Silva Leonardo Emilio, Cohen Ricardo Vitor, Rocha Jaime Luis Lopes, Hassel Viviane Maria Carvalho, VON-Bahten Luiz Carlos
- Federal University of Goiás, Faculty of Medicine, Department of Surgery - Goiânia - GO - Brazil.
- Colégio Brasileiro de Surgeons, Bariatric and Metabolic Surgery Section - Rio de Janeiro - RJ - Brazil.
Rev Col Bras Cir. 2020 Jun 12;47:e20202649. doi: 10.1590/0100-6991e-20202649. eCollection 2020.
The new coronavirus (SARS-CoV-2) pandemic has been wreaking havoc all over the planet. In a precautionary measure, populations have been forced and kept under quarantine to contain the outbreak of the COVID-19 disease. The quarantine primary goal is to avoid the overload to the hospitals, which should be available for the care of COVID-19 patients. However, the virus does not have a uniform spread throughout the planet, and Brazil is no different. Although all the world's attention is now on the COVID-19 pandemic, there is no similar pattern of spread, and other diseases are still a real problem. Given the risks of transmission between patients and healthcare providers, there is a great challenge for healthcare institutions who must balance resources to assure safe care to patients and professionals while they take care of other disease patients, and perform surgical procedures that need to be carried out. Under such circumstances, as COVID-19 can also present pre- or asymptomatic transmission, it can be challenging to identify patients who are carrying and spreading the virus. Studies and information on mandatory testing for who are candidates to undergo elective surgery are scarce. Thus, the authors have reviewed the literature, and discuss the need to test these patients under the current context.
新型冠状病毒（SARS-CoV-2）大流行一直在全球肆虐。作为一项预防措施，人们被迫进行隔离并持续处于隔离状态，以遏制新型冠状病毒肺炎（COVID-19）疾病的爆发。隔离的主要目标是避免医院不堪重负，以便医院能够为COVID-19患者提供救治。然而，该病毒在全球的传播并不均匀，巴西也不例外。尽管目前全世界的注意力都集中在COVID-19大流行上，但病毒传播并没有类似的模式，其他疾病仍然是一个现实问题。鉴于患者与医护人员之间存在传播风险，医疗机构面临巨大挑战，它们必须平衡资源，以便在照顾其他疾病患者并进行必要外科手术的同时，确保为患者和专业人员提供安全的护理。在这种情况下，由于COVID-19也可能存在前驱或无症状传播，识别携带和传播病毒的患者可能具有挑战性。关于对择期手术候选人进行强制检测的研究和信息很少。因此，作者回顾了文献，并讨论了在当前背景下对这些患者进行检测的必要性。
