{"id":5037,"date":"2020-05-07T14:12:04","date_gmt":"2020-05-07T14:12:04","guid":{"rendered":"https:\/\/getremed.gr\/?p=5037"},"modified":"2020-05-07T14:12:04","modified_gmt":"2020-05-07T14:12:04","slug":"%cf%83%cf%85%cf%83%cf%84%ce%ac%cf%83%ce%b5%ce%b9%cf%82-%ce%b3%ce%b9%ce%b1-%cf%80%cf%81%ce%bf%cf%83%cf%84%ce%b1%cf%83%ce%af%ce%b1-%ce%b1%cf%80%cf%8c-%cf%84%ce%bf%ce%bd-covid-19-%ce%b1%cf%80%cf%8c","status":"publish","type":"post","link":"https:\/\/getremed.gr\/eng\/%cf%83%cf%85%cf%83%cf%84%ce%ac%cf%83%ce%b5%ce%b9%cf%82-%ce%b3%ce%b9%ce%b1-%cf%80%cf%81%ce%bf%cf%83%cf%84%ce%b1%cf%83%ce%af%ce%b1-%ce%b1%cf%80%cf%8c-%cf%84%ce%bf%ce%bd-covid-19-%ce%b1%cf%80%cf%8c\/","title":{"rendered":"Recommendations for protection against Covid-19 from the Panhellenic Society of ENT, Head and Neck Surgery"},"content":{"rendered":"<div class=\"wp-block-image\"><figure class=\"aligncenter\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"148\" src=\"https:\/\/getremed.gr\/wp-content\/uploads\/2020\/05\/4567-1024x148.jpg\" alt=\"\" class=\"wp-image-5043\" srcset=\"https:\/\/getremed.gr\/wp-content\/uploads\/2020\/05\/4567-1024x148.jpg 1024w, https:\/\/getremed.gr\/wp-content\/uploads\/2020\/05\/4567-800x116.jpg 800w, https:\/\/getremed.gr\/wp-content\/uploads\/2020\/05\/4567-300x43.jpg 300w, https:\/\/getremed.gr\/wp-content\/uploads\/2020\/05\/4567-768x111.jpg 768w, https:\/\/getremed.gr\/wp-content\/uploads\/2020\/05\/4567-1536x222.jpg 1536w, https:\/\/getremed.gr\/wp-content\/uploads\/2020\/05\/4567-2048x296.jpg 2048w\" sizes=\"auto, (max-width:767px) 480px, (max-width:1024px) 100vw, 1024px\" \/><\/figure><\/div>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"text-align:right\">\u0391\u03b8\u03ae\u03bd\u03b1, \u03a4\u03c1\u03af\u03c4\u03b7 31 \u039c\u03b1\u03c1\u03c4\u03af\u03bf\u03c5 2020<\/p>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"text-align:center\"><strong>\u0391\u039d\u0391\u039a\u039f\u0399\u039d\u03a9\u03a3\u0397<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">          Dear colleagues,<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Based on the recent guidelines of the European ENT and Rhinological Society,\nas well as the American Academy, Otolaryngologists, along with Intensivists and Anesthesiologists,\nare considered to be the healthcare professionals with the most exposure to COVID-19 and therefore with the greatest risk of spreading\nthe disease. ENT may not be mentioned as the\nspecialty that is on the front lines, but all epidemiological data\nfrom China, Iran, Italy, USA indicate that we belong to the high\nrisk healthcare group. This is because we are exposed to a high viral load during diagnostic\nand therapeutic procedures in the upper airway. Therefore, we must be vigilant to protect ourselves on the one hand, but mainly to avoid spreading the disease on the other (e.g., a nose surgery in China infected 14 workers who were in the surgery).<\/p>\n\n\n\n<p class=\"wp-block-paragraph translation-block\">Also, recent observations have shown that in 20-60% of patients with COVID-19, smell and\/or taste disorders were precursor symptoms of the disease. Therefore, it should be emphasized that for the sake of early diagnosis, all patients should be asked about a possible recent smell or taste disorder and, in the event of a positive response, even without other symptoms, be considered initially positive, isolated and seek immediate further medical advice.