Department of Anaesthesia, Peri-operative Medicine, Pain and Critical Care, Royal Marsden Hospital NHS Foundation Trust, London, UK.
Imperial School of Anaesthesia, London, UK.
Anaesthesia. 2020 Dec;75(12):1648-1658. doi: 10.1111/anae.15221. Epub 2020 Aug 26.
The protection of healthcare workers from the risk of nosocomial severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection is a paramount concern. SARS-CoV-2 is likely to remain endemic and measures to protect healthcare workers against nosocomial infection will need to be maintained. This review aims to inform the assessment and management of the risk of SARS-CoV-2 transmission to healthcare workers involved in elective peri-operative care. In the absence of data specifically related to the risk of SARS-CoV-2 transmission in the peri-operative setting, we explore the evidence-base that exists regarding modes of viral transmission, historical evidence for the risk associated with aerosol-generating procedures and contemporaneous data from the COVID-19 pandemic. We identify a significant lack of data regarding the risk of transmission in the management of elective surgical patients, highlighting the urgent need for further research.
保护医护人员免受医院内严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)感染的风险是当务之急。SARS-CoV-2 可能会持续存在,因此需要采取措施保护医护人员免受医院感染。本综述旨在为评估和管理参与择期围手术期护理的医护人员感染 SARS-CoV-2 的风险提供信息。由于缺乏与围手术期 SARS-CoV-2 传播风险相关的具体数据,我们探讨了有关病毒传播模式、与气溶胶生成程序相关的历史证据以及 COVID-19 大流行期间的当代数据的现有证据。我们发现,关于管理择期手术患者的传播风险的数据严重缺乏,突出表明迫切需要进一步研究。