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全球主要眼科学会关于新型冠状病毒肺炎(SARS-CoV-2)的建议差异。

Differences in SARS-CoV-2 recommendations from major ophthalmology societies worldwide.

作者信息

Nguyen Anne X, Gervasio Kalla A, Wu Albert Y

机构信息

Faculty of Medicine, McGill University, Montreal, Quebec, Canada.

Department of Ophthalmology, Wills Eye Hospital, Philadelphia, Pennsylvania, USA.

出版信息

BMJ Open Ophthalmol. 2020 Jul 7;5(1):e000525. doi: 10.1136/bmjophth-2020-000525. eCollection 2020.

Abstract

OBJECTIVE

Since the WHO declared the COVID-19 outbreak as a public health emergency, medical societies around the world published COVID-19 recommendations to physicians to ensure patient care and physician safety. During this pandemic, ophthalmologists around the world adapted their clinical and surgical practice following such guidelines. This original research examines all publicly available COVID-19 recommendations from twelve major ophthalmology societies around the world.

METHODS AND ANALYSIS

Twelve ophthalmology societies recognised by the International Council of Ophthalmology were included in this study. One society per each WHO region was included: the society selected was the one who had the highest number of national COVID-19 confirmed cases on 11 May 2020. In addition to these countries, the major ophthalmology society in each G7 country was included.

RESULTS

Ten out of 12 major international ophthalmology societies from countries covering all six WHO regions have given recommendations regarding urgent patient care, social distancing, telemedicine and personal protective equipment when caring for ophthalmic patients during the COVID-19 pandemic. While all guidelines emphasise the importance of postponing non-urgent care and taking necessary safety measures, specific recommendations differ between countries.

CONCLUSIONS

As there is no clear consensus on ophthalmology guidelines across countries, this paper highlights the differences in international ophthalmic care recommendations during the COVID-19 pandemic. Knowledge of the differences in ophthalmic management plans will allow ophthalmologists and all eye care providers to consider the variety of international approaches and apply best practices following evidence-based recommendations during pandemics.

摘要

目的

自世界卫生组织宣布新冠疫情为突发公共卫生事件以来,全球医学协会纷纷向医生发布新冠疫情相关建议,以确保患者护理和医生安全。在这场大流行期间,世界各地的眼科医生遵循这些指南调整了他们的临床和手术实践。本原创研究审视了全球12个主要眼科协会发布的所有公开可用的新冠疫情相关建议。

方法与分析

本研究纳入了国际眼科理事会认可的12个眼科协会。每个世界卫生组织区域纳入一个协会:所选协会为2020年5月11日新冠确诊病例数最多的协会。除这些国家外,还纳入了每个七国集团国家的主要眼科协会。

结果

来自涵盖世界卫生组织所有六个区域的国家的12个主要国际眼科协会中,有10个就新冠疫情期间护理眼科患者时的紧急患者护理、社交距离、远程医疗和个人防护装备给出了建议。虽然所有指南都强调推迟非紧急护理和采取必要安全措施的重要性,但不同国家的具体建议有所不同。

结论

由于各国在眼科指南方面没有明确的共识,本文强调了新冠疫情期间国际眼科护理建议的差异。了解眼科管理计划的差异将使眼科医生和所有眼保健提供者能够考虑各种国际方法,并在大流行期间遵循循证建议应用最佳实践。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cbb/7342824/d839df1b7b6a/bmjophth-2020-000525f01.jpg

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