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Proposed measures:<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph translation-block\">1. Routine examinations should be postponed and much of the medical care provided by telephone. All endoscopic examinations in our specialty should be avoided unless they are emergencies and when they are performed, all necessary precautions should be taken.<\/p>\n\n\n\n<p class=\"wp-block-paragraph translation-block\">2. <strong>Avoid non-urgent surgeries<\/strong>, especially nose, paranasal, oropharynx, larynx, while tracheotomies should be performed in hospital operating rooms. In any case, <strong>reducing\/avoiding exposure<\/strong> is the only effective measure for everyone, especially for middle-aged and elderly colleagues, as well as those with chronic health problems.<\/p>\n\n\n\n<p class=\"wp-block-paragraph translation-block\">3. All ENT doctors should have the necessary protective equipment and meticulously follow personal protection instructions.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Specifically:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Thorough hand washing before and after each procedure.<\/li><li>Throughout your stay at the health center, it is recommended to wear a simple surgical mask and gloves. Avoid touching the mask with your hands.<\/li><li class=\"translation-block\">The N95 or FFP3 mask should theoretically be changed\nafter each patient. Due to lack of resources, this is impossible to happen\nworldwide. However, it has been proven that due to colonization of the mask, using it for\nmore than 8 hours is dangerous.<\/strong><\/li><li><strong>Do not re-apply the surgical mask or N95 mask with your hands.<\/strong><\/li><li>\u0397 \u03c4\u03bf\u03c0\u03bf\u03b8\u03ad\u03c4\u03b7\u03c3\u03b7 \u03c4\u03bf\u03c5\n\u03c0\u03c1\u03bf\u03c3\u03c4\u03b1\u03c4\u03b5\u03c5\u03c4\u03b9\u03ba\u03bf\u03cd \u03b5\u03be\u03bf\u03c0\u03bb\u03b9\u03c3\u03bc\u03bf\u03cd \u03b3\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03bc\u03b5 \u03c4\u03b7\u03bd \u03b5\u03be\u03ae\u03c2 \u03c3\u03b5\u03b9\u03c1\u03ac <ul><li>\u03a0\u03bb\u03cd\u03c3\u03b9\u03bc\u03bf\n\u03c7\u03b5\u03c1\u03b9\u03ce\u03bd \u03ba\u03b1\u03b9 \u03b5\u03c6\u03b1\u03c1\u03bc\u03bf\u03b3\u03ae \u03b1\u03bd\u03c4\u03b9\u03c3\u03b7\u03c0\u03c4\u03b9\u03ba\u03bf\u03cd \u03c5\u03b3\u03c1\u03bf\u03cd<\/li><\/ul><ul><li>\u039a\u03ac\u03bb\u03c5\u03c8\u03b7\n\u03c4\u03c1\u03b9\u03c7\u03c9\u03c4\u03bf\u03cd \u03ba\u03b5\u03c6\u03b1\u03bb\u03ae\u03c2<\/li><\/ul><ul><li>\u03a4\u03bf\u03c0\u03bf\u03b8\u03ad\u03c4\u03b7\u03c3\u03b7\n\u03b1\u03b4\u03b9\u03ac\u03b2\u03c1\u03bf\u03c7\u03b7\u03c2 \u03c0\u03bf\u03b4\u03b9\u03ac\u03c2 \u03ba\u03b1\u03b9 \u03bc\u03c0\u03bb\u03bf\u03cd\u03b6\u03b1\u03c2<\/li><\/ul><ul><li>\u03a4\u03bf\u03c0\u03bf\u03b8\u03ad\u03c4\u03b7\u03c3\u03b7\n\u03bc\u03ac\u03c3\u03ba\u03b1\u03c2 \u039d95\/FFP3\n\u03ba\u03b1\u03b9 \u03ad\u03bb\u03b5\u03b3\u03c7\u03bf\u03c2 \u03b5\u03c6\u03b1\u03c1\u03bc\u03bf\u03b3\u03ae\u03c2<\/li><\/ul><ul><li>\u03a4\u03bf\u03c0\u03bf\u03b8\u03ad\u03c4\u03b7\u03c3\u03b7\n\u03b3\u03c5\u03b1\u03bb\u03b9\u03ce\u03bd<\/li><\/ul><ul><li>\u03a4\u03bf\u03c0\u03bf\u03b8\u03ad\u03c4\u03b7\u03c3\u03b7\n2 \u03b6\u03b5\u03c5\u03b3\u03ce\u03bd \u03b3\u03b1\u03bd\u03c4\u03b9\u03ce\u03bd<\/li><\/ul><ul><li>\u0395\u03bd\u03b4\u03b9\u03ac\u03bc\u03b5\u03c3\u03b1\n\u03c4\u03c9\u03bd \u03c3\u03c4\u03b1\u03b4\u03af\u03c9\u03bd \u03c7\u03c1\u03ae\u03c3\u03b7 \u03b1\u03bd\u03c4\u03b9\u03c3\u03b7\u03c0\u03c4\u03b9\u03ba\u03bf\u03cd \u03b4\u03b9\u03b1\u03bb\u03b5\u03af\u03bc\u03bc\u03b1\u03c4\u03bf\u03c2<\/li><\/ul><\/li><li>\u0395\u03be\u03af\u03c3\u03bf\u03c5 \u03c3\u03b7\u03bc\u03b1\u03bd\u03c4\u03b9\u03ba\u03ae \u03ba\u03b1\u03b9 \u03b7\n\u03b4\u03b9\u03b1\u03b4\u03b9\u03ba\u03b1\u03c3\u03af\u03b1 \u03b1\u03c6\u03b1\u03af\u03c1\u03b5\u03c3\u03b7\u03c2 \u03c4\u03bf\u03c5 \u03b5\u03be\u03bf\u03c0\u03bb\u03b9\u03c3\u03bc\u03bf\u03cd<ul><li>\u0391\u03c6\u03b1\u03af\u03c1\u03b5\u03c3\u03b7\n\u03c4\u03bf\u03c5 \u03b6\u03b5\u03cd\u03b3\u03bf\u03c5\u03c2 \u03b3\u03b1\u03bd\u03c4\u03b9\u03ce\u03bd \u03b5\u03c1\u03b3\u03b1\u03c3\u03af\u03b1\u03c2 \u03b1\u03c6\u03bf\u03cd \u03c0\u03c1\u03ce\u03c4\u03b1 \u03b5\u03c6\u03b1\u03c1\u03bc\u03bf\u03c3\u03c4\u03b5\u03af \u03b1\u03bd\u03c4\u03b9\u03c3\u03b7\u03c0\u03c4\u03b9\u03ba\u03cc \u03b4\u03b9\u03ac\u03bb\u03b5\u03b9\u03bc\u03bc\u03b1<\/li><\/ul><ul><li>\u0395\u03ba\n\u03bd\u03ad\u03bf\u03c5 \u03b5\u03c6\u03b1\u03c1\u03bc\u03bf\u03b3\u03ae \u03b1\u03bd\u03c4\u03b9\u03c3\u03b7\u03c0\u03c4\u03b9\u03ba\u03bf\u03cd \u03ba\u03b1\u03b9 \u03c4\u03bf\u03c0\u03bf\u03b8\u03ad\u03c4\u03b7\u03c3\u03b7 \u03ba\u03b1\u03b8\u03b1\u03c1\u03bf\u03cd \u03b6\u03b5\u03cd\u03b3\u03bf\u03c5\u03c2 \u03b3\u03b1\u03bd\u03c4\u03b9\u03ce\u03bd<\/li><\/ul><ul><li>\u0391\u03c6\u03b1\u03af\u03c1\u03b5\u03c3\u03b7\n\u03bc\u03c0\u03bb\u03bf\u03cd\u03b6\u03b1\u03c2 \u03ba\u03b1\u03b9 \u03b3\u03c5\u03b1\u03bb\u03b9\u03ce\u03bd \u03c7\u03c9\u03c1\u03af\u03c2 \u03bd\u03b1 \u03b1\u03ba\u03bf\u03c5\u03bc\u03c0\u03ae\u03c3\u03bf\u03c5\u03bd \u03c4\u03b7\u03bd \u03c0\u03c1\u03cc\u03c3\u03b8\u03b9\u03b1 \u03b5\u03c0\u03b9\u03c6\u03ac\u03bd\u03b5\u03b9\u03b1<\/li><\/ul><ul><li>\u0391\u03c6\u03b1\u03af\u03c1\u03b5\u03c3\u03b7\n\u03bc\u03ac\u03c3\u03ba\u03b1\u03c2 \u03c7\u03c9\u03c1\u03af\u03c2 \u03c4\u03b1 \u03c7\u03ad\u03c1\u03b9\u03b1 \u03bd\u03b1 \u03b1\u03b3\u03b3\u03af\u03be\u03bf\u03c5\u03bd \u03c4\u03bf \u03c6\u03af\u03bb\u03c4\u03c1\u03bf<\/li><\/ul><ul><li>\u0391\u03c6\u03b1\u03af\u03c1\u03b5\u03c3\u03b7\n\u03ba\u03ac\u03bb\u03c5\u03c8\u03b7\u03c2 \u03c4\u03c1\u03b9\u03c7\u03c9\u03c4\u03bf\u03cd \u03ba\u03b5\u03c6\u03b1\u03bb\u03ae\u03c2<\/li><\/ul><ul><li>\u0391\u03c6\u03b1\u03af\u03c1\u03b5\u03c3\u03b7\n\u03b3\u03b1\u03bd\u03c4\u03b9\u03ce\u03bd<\/li><\/ul><ul><li>\u0395\u03ba\n\u03bd\u03ad\u03bf\u03c5 \u03b5\u03c0\u03b9\u03bc\u03b5\u03bb\u03ad\u03c2 \u03c0\u03bb\u03cd\u03c3\u03b9\u03bc\u03bf \u03c7\u03b5\u03c1\u03b9\u03ce\u03bd<\/li><\/ul><\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">In any case where manipulations in the upper airway are required, the use of an apron and surgical mask (FFP3 or FFP2\/N95), fluid-resistant gloves and protective glasses is recommended. <\/p>\n\n\n\n<p class=\"wp-block-paragraph translation-block\">4. <strong>Patients should continue their treatment<\/strong>. Although there is limited evidence that systemic corticosteroids may increase ARDS in patients with SARS and MERS, there is no evidence to suggest that the use of topical corticosteroids will increase susceptibility to coronavirus. One could argue that stopping nasal corticosteroids in patients who need them will lead to more symptoms of allergic rhinitis\/rhinosinusitis that may obscure the symptoms of COVID-19.<\/p>\n\n\n\n<p class=\"wp-block-paragraph translation-block\">5. <strong>Patients who are going to undergo emergency procedures, if time is available, should be tested pre-operatively for COVID-19.