Department of ENT, Birmingham Heartlands Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
J Laryngol Otol. 2021 Mar;135(3):191-195. doi: 10.1017/S0022215121000554. Epub 2021 Feb 17.
The global pandemic of coronavirus disease 2019 has necessitated changes to 'usual' ways of practice in otolaryngology, with a view towards out-patient or ambulatory management of appropriate conditions. This paper reviews the available evidence for out-patient management of three of the most common causes for emergency referral to the otolaryngology team: tonsillitis, peri-tonsillar abscess and epistaxis.
A literature review was performed, searching all available online databases and resources. The Medical Subject Headings 'tonsillitis', 'pharyngotonsillitis', 'quinsy', 'peritonsillar abscess' and 'epistaxis' were used. Papers discussing out-patient management were reviewed by the authors.
Out-patient and ambulatory pathways for tonsillitis and peritonsillar abscess are well described for patients meeting appropriate criteria. Safe discharge of select patients is safe and should be encouraged in the current clinical climate. Safe discharge of patients with epistaxis who have bleeding controlled is also well described.
In select cases, tonsillitis, quinsy and epistaxis patients can be safely managed out of hospital, with low re-admission rates.
2019 年冠状病毒病的全球大流行使得耳鼻喉科的“常规”实践方式发生了改变，以便对适当的疾病进行门诊或流动管理。本文回顾了门诊管理三种最常见的耳鼻喉科急诊转诊原因的可用证据：扁桃体炎、扁桃体周脓肿和鼻出血。
进行了文献回顾，搜索了所有可用的在线数据库和资源。使用了主题词“扁桃体炎”、“咽扁桃体炎”、“悬雍垂脓肿”、“扁桃体周脓肿”和“鼻出血”。由作者对讨论门诊管理的论文进行了审查。
对于符合适当标准的患者，扁桃体炎和扁桃体周脓肿的门诊和流动途径已有详细描述。在当前的临床环境下，安全出院符合条件的患者是安全的，应予以鼓励。对于出血已得到控制的鼻出血患者，也有安全出院的详细描述。
在某些情况下，可以安全地在医院外管理扁桃体炎、悬雍垂脓肿和鼻出血患者，再入院率较低。
