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Sustainable practice of ophthalmology during COVID-19: challenges and solutions

Identifieur interne : 000157 ( Main/Exploration ); précédent : 000156; suivant : 000158

Sustainable practice of ophthalmology during COVID-19: challenges and solutions

Auteurs : Louis W. Lim [Singapour] ; Leonard W. Yip [Singapour] ; Hui Wen Tay [Singapour] ; Xue Ling Ang [Singapour] ; Llewellyn K. Lee [Singapour] ; Chee Fang Chin [Singapour] ; Vernon Yong [Singapour]

Source :

RBID : PMC:7170732

Abstract

Purpose

The Coronavirus (COVID-19) outbreak is rapidly emerging as a global health threat. With no proven vaccination or treatment, infection control measures are paramount. In this article, we aim to describe the impact of COVID-19 on our practice and share our strategies and guidelines to maintain a sustainable ophthalmology practice.

Methods

Tan Tock Seng Hospital (TTSH) Eye Centre is the only ophthalmology department supporting the National Centre for Infectious Diseases (NCID), which is the national screening center and the main center for management of COVID-19 patients in Singapore. Our guidelines during this outbreak are discussed.

Results

Challenges in different care settings in our ophthalmology practice have been identified and analyzed with practical solutions and guidelines implemented in anticipation of these challenges. First, to minimize cross-infection of COVID-19, stringent infection control measures were set up. These include personal protective equipment (PPE) for healthcare workers and routine cleaning of “high-touch” surfaces. Second, for outpatient care, a stringent dual screening and triaging process were carried out to identify high-risk patients, with proper isolation for such patients. Administrative measures to lower patient attendance and reschedule appointments were carried out. Third, inpatient and outpatient care were separated to minimize interactions. Last but not least, logistics and manpower plans were drawn up in anticipation of resource demands and measures to improve the mental well-being of staff were implemented.

Conclusion

We hope our measures during this COVID-19 pandemic can help ophthalmologists globally and serve to guide and maintain safe access in ophthalmology clinics when faced with similar disease outbreaks.


Url:
DOI: 10.1007/s00417-020-04682-z
PubMed: 32314034
PubMed Central: 7170732


Affiliations:


Links toward previous steps (curation, corpus...)


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<p id="Par2">Tan Tock Seng Hospital (TTSH) Eye Centre is the only ophthalmology department supporting the National Centre for Infectious Diseases (NCID), which is the national screening center and the main center for management of COVID-19 patients in Singapore. Our guidelines during this outbreak are discussed.</p>
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<p id="Par3">Challenges in different care settings in our ophthalmology practice have been identified and analyzed with practical solutions and guidelines implemented in anticipation of these challenges. First, to minimize cross-infection of COVID-19, stringent infection control measures were set up. These include personal protective equipment (PPE) for healthcare workers and routine cleaning of “high-touch” surfaces. Second, for outpatient care, a stringent dual screening and triaging process were carried out to identify high-risk patients, with proper isolation for such patients. Administrative measures to lower patient attendance and reschedule appointments were carried out. Third, inpatient and outpatient care were separated to minimize interactions. Last but not least, logistics and manpower plans were drawn up in anticipation of resource demands and measures to improve the mental well-being of staff were implemented.</p>
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<sec>
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<p id="Par4">We hope our measures during this COVID-19 pandemic can help ophthalmologists globally and serve to guide and maintain safe access in ophthalmology clinics when faced with similar disease outbreaks.</p>
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<author>
<name sortKey="Fang, Y" uniqKey="Fang Y">Y Fang</name>
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<name sortKey="Ang, Xue Ling" sort="Ang, Xue Ling" uniqKey="Ang X" first="Xue Ling" last="Ang">Xue Ling Ang</name>
<name sortKey="Chin, Chee Fang" sort="Chin, Chee Fang" uniqKey="Chin C" first="Chee Fang" last="Chin">Chee Fang Chin</name>
<name sortKey="Lee, Llewellyn K" sort="Lee, Llewellyn K" uniqKey="Lee L" first="Llewellyn K." last="Lee">Llewellyn K. Lee</name>
<name sortKey="Tay, Hui Wen" sort="Tay, Hui Wen" uniqKey="Tay H" first="Hui Wen" last="Tay">Hui Wen Tay</name>
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<name sortKey="Yong, Vernon" sort="Yong, Vernon" uniqKey="Yong V" first="Vernon" last="Yong">Vernon Yong</name>
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