<\/strong> It is considered necessary to use special protective equipment even if the result is negative (FFP3 or FFP2\/N95 masks, special glasses, double gloves, disposable suits). <strong>In patients positive for COVID-19, the use of special equipment is necessary according to the EODY protocol. <\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Suggestions to the state:<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">1. Provision of the necessary protective equipment to ENT doctors (private and public sector) as frontline doctors and at high risk of infection and spread.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">2. Pre-operative COVID-19 testing in all cases scheduled to undergo ENT procedures.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">3. Reinforcement of ENT departments in hospitals with emergency medical and nursing staff, according to the capabilities and planning of the Ministry of Health, to avoid the risk of staff shortages in the event of mass exposure (e.g. University ENT Clinic of Hippocrates Hospital of Athens).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Dear colleagues,<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In the critical circumstances we face, we must all demonstrate the required composure, as well as individual and social responsibility. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">As the Panhellenic Society of Otolaryngology, Head and Neck Surgery, we will take all the necessary actions and actions to ensure the smooth functioning of all of us for the benefit of the Society and the State.<\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/getremed.gr\/wp-content\/uploads\/2020\/05\/123-1024x394.png\" alt=\"\" class=\"wp-image-5039\" width=\"270\" height=\"104\" srcset=\"https:\/\/getremed.gr\/wp-content\/uploads\/2020\/05\/123-1024x394.png 1024w, https:\/\/getremed.gr\/wp-content\/uploads\/2020\/05\/123-800x308.png 800w, https:\/\/getremed.gr\/wp-content\/uploads\/2020\/05\/123-300x115.png 300w, https:\/\/getremed.gr\/wp-content\/uploads\/2020\/05\/123-768x295.png 768w, https:\/\/getremed.gr\/wp-content\/uploads\/2020\/05\/123.png 1347w\" sizes=\"auto, (max-width:767px) 270px, 270px\" \/><\/figure><\/div>\n\n\n\n<p class=\"wp-block-paragraph translation-block\"><strong>Suggested<\/strong><strong> <\/strong><strong>Bibliography<\/strong><strong>: <\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">1. European Rhinologic Society. http:\/www.europeanrhinologicsociety.org.\n<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">2. IFOS&nbsp;<a href=\"http:\/\/www.yoifos.com\/covid-19-information-and-guidance\" target=\"_blank\" rel=\"noreferrer noopener\">http:\/\/www.yoifos.com\/covid-19-information-and-guidance<\/a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>3. COVID-19 information for health\nprofessionals&nbsp;<\/em>&nbsp;<a href=\"https:\/\/www.entuk.org\/covid-19\">www.entuk.org\/covid-19<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">4. <a href=\"http:\/\/www.britishlaryngological.org\/news\/covid-19-important-guidance\"><em>Handbook\nof Covid-19<\/em><\/a><em>&nbsp;from the\nFirst Affiliated Hospital, Zhejiang University School of Medicine http:\/www.britishlaryngological.org\/news\/covid-19-important-guidance.<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">5. American Academy of\nOtolaryngology Head and Neck Surgery <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">6. Consensus\nstatement: Safe Airway Society principles of airway management and <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">tracheal intubation specific to the\nCOVID-19 adult patient group, Med J Aust 16 <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">March 2020, David J Brewster,\nNicholas C Chrimes, Thy BT Do, Kirstin Fraser, <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Chris J Groombridge, Andy Higgs, et\nal. LINK.