Stepping up infection control measures in ophthalmology during the novel coronavirus outbreak: an experience from Hong Kong.
Identifieur interne : 000A77 ( Ncbi/Merge ); précédent : 000A76; suivant : 000A78Stepping up infection control measures in ophthalmology during the novel coronavirus outbreak: an experience from Hong Kong.
Auteurs : Tracy H T. Lai ; Emily W H. Tang ; Sandy K Y. Chau ; Kitty S C. Fung ; Kenneth K W. Li [Royaume-Uni]Source :
- Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie [ 1435-702X ] ; 2020.
Abstract
Coronavirus disease (COVID-19) has rapidly emerged as a global health threat. The purpose of this article is to share our local experience of stepping up infection control measures in ophthalmology to minimise COVID-19 infection of both healthcare workers and patients.
DOI: 10.1007/s00417-020-04641-8
PubMed: 32124000
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Tang</name><affiliation><nlm:affiliation>Department of Ophthalmology, United Christian Hospital, 130 Hip Wo Street, Kwun Tong, Kowloon, Hong Kong SAR.</nlm:affiliation><wicri:noCountry code="subField">Hong Kong SAR</wicri:noCountry></affiliation></author><author><name sortKey="Chau, Sandy K Y" sort="Chau, Sandy K Y" uniqKey="Chau S" first="Sandy K Y" last="Chau">Sandy K Y. Chau</name><affiliation><nlm:affiliation>Department of Pathology, Tseung Kwan O Hospital, 2 Po Ning Path, Tseung Kwan O, Hong Kong SAR.</nlm:affiliation><wicri:noCountry code="subField">Hong Kong SAR</wicri:noCountry></affiliation></author><author><name sortKey="Fung, Kitty S C" sort="Fung, Kitty S C" uniqKey="Fung K" first="Kitty S C" last="Fung">Kitty S C. Fung</name><affiliation><nlm:affiliation>Department of Pathology, United Christian Hospital, 130 Hip Wo Street, Kwun Tong, Kowloon, Hong Kong SAR.</nlm:affiliation><wicri:noCountry code="subField">Hong Kong SAR</wicri:noCountry></affiliation></author><author><name sortKey="Li, Kenneth K W" sort="Li, Kenneth K W" uniqKey="Li K" first="Kenneth K W" last="Li">Kenneth K W. Li</name><affiliation wicri:level="1"><nlm:affiliation>Department of Ophthalmology, United Christian Hospital, 130 Hip Wo Street, Kwun Tong, Kowloon, Hong Kong SAR. kennethli@rcsed.ac.uk.</nlm:affiliation><country wicri:rule="url">Royaume-Uni</country></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:32124000</idno><idno type="pmid">32124000</idno><idno type="doi">10.1007/s00417-020-04641-8</idno><idno type="wicri:Area/PubMed/Corpus">000335</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000335</idno><idno type="wicri:Area/PubMed/Curation">000335</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000335</idno><idno type="wicri:Area/PubMed/Checkpoint">000159</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000159</idno><idno type="wicri:Area/Ncbi/Merge">000A77</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Stepping up infection control measures in ophthalmology during the novel coronavirus outbreak: an experience from Hong Kong.</title><author><name sortKey="Lai, Tracy H T" sort="Lai, Tracy H T" uniqKey="Lai T" first="Tracy H T" last="Lai">Tracy H T. Lai</name><affiliation><nlm:affiliation>Department of Ophthalmology, United Christian Hospital, 130 Hip Wo Street, Kwun Tong, Kowloon, Hong Kong SAR.</nlm:affiliation><wicri:noCountry code="subField">Hong Kong SAR</wicri:noCountry></affiliation></author><author><name sortKey="Tang, Emily W H" sort="Tang, Emily W H" uniqKey="Tang E" first="Emily W H" last="Tang">Emily W H. Tang</name><affiliation><nlm:affiliation>Department of Ophthalmology, United Christian Hospital, 130 Hip Wo Street, Kwun Tong, Kowloon, Hong Kong SAR.</nlm:affiliation><wicri:noCountry code="subField">Hong Kong SAR</wicri:noCountry></affiliation></author><author><name sortKey="Chau, Sandy K Y" sort="Chau, Sandy K Y" uniqKey="Chau S" first="Sandy K Y" last="Chau">Sandy K Y. Chau</name><affiliation><nlm:affiliation>Department of Pathology, Tseung Kwan O Hospital, 2 Po Ning Path, Tseung Kwan O, Hong Kong SAR.