Surgical Infection Society Guidance for Operative and Peri-Operative Care of Adult Patients Infected by the Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2).

{"article_title":"Surgical Infection Society Guidance for Operative and Peri-Operative Care of Adult Patients Infected by the Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2).","author":"Heffernan DS, Evans HL, Huston JM, Claridge JA, Blake DP, May AK, Beilman GS, Barie PS, Kaplan LJ","journal_title":"Surgical infections","issn":"1557-8674","isbn":"","publication_date":"2020-05-01","volume":"21","issue":"4","first_page":"301","page_count":"","accession_number":"32310715","doi":"10.1089\/sur.2020.101","publisher":"Mary Ann Liebert, Inc","doctype":"Journal Article","subjects":"Coronavirus Infections prevention & control; Coronavirus Infections transmission; Elective Surgical Procedures standards; Infection Control standards; Infectious Disease Transmission, Patient-to-Professional prevention & control; Pandemics prevention & control; Perioperative Care standards; Pneumonia, Viral prevention & control; Pneumonia, Viral transmission; Adult; Aerosols adverse effects; Betacoronavirus isolation & purification; COVID-19; Coronavirus Infections complications; Cross Infection etiology; Cross Infection prevention & control; Cross Infection virology; Elective Surgical Procedures adverse effects; Elective Surgical Procedures methods; Health Facilities standards; Humans; Infection Control methods; Intraoperative Care methods; Intraoperative Care standards; Intubation, Intratracheal adverse effects; Patient Safety standards; Perioperative Care methods; Pneumonia, Viral complications; SARS-CoV-2","interest_area":["Pulmonology"," Infectious Disease & Vaccines"," Surgery"],"abstract":"Background: Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2)-associated viral infection (coronavirus disease 2019, COVID-19) is a virulent, contagious viral pandemic that is affecting populations worldwide. As with any airborne viral respiratory infection, surgical and non-surgical patients may be affected. Methods: Review and synthesis of pertinent English-language literature pertaining to COVID-19 infection among adult patients. Results: COVID-19 disease that requires hospitalization results in critical illness approximately 25% of the time and requires mechanical ventilation with positive airway pressure. Acute kidney injury, a marked hypercoagulable state, and sometimes myocarditis can be features of COVID-19 in addition to the characteristic severe acute lung injury. Even if not among the most seriously afflicted, older patients with medical comorbidities are both predisposed to infection and risk increased morbidity and mortality, however, all persons presenting for surgical intervention should be suspected of infection (and thus transmissibility) even if asymptomatic. Although most elective surgery has been curtailed by administrative or governmental fiat, patients will still need urgent or emergency operative intervention for time-sensitive disease processes such as malignant neoplasia or for true emergencies such as perforated viscus or traumatic injury. It is possible to provide safe surgical care for SARS-CoV-2-positive patients and minimize nosocomial transmission to healthcare workers. Conclusions: This guidance will facilitate appropriate protection of patients and staff, and maintenance of infection control measures to assist surgical personnel and facilities to prepare for COVID-19-infected adult patients requiring urgent or emergent operative intervention and to provide optimal patient care.","url":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&db=mdl&AN=32310715","isPdfLink":false,"isSAML":true,"an":"32310715","number_other":"","type_pub":"","issn_electronic":"1557-8674","languages":"English","language":"eng","date_entry":"Date Created: 20200421 Date Completed: 20200506 Latest Revision: 20201218","date_update":"20240104","titleSource":"Surgical infections [Surg Infect (Larchmt)] 2020 May; Vol. 21 (4), pp. 301-308. Date of Electronic Publication: 2020 Apr 20.","date_pub_cy":"","type_document":"","contract_publisher":"","authored_on":"2020-05-01","description":"Background: Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2)-associated viral infection (coronavirus disease 2019, COVID-19) is a virulent, contagious viral pandemic that is affecting populations worldwide. As with any airborne viral respiratory infection, surgical and non-surgical patients may be affected. Methods: Review and synthesis of pertinent English-language literature pertaining to COVID-19 infection among adult