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">7. Fu Y, Cheng Y, Wu Y. Understanding\nSARS-CoV-2-Mediated Inflammatory<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Responses: From Mechanisms to\nPotential Therapeutic Tools. Virol Sin. 2020.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">8. Hoffmann M, Kleine-Weber H, Schroeder\nS, Kr\u00fcger N, Herrler T, Erichsen S, et <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">al. SARS-CoV-2 Cell Entry Depends\non ACE2 and TMPRSS2 and Is Blocked by a <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Clinically Proven Protease\nInhibitor. Cell. 2020.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">9.Kruse RL. Therapeutic strategies\nin an outbreak scenario to treat the novel <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">coronavirus originating in Wuhan,\nChina. F1000Res. 2020;9:72.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">10.Lee N, Allen Chan KC, Hui DS, Ng EK, Wu A, Chiu RW,\net al. Effects of early corticosteroid treatment on plasma SARS-associated\nCoronavirus RNA concentrations in adult patients. J Clin Virol. 2004;31(4):304-9.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">11.Stein RA. The 2019 coronavirus:\nLearning curves, lessons, and the weakest link. Int J Clin Pract.\n2020;74(4):e13488.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">12. Zhang H, Penninger JM, Li Y, Zhong N, Slutsky AS.\nAngiotensin-converting enzyme 2 (ACE2) as a SARS-CoV-2 receptor: molecular\nmechanisms and potential therapeutic target. Intensive Care Med. 2020.<\/p>","protected":false},"excerpt":{"rendered":"<p>\u0391\u03b8\u03ae\u03bd\u03b1, \u03a4\u03c1\u03af\u03c4\u03b7 31 \u039c\u03b1\u03c1\u03c4\u03af\u03bf\u03c5 2020 \u0391\u039d\u0391\u039a\u039f\u0399\u039d\u03a9\u03a3\u0397 \u0391\u03b3\u03b1\u03c0\u03b7\u03c4\u03ad\u03c2\/\u03bf\u03af \u03c3\u03c5\u03bd\u03ac\u03b4\u03b5\u03bb\u03c6\u03bf\u03b9, \u039c\u03b5 \u03b2\u03ac\u03c3\u03b7<span class=\"excerpt-hellip\"> [\u2026]<\/span><\/p>\n","protected":false},"author":1,"featured_media":5045,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[16],"tags":[],"class_list":["post-5037","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-epistimonika-arthra"],"_links":{"self":[{"href":"https:\/\/getremed.gr\/eng\/wp-json\/wp\/v2\/posts\/5037","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/getremed.gr\/eng\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/getremed.gr\/eng\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/getremed.gr\/eng\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/getremed.gr\/eng\/wp-json\/wp\/v2\/comments?post=5037"}],"version-history":[{"count":0,"href":"https:\/\/getremed.gr\/eng\/wp-json\/wp\/v2\/posts\/5037\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/getremed.gr\/eng\/wp-json\/wp\/v2\/media\/5045"}],"wp:attachment":[{"href":"https:\/\/getremed.gr\/eng\/wp-json\/wp\/v2\/media?parent=5037"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/getremed.gr\/eng\/wp-json\/wp\/v2\/categories?post=5037"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/getremed.gr\/eng\/wp-json\/wp\/v2\/tags?post=5037"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}