</nlm:affiliation><wicri:noCountry code="subField">Hong Kong SAR</wicri:noCountry></affiliation></author><author><name sortKey="Fung, Kitty S C" sort="Fung, Kitty S C" uniqKey="Fung K" first="Kitty S C" last="Fung">Kitty S C. Fung</name><affiliation><nlm:affiliation>Department of Pathology, United Christian Hospital, 130 Hip Wo Street, Kwun Tong, Kowloon, Hong Kong SAR.</nlm:affiliation><wicri:noCountry code="subField">Hong Kong SAR</wicri:noCountry></affiliation></author><author><name sortKey="Li, Kenneth K W" sort="Li, Kenneth K W" uniqKey="Li K" first="Kenneth K W" last="Li">Kenneth K W. Li</name><affiliation wicri:level="1"><nlm:affiliation>Department of Ophthalmology, United Christian Hospital, 130 Hip Wo Street, Kwun Tong, Kowloon, Hong Kong SAR. kennethli@rcsed.ac.uk.</nlm:affiliation><country wicri:rule="url">Royaume-Uni</country></affiliation></author></analytic><series><title level="j">Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie</title><idno type="eISSN">1435-702X</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Coronavirus disease (COVID-19) has rapidly emerged as a global health threat. The purpose of this article is to share our local experience of stepping up infection control measures in ophthalmology to minimise COVID-19 infection of both healthcare workers and patients.</div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">32124000</PMID><DateRevised><Year>2020</Year><Month>03</Month><Day>03</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1435-702X</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2020</Year><Month>Mar</Month><Day>03</Day></PubDate></JournalIssue><Title>Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie</Title><ISOAbbreviation>Graefes Arch. Clin. Exp. Ophthalmol.</ISOAbbreviation></Journal><ArticleTitle>Stepping up infection control measures in ophthalmology during the novel coronavirus outbreak: an experience from Hong Kong.</ArticleTitle><ELocationID EIdType="doi" ValidYN="Y">10.1007/s00417-020-04641-8</ELocationID><Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">Coronavirus disease (COVID-19) has rapidly emerged as a global health threat. The purpose of this article is to share our local experience of stepping up infection control measures in ophthalmology to minimise COVID-19 infection of both healthcare workers and patients.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Infection control measures implemented in our ophthalmology clinic are discussed. The measures are based on detailed risk assessment by both local ophthalmologists and infection control experts.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">A three-level hierarchy of control measures was adopted. First, for administrative control, in order to lower patient attendance, text messages with an enquiry phone number were sent to patients to reschedule appointments or arrange drug refill. In order to minimise cross-infection of COVID-19, a triage system was set up to identify patients with fever, respiratory symptoms, acute conjunctivitis or recent travel to outbreak areas and to encourage these individuals to postpone their appointments for at least 14 days. Micro-aerosol generating procedures, such as non-contact tonometry and operations under general anaesthesia were avoided. Nasal endoscopy was avoided as it may provoke sneezing and cause generation of droplets. All elective clinical services were suspended. Infection control training was provided to all clinical staff. Second, for environmental control, to reduce droplet transmission of COVID-19, installation of protective shields on slit lamps, frequent disinfection of equipment, and provision of eye protection to staff were implemented. All staff were advised to measure their own body temperatures before work and promptly report any symptoms of upper respiratory tract infection, vomiting or diarrhoea. Third, universal masking, hand hygiene, and appropriate use of personal protective equipment (PPE) were promoted.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">We hope our initial experience in stepping up infection control measures for COVID-19 infection in ophthalmology can help ophthalmologists globally to prepare for the potential community outbreak or pandemic. In order to minimise transmission of COVID-19, ophthalmologists should work closely with local infection control teams to implement infection control measures that are appropriate for their own clinical settings.