patients. Results: COVID-19 disease that requires hospitalization results in critical illness approximately 25% of the time and requires mechanical ventilation with positive airway pressure. Acute kidney injury, a marked hypercoagulable state, and sometimes myocarditis can be features of COVID-19 in addition to the characteristic severe acute lung injury. Even if not among the most seriously afflicted, older patients with medical comorbidities are both predisposed to infection and risk increased morbidity and mortality, however, all persons presenting for surgical intervention should be suspected of infection (and thus transmissibility) even if asymptomatic. Although most elective surgery has been curtailed by administrative or governmental fiat, patients will still need urgent or emergency operative intervention for time-sensitive disease processes such as malignant neoplasia or for true emergencies such as perforated viscus or traumatic injury. It is possible to provide safe surgical care for SARS-CoV-2-positive patients and minimize nosocomial transmission to healthcare workers. Conclusions: This guidance will facilitate appropriate protection of patients and staff, and maintenance of infection control measures to assist surgical personnel and facilities to prepare for COVID-19-infected adult patients requiring urgent or emergent operative intervention and to provide optimal patient care.","upload_link":"https:\/\/dx.doi.org\/doi:10.1089\/sur.2020.101","no_of_pages":"","authored_by":"Heffernan DS, Evans HL, Huston JM, Claridge JA, Blake DP, May AK, Beilman GS, Barie PS, Kaplan LJ","additionalInfo":{"Authored_By":"Heffernan DS, Evans HL, Huston JM, Claridge JA, Blake DP, May AK, Beilman GS, Barie PS, Kaplan LJ","Journal_Info":"Publisher: Mary Ann Liebert, Inc Country of Publication: United States NLM ID: 9815642 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1557-8674 (Electronic) Linking ISSN: 10962964 NLM ISO Abbreviation: Surg Infect (Larchmt) Subsets: MEDLINE","Publication_Type":"Journal Article; Practice Guideline; Review","Published_Date":"2020-05-01","Source":"Surgical infections [Surg Infect (Larchmt)] 2020 May; Vol. 21 (4), pp. 301-308. Date of Electronic Publication: 2020 Apr 20.","Languages":"English","Electronic_ISSN":"1557-8674","MeSH_Terms":"Coronavirus Infections\/*prevention & control , Coronavirus Infections\/*transmission , Elective Surgical Procedures\/*standards , Infection Control\/*standards , Infectious Disease Transmission, Patient-to-Professional\/*prevention & control , Pandemics\/*prevention & control , Perioperative Care\/*standards , Pneumonia, Viral\/*prevention & control , Pneumonia, Viral\/*transmission, Adult ; Aerosols\/adverse effects ; Betacoronavirus\/isolation & purification ; COVID-19 ; Coronavirus Infections\/complications ; Cross Infection\/etiology ; Cross Infection\/prevention & control ; Cross Infection\/virology ; Elective Surgical Procedures\/adverse effects ; Elective Surgical Procedures\/methods ; Health Facilities\/standards ; Humans ; Infection Control\/methods ; Intraoperative Care\/methods ; Intraoperative Care\/standards ; Intubation, Intratracheal\/adverse effects ; Patient Safety\/standards ; Perioperative Care\/methods ; Pneumonia, Viral\/complications ; SARS-CoV-2","Subjects":"Adult, Aerosols adverse effects, Betacoronavirus isolation & purification, COVID-19, Coronavirus Infections complications, Cross Infection etiology, Cross Infection prevention & control, Cross Infection virology, Elective Surgical Procedures adverse effects, Elective Surgical Procedures methods, Health Facilities standards, Humans, Infection Control methods, Intraoperative Care methods, Intraoperative Care standards, Intubation, Intratracheal adverse effects, Patient Safety standards, Perioperative Care methods, Pneumonia, Viral complications, SARS-CoV-2, Coronavirus Infections prevention & control, Coronavirus Infections transmission, Elective Surgical Procedures standards, Infection Control standards, Infectious Disease Transmission, Patient-to-Professional prevention & control, Pandemics prevention & control, Perioperative Care standards, Pneumonia, Viral prevention & control, Pneumonia, Viral transmission","Title_Abbreviations":"Surgical infections","Volume":"21"},"header":{"DbId":"mdl","DbLabel":"MEDLINE Ultimate","An":"32310715","RelevancyScore":"777","PubType":"Academic Journal","PubTypeId":"academicJournal","PreciseRelevancyScore":"777.191772460938"},"plink":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&site=eds-live&db=mdl&AN=32310715&authtype=shib&custid=ns346513&group=main&profile=eds"}