{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T15:31:43Z","timestamp":1747150303134,"version":"3.40.5"},"reference-count":11,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2021,6,5]],"date-time":"2021-06-05T00:00:00Z","timestamp":1622851200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:sec><jats:title>Objectives\/Hypothesis<\/jats:title><jats:p>Severe acute respiratory syndrome coronavirus 2 (SARSCoV\u20102) is transmitted by droplet as well as airborne infection. Surgical patients are vulnerable to the infection during their hospital admission. Some surgical procedures are classified as aerosol generating (AGP).<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Retrospective observational study of four specialties associates with known AGP's during the 4 months of the first wave of UK COVID\u201019 epidermic to identify post\u2010surgical cross\u2010infection with SARSCoV\u20102 within 14 days of a procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective observational study in a tertiary healthcare center of four specialties associates with known AGP's during the 4 months of the first wave of UK COVID\u201019 epidermic to identify post\u2010surgical cross\u2010infection with SARSCoV\u20102 within 14\u2009days of a procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were 3,410 procedures reported during this period. The overall cross\u2010infection rate from tested patients was 1.3% (4 patients), that is, 0.11% of all operations over 4\u2009months. Ear, nose, and throat carried slightly higher rate of infection (0.4%) than gastroenterology (0.08%). The mortality rate was 0.3% (one gastroenterology patient from 304 positive cases) compared to 0% if surgery performed after recovery from SARSCoV\u20102 and 37.5% when surgery was conducted during the incubation period of the disease. Routine preoperative rapid screening tests and self\u2010isolation are crucial to avoid the risk of cross\u2010infection. Patients with underlying malignancy or receiving chemotherapy were more prone to pulmonary complications and mortality.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The risk of SARS\u2010COV\u20102 cross\u2010infection after surgical procedure is very low. Preoperative screening and self\u2010isolation together with personal protective measures should be in place to minimize the cross\u2010infection.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>4 <jats:italic>Laryngoscope<\/jats:italic>, 131:E2749\u2013E2754, 2021<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.29667","type":"journal-article","created":{"date-parts":[[2021,5,26]],"date-time":"2021-05-26T11:04:03Z","timestamp":1622027043000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["<scp>COVID<\/scp>\u201019 Cross\u2010Infection Rate After Surgical Procedures: Incidence and Outcome"],"prefix":"10.1002","volume":"131","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2799-0465","authenticated-orcid":false,"given":"Bassem","family":"Mettias","sequence":"first","affiliation":[{"name":"Leicester Royal Infirmary Infirmary Square  Leicester LE1 5WW United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3957-2738","authenticated-orcid":false,"given":"Manish","family":"Mair","sequence":"additional","affiliation":[{"name":"Leicester Royal Infirmary Infirmary Square  Leicester LE1 5WW United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Conboy","sequence":"additional","affiliation":[{"