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Lai</LastName><ForeName>Tracy H T</ForeName><Initials>THT</Initials><Identifier Source="ORCID">https://orcid.org/0000-0002-0420-9456</Identifier><AffiliationInfo><Affiliation>Department of Ophthalmology, United Christian Hospital, 130 Hip Wo Street, Kwun Tong, Kowloon, Hong Kong SAR.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Ophthalmology, Tseung Kwan O Hospital, 2 Po Ning Path, Tseung Kwan O, Hong Kong SAR.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tang</LastName><ForeName>Emily W H</ForeName><Initials>EWH</Initials><AffiliationInfo><Affiliation>Department of Ophthalmology, United Christian Hospital, 130 Hip Wo Street, Kwun Tong, Kowloon, Hong Kong SAR.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Ophthalmology, Tseung Kwan O Hospital, 2 Po Ning Path, Tseung Kwan O, Hong Kong SAR.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chau</LastName><ForeName>Sandy K Y</ForeName><Initials>SKY</Initials><AffiliationInfo><Affiliation>Department of Pathology, Tseung Kwan O Hospital, 2 Po Ning Path, Tseung Kwan O, Hong Kong SAR.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fung</LastName><ForeName>Kitty S C</ForeName><Initials>KSC</Initials><AffiliationInfo><Affiliation>Department of Pathology, United Christian Hospital, 130 Hip Wo Street, Kwun Tong, Kowloon, Hong Kong SAR.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Li</LastName><ForeName>Kenneth K W</ForeName><Initials>KKW</Initials><Identifier Source="ORCID">https://orcid.org/0000-0001-9440-8063</Identifier><AffiliationInfo><Affiliation>Department of Ophthalmology, United Christian Hospital, 130 Hip Wo Street, Kwun Tong, Kowloon, Hong Kong SAR. kennethli@rcsed.ac.uk.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Ophthalmology, Tseung Kwan O Hospital, 2 Po Ning Path, Tseung Kwan O, Hong Kong SAR. kennethli@rcsed.ac.uk.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>03</Month><Day>03</Day></ArticleDate></Article><MedlineJournalInfo><Country>Germany</Country><MedlineTA>Graefes Arch Clin Exp Ophthalmol</MedlineTA><NlmUniqueID>8205248</NlmUniqueID><ISSNLinking>0721-832X</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">COVID-19</Keyword><Keyword MajorTopicYN="N">Coronavirus</Keyword><Keyword MajorTopicYN="N">Hong Kong</Keyword><Keyword MajorTopicYN="N">Infection control</Keyword><Keyword MajorTopicYN="N">Ophthalmology</Keyword><Keyword MajorTopicYN="N">SARS-CoV-2</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>02</Month><Day>21</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>02</Month><Day>26</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2020</Year><Month>02</Month><Day>25</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>3</Month><Day>4</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>3</Month><Day>4</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>3</Month><Day>4</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32124000</ArticleId><ArticleId IdType="doi">10.1007/s00417-020-04641-8</ArticleId><ArticleId IdType="pii">10.1007/s00417-020-04641-8</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Royaume-Uni</li></country></list><tree><noCountry><name sortKey="Chau, Sandy K Y" sort="Chau, Sandy K Y" uniqKey="Chau S" first="Sandy K Y" last="Chau">Sandy K Y. Chau</name><name sortKey="Fung, Kitty S C" sort="Fung, Kitty S C" uniqKey="Fung K" first="Kitty S C" last="Fung">Kitty S C. Fung</name><name sortKey="Lai, Tracy H T" sort="Lai, Tracy H T" uniqKey="Lai T" first="Tracy H T" last="Lai">Tracy H T. Lai</name><name sortKey="Tang, Emily W H" sort="Tang, Emily W H" uniqKey="Tang E" first="Emily W H" last="Tang">Emily W H. Tang</name></noCountry><country name="Royaume-Uni"><noRegion><name sortKey="Li, Kenneth K W" sort="Li, Kenneth K W" uniqKey="Li K" first="Kenneth K W" last="Li">Kenneth K W. Li</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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