科护理中，使用个人防护设备被认为是至关重要的。我们建议推迟预约、检查和选择性手术，以减少 COVID-19 的传播。同样，我们建议在耳鼻喉科的几个领域改变常规。此外，还提供了在大流行期间使用远程医疗资源的指导。
我们仍处于 COVID-19 大流行的初期，科学证据仍然稀缺且不完整，因此，这些 ABORL-CCF 对耳鼻喉科医生的建议可能会根据新的知识和新型冠状病毒传播的模式进行更新。
