Günther S, Bancal C, Plantier L
Unité d'explorations fonctionnelles respiratoires et du sommeil, hôpital européen Georges-Pompidou, Assistance publique-Hôpitaux de Paris (AP-HP), université Paris Cité, Paris, France.
Service d'explorations fonctionnelle, secteur respiratoire, Hôpital Bichat, Assistance publique-Hôpitaux de Paris (AP-HP), Paris, France.
Rev Mal Respir. 2023 Sep;40(7):535-539. doi: 10.1016/j.rmr.2023.06.005. Epub 2023 Jun 20.
During the COVID-19 pandemic, airborne transmission of lung disease was a cause for major concern, and scientific societies published strict hygiene guidelines for pulmonary function tests (PFT) and cardiopulmonary exercise testing (CPET). These guidelines led to a major decrease in patient access to PFT and CPET, and their relevance in the 2023 post-pandemic context may be called into question. Under the hypothesis that PFT/CPET expert centers have modified their practices in accordance with the applicable guidelines, a survey was conducted from the 8th through the 23rd of February 2023 in 28 French PFT/CPET hospital departments. An overwhelming majority of the centers (96%) did not limit indications for PFT/CPET, and requested neither a vaccination or recovery certificate (93%) nor a negative diagnostic test (89%). While the use by patients and caregivers of surgical masks and antimicrobial filters was unanimously adopted, only 36% of centers declared that FFP2/N95-filtering face masks were worn. Disinfection of caregivers' hands was carried out by 96%, and a majority of centers reported break time (75%) and disinfection of equipment surfaces (89%) between the testing of two patients. In conclusion: aside from a few modifications, the practices reported by PFT/CPET French expert centers in 2023 were close to those in force prior to the COVID-19 epidemic.
在新冠疫情期间，肺部疾病的空气传播成为主要担忧因素，各科学协会发布了针对肺功能测试（PFT）和心肺运动测试（CPET）的严格卫生指南。这些指南导致患者接受PFT和CPET的机会大幅减少，其在2023年疫情后背景下的相关性可能受到质疑。基于PFT/CPET专家中心已根据适用指南调整其操作的假设，于2023年2月8日至23日对法国28个PFT/CPET医院科室进行了一项调查。绝大多数中心（96%）没有限制PFT/CPET的适应症，既不要求接种疫苗或康复证明（93%），也不要求阴性诊断检测（89%）。虽然患者和护理人员一致采用了佩戴外科口罩和抗菌过滤器的做法，但只有36%的中心宣称会佩戴FFP2/N95过滤式面罩。96%的中心进行了护理人员手部消毒，大多数中心报告在两名患者测试之间有休息时间（75%）和设备表面消毒（89%）。总之：除了一些调整外，法国PFT/CPET专家中心在2023年报告的操作与新冠疫情流行前实施的操作相近。
