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Tanaffos، جلد ۲۱، شماره ۲، صفحات ۲۰۷-۲۱۳
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عنوان انگلیسی Safe Practice of Flexible Bronchoscopy for Non-COVID-19 Indications during the SARS-CoV-2 Pandemic
چکیده انگلیسی مقاله Background: Flexible bronchoscopy is an aerosol-generating procedure (AGP), which increases the risk of transmission of SARS-CoV-2 infection. We aimed to find COVID-19 symptoms among healthcare workers (HCWs) involved in flexible bronchoscopies for non-COVID-19 indications during the SARS-CoV-2 pandemic. Materials and Methods: The participants of this hospital-based single-center descriptive study were HCWs of our hospital involved in flexible bronchoscopies of patients with non-COVID-19 indications. These patients had no clinical features of COVID-19 and were tested negative for SARS-CoV-2 by the real-time polymerase chain reaction of nasopharyngeal and throat swabs before the procedure. The study outcome was the occurrence of COVID-19 in study participants after exposure to bronchoscopies. Results: Thirteen HCWs performed 81 bronchoscopies on 62 patients. Indications for bronchoscopies included malignancy (61.30%), suspected infections (19.35%), non-resolving pneumonia (6.45%), mucus plug removal (6.45%), central airway obstruction (4.84%), and hemoptysis (1.61%). The mean age of patients was 50.44 ± 15.00 years, and the majority was males (72.58%). Bronchoscopic procedures included 51 bronchoalveolar lavages, 32 endobronchial ultrasound- transbronchial needle aspiration (EBUS-TBNA), 26 endobronchial biopsies, 10 transbronchial lung biopsy (TBLB), 3 mucus plug removals, 2 conventional TBNA, and 2 radial EBUS-TBLB. Except for two HCWs who complained of transient throat irritation of non-infectious cause, none of the cases developed any clinical features suggestive of COVID-19. Conclusion: A dedicated bronchoscopy protocol helps in minimizing the risk of transmission of SARS-CoV-2 infection among HCWs involved in flexible bronchoscopies for non-COVID-19 indications during the SARS-CoV-2 pandemic.  
کلیدواژه‌های انگلیسی مقاله Bronchoscopy,COVID-19,Protocol,Risk,SARS-CoV-2,Transmission
نویسندگان مقاله Nishant Kumar Chauhan |
Department of Pulmonary Medicine, All India Institute of Medical Sciences (AIIMS), Jodhpur, India

Benhur Joel Shadrach |
Department of Pulmonary Medicine, All India Institute of Medical Sciences (AIIMS), Jodhpur, India

Naveen Dutt |
Department of Pulmonary Medicine, All India Institute of Medical Sciences (AIIMS), Jodhpur, India

Ram Niwas Jalandra |
Department of Pulmonary Medicine, All India Institute of Medical Sciences (AIIMS), Jodhpur, India

Kunal Deokar |
Department of Pulmonary Medicine, All India Institute of Medical Sciences (AIIMS), Jodhpur, India

Mahendra Kumar Garg |
Department of General Medicine, All India Institute of Medical Sciences (AIIMS), Jodhpur, India

Vijaya Lakshmi Nag |
Department of Microbiology, All India Institute of Medical Sciences (AIIMS), Jodhpur, India

Pankaj Bhardwaj |
Department of Community Medicine and Family Medicine, All India Institute of Medical Sciences (AIIMS), Jodhpur, India

Vidhi Jain |
Department of Microbiology, All India Institute of Medical Sciences (AIIMS), Jodhpur, India

Sanjeev Misra |
Department of Surgical Oncology, All India Institute of Medical Sciences (AIIMS), Jodhpur, India.

نشانی اینترنتی https://www.tanaffosjournal.ir/article_702001_e2d14349d5690ce2653a5adb89a482c7.pdf
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