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COVID-19 时代肺功能实验室的建议。

Recommendations for pulmonary function laboratories in the COVID-19 era.

作者信息

Rodríguez Moncalvo Juan J, Brea Folco Javier C, Arce Santiago C, Baldasaria Roque A, López Jove Orlando, Marcos Miriam G, Di Bartolo Carlos G

机构信息

Sección Fisiopatología Respiratoria y Laboratorio Pulmonar, Asociación Argentina de Medicina Respiratoria, Argentina. E-mail:

Sección Fisiopatología Respiratoria y Laboratorio Pulmonar, Asociación Argentina de Medicina Respiratoria, Argentina.

出版信息

Medicina (B Aires). 2021;81(2):229-240.

PMID:33906142
Abstract

The airborne spread is the main route of human-to-human transmission of coronavirus, including e SARS CoV-2 virus causing the disease known as COVID-19. The implicit risk of aerosolization of SARS CoV-2 infective microdroplets while carrying out respiratory function tests has caused a significant limitation of activity in most Pulmonary Function Laboratories since the beginning of the pandemic. This document aims to update the recommendations for the management of Pulmonary Function Laboratories in the context of the COVID-19 outbreak in Argentina. New recommendations include ways to carry out pulmonary function testing during the context of a high and low community viral spread phase, the evaluation of post-COVID-19 patients, as well as several aspects of biosafety for patients and operators. Measures consist of promoting air circulation in the environment, the use of antimicrobial filters, the protection of airways and mucous membranes, and hand washing.

摘要

空气传播是冠状病毒在人与人之间传播的主要途径,包括导致新冠肺炎的严重急性呼吸综合征冠状病毒2(SARS-CoV-2)病毒。自疫情开始以来,在进行呼吸功能测试时,SARS-CoV-2感染性微滴雾化的潜在风险已导致大多数肺功能实验室的活动受到重大限制。本文旨在更新阿根廷新冠肺炎疫情背景下肺功能实验室管理的建议。新建议包括在社区病毒传播高、低阶段进行肺功能测试的方法、新冠肺炎康复患者的评估,以及患者和操作人员生物安全的几个方面。措施包括促进环境中的空气流通、使用抗菌过滤器、保护气道和粘膜以及洗手。

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Clin Chest Med. 2023 Jun;44(2):215-226. doi: 10.1016/j.ccm.2022.11.005. Epub 2022 Nov 22.
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Pulmonary function testing during SARS-CoV-2: An ANZSRS/TSANZ position statement.SARS-CoV-2 期间的肺功能测试:ANZSRS/TSANZ 立场声明。
Respirology. 2022 Sep;27(9):688-719. doi: 10.1111/resp.14340. Epub 2022 Aug 10.
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Incidence of COVID-19 after pulmonary function tests: a retrospective cohort study.
肺功能检查后 COVID-19 的发病率:一项回顾性队列研究。
Rev Fac Cien Med Univ Nac Cordoba. 2021 Dec 28;78(4):367-370. doi: 10.31053/1853.0605.v78.n4.34351.