Gochicoa-Rangel Laura, Torre-Bouscoulet Luis, Salles Rojas Antonio, Guzmán-Valderrábano Carlos, Silva-Cerón Mónica, Benítez-Pérez Rosaura E, Salas-Escamilla Isabel, Madrid-Mejía Wilmer, Grosso-Espinosa Juan M
Department of Respiratory Physiology, Instituto Nacional de Enfermedades Respiratorias "Ismael Cosío Villegas", Mexico City, Mexico.
Laboratory of Pulmonary Function Tests, Instituto de Desarrollo e Innovación en Fisiología Respiratoria, Mexico City, Mexico.
Rev Invest Clin. 2020 May 7. doi: 10.24875/RIC.20000250.
The pandemic character of coronavirus disease-19 (COVID-19) requires strategy changes designed to guarantee the safety of patients and health-care professionals. We are greatly concerned by the limitations in the operation of pulmonary function test (PFT) laboratories, since there is a high risk of disease progression in patients with chronic pulmonary diseases, and we are now faced by the influx of a new group of individuals in the recovery phase of post-COVID-19-syndrome that requires evaluation and follow-up of their respiratory function. To reestablish the operation of PFT laboratories limiting the risk of cross-contamination, we herein present the consensus reached by a group of experts in respiratory physiology, most of whom work in PFT laboratories in several Latin American countries, on the applicable recommendations for severe acute respiratory syndrome coronavirus 2 pneumonia survivors when undergoing PFT. We present the safety and hygiene measures that must be adopted in laboratories or centers where PFT is conducted in adults and/or children. These recommendations answer the following questions: which PFT is most recommended in subjects that have recovered from COVID-19; what quality control and safety measures should PFT laboratories implement during this pandemic? And how should we approach non-COVID-19 patients requiring PFT?
新型冠状病毒肺炎（COVID-19）的大流行特性要求改变策略，以确保患者和医护人员的安全。我们对肺功能测试（PFT）实验室的运行受限深感担忧，因为慢性肺病患者病情进展的风险很高，而且我们现在面临着一批处于COVID-19后综合征康复阶段的新人群，需要对他们的呼吸功能进行评估和随访。为了在限制交叉污染风险的情况下重新开展PFT实验室的工作，我们在此介绍了一组呼吸生理学专家达成的共识，他们中的大多数人在几个拉丁美洲国家的PFT实验室工作，内容是关于严重急性呼吸综合征冠状病毒2肺炎幸存者在进行PFT时的适用建议。我们介绍了在成人和/或儿童进行PFT的实验室或中心必须采取的安全和卫生措施。这些建议回答了以下问题：对于从COVID-19中康复的受试者，最推荐哪种PFT；在此次大流行期间，PFT实验室应实施哪些质量控制和安全措施？以及我们应该如何处理需要进行PFT的非COVID-19患者？
