Puente Maestu Luis, Martínez Llorens Juana M, Valera Felices José Luis, Torralba García Yolanda, Gimeno Peribáñez Marian, Chiner Eusebi, Cabestre Roberto, Rodríguez Hermosa Juan, Godoy Mayoral Raúl, Marcos Celeste, Balaña Corberó Ana, Almonacid Carlos
Instituto de Investigación Biomédica Gregorio Marañón-Facultad de Medicina-Universidad Complutense de Madrid, Madrid, España.
Servicio de Neumología, Hospital del Mar. Barcelona, España.
Open Respir Arch. 2025 Jun 24;7(3):100459. doi: 10.1016/j.opresp.2025.100459. eCollection 2025 Jul-Sep.
This document is a detailed proposal addressing the management of spirometry and other pulmonary function tests in the post-COVID-19 pandemic context in Spain. The introduction discusses how the pandemic has affected the performance of these essential tests and underscores the need for a pragmatic assessment of risks and benefits, given that the absence of pulmonary function studies may lead to significant diagnostic and therapeutic errors.The section on the epidemiological situation in Spain highlights that the WHO no longer considers COVID-19 a public health emergency of international concern, reflecting the reduced severity of the disease due to high vaccination coverage and the characteristics of circulating variants.The regulatory framework states that the Health Institute Carlos III has defined a new epidemiological surveillance strategy aimed at restoring social and healthcare normality. A ministerial order issued by the Ministry of Health is mentioned, which lifts the mandatory use of facemasks in certain settings, in alignment with the strategy to return to normalcy.The proposal provides an in-depth analysis of the infectious risk to healthcare workers and patients in pulmonary function laboratories, concluding that current practices -along with the use of surgical masks and viral filters- minimize the generation and transmission of infectious aerosols.Detailed recommendations are provided for risk management, including architectural controls, administrative measures, hygiene practices, and personal protective protocols, with the goal of safeguarding both healthcare professionals and patients.The cited bibliography reinforces the scientific evidence base underlying the proposed recommendations and demonstrates a careful and deliberate approach to the safe and efficient reintroduction of spirometry and other pulmonary function tests into routine healthcare.
本文件是一份详细提案，涉及西班牙在新冠疫情后背景下肺活量测定及其他肺功能测试的管理。引言部分讨论了疫情如何影响这些重要测试的开展，并强调鉴于缺乏肺功能研究可能导致重大诊断和治疗错误，有必要对风险和益处进行务实评估。关于西班牙流行病学情况的部分强调，世界卫生组织不再将新冠视为国际关注的突发公共卫生事件，这反映出由于高疫苗接种覆盖率和流行变体的特征，该疾病的严重程度有所降低。监管框架指出，卡洛斯三世卫生研究所已确定一项新的流行病学监测战略，旨在恢复社会和医疗常态。文中提到了卫生部发布的一项部长令，该命令取消了在某些场所强制佩戴口罩的规定，这与恢复正常的战略相一致。该提案深入分析了肺功能实验室中医护人员和患者面临的感染风险，得出结论认为当前做法——连同使用外科口罩和病毒过滤器——可将感染性气溶胶的产生和传播降至最低。提案还提供了详细的风险管理建议，包括建筑控制、行政措施、卫生习惯和个人防护规程，目的是保护医护人员和患者。所引用的参考文献强化了所提建议背后的科学证据基础，并表明在将肺活量测定及其他肺功能测试安全有效地重新引入常规医疗保健方面采取了谨慎且深思熟虑的方法。
