Khalil Mohammad Ibrahim, Banik Gouri Rani, Mansoor Sarab, Alqahtani Amani S, Rashid Harunor
Department of Surgery, Dhaka Medical College Hospital, Dhaka 1000, Bangladesh.
Clinical Research Unit, The Department of Medicine, University of New South Wales, Sydney 2217, New South Wales, Australia.
World J Clin Cases. 2021 Apr 6;9(10):2170-2180. doi: 10.12998/wjcc.v9.i10.2170.
The exact risk association of coronavirus disease 2019 (COVID-19) for surgeons is not quantified which may be affected by their risk of exposure and individual factors. The objective of this review is to quantify the risk of COVID-19 among surgeons, and explore whether facemask can minimise the risk of COVID-19 among surgeons. A systematised review was carried out by searching MEDLINE to locate items on severe acute respiratory syndrome coronavirus 2 or COVID-19 in relation to health care workers (HCWs) especially those work in surgical specialities including surgical nurses and intensivists. Additionally, systematic reviews that assessed the effectiveness of facemask against viral respiratory infections, including COVID-19, among HCWs were identified. Data from identified articles were abstracted, synthesised and summarised. Fourteen primary studies that provided data on severe acute respiratory syndrome coronavirus 2 infection or experience among surgeons and 11 systematic reviews that provided evidence of the effectiveness of facemask (and other personal protective equipment) were summarised. Although the risk of COVID-19 could not be quantified precisely among surgeons, about 14% of HCWs including surgeons had COVID-19, there could be variations depending on settings. Facemask was found to be somewhat protective against COVID-19, but the HCWs' compliance was highly variable ranging from zero to 100%. Echoing surgical societies' guidelines we continue to recommend facemask use among surgeons to prevent COVID-19.
2019冠状病毒病（COVID-19）对外科医生的确切风险关联尚未量化，这可能受其暴露风险和个体因素影响。本综述的目的是量化外科医生感染COVID-19的风险，并探讨口罩是否能将外科医生感染COVID-19的风险降至最低。通过检索MEDLINE进行系统综述，以查找与医护人员（HCWs）相关的严重急性呼吸综合征冠状病毒2或COVID-19的项目，尤其是从事外科专业工作的人员，包括外科护士和重症监护医生。此外，还确定了评估口罩对包括COVID-19在内的医护人员病毒性呼吸道感染有效性的系统综述。对已识别文章的数据进行提取、综合和总结。总结了14项提供外科医生严重急性呼吸综合征冠状病毒2感染或经历数据的主要研究，以及11项提供口罩（和其他个人防护设备）有效性证据的系统综述。虽然无法精确量化外科医生感染COVID-19的风险，但包括外科医生在内约14%的医护人员感染了COVID-19，具体情况可能因环境而异。发现口罩对COVID-19有一定防护作用，但医护人员的依从性差异很大，从0到100%不等。呼应外科协会的指南，我们继续建议外科医生佩戴口罩以预防COVID-19。
