The Research Center for Functional Genomics, Biomedicine and Translational Medicine, "Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania.
Fifth Department of Internal Medicine, Cardiology Rehabilitation, "Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania.
Sci Rep. 2022 Jun 27;12(1):10874. doi: 10.1038/s41598-022-14755-0.
A variety of medical procedures are classified as aerosol generating. However there is no consensus on whether some procedures such as nasopharyngeal swabbing can generate aerosols. During specimen collection, the contact of the nasopharyngeal swab with the respiratory mucosa often triggers defense reflexes such as sneezing and coughing, which generate airborne particles. The accumulation and persistence of a viral load from infectious aerosols for hours after their generation can represent a threat for increased spread of infection. Prospective observational cohort study in individuals tested for RT-PCR SARS-CoV-2 from July to October 2020. Participants were evaluated for the prevalence of aerosol generating events (AGEs) triggered by the nasopharyngeal swabbing. We used descriptive statistics to analyze the data set and the chi-square test for AGE comparison between sexes. Among 1239 individuals, we reported 264 in which AGEs were triggered by the specimen collection. 97 individuals tested positive for SARS-CoV-2, of which 20 presented AGEs. There were no significant differences in the occurrence of AGEs by age, but significant differences have been identified between sex and the occurrence of AGEs both in the SARS-CoV-2 negative and SARS-CoV-2 positive individuals. The prevalence of coughing or sneezing triggered by the nasopharyngeal swabbing was high among tested individuals. Testing facilities should ensure adequate availability of personal protective equipment (PPE) for the testing personnel, ensure appropriate ventilation of the rooms, and develop additional strategies to limit the risk of contamination of other participants to the testing session from potentially infectious and persistent aerosols.
多种医疗程序被归类为产生气溶胶。然而,对于某些程序(如鼻咽拭子)是否会产生气溶胶,尚无共识。在采集标本时,鼻咽拭子与呼吸道黏膜的接触常常会引发打喷嚏和咳嗽等防御反射,从而产生空气传播的颗粒。传染性气溶胶生成后数小时内,病毒载量的积累和持续存在可能会增加感染传播的风险。这是一项 2020 年 7 月至 10 月对接受 RT-PCR SARS-CoV-2 检测的个体进行的前瞻性观察队列研究。参与者评估了鼻咽拭子引发的气溶胶生成事件(AGEs)的发生率。我们使用描述性统计来分析数据集,并使用卡方检验比较了男女之间 AGE 的差异。在 1239 名个体中,我们报告了 264 名个体的标本采集时触发了 AGEs。97 名个体 SARS-CoV-2 检测呈阳性,其中 20 名个体出现了 AGEs。年龄对 AGEs 的发生无显著差异,但在 SARS-CoV-2 阴性和 SARS-CoV-2 阳性个体中,性别与 AGEs 的发生之间存在显著差异。鼻咽拭子检测时咳嗽或打喷嚏的发生率较高。检测机构应确保为检测人员提供足够的个人防护设备(PPE),确保房间适当通风,并制定额外的策略,以限制潜在传染性和持久性气溶胶对检测参与者的其他参与者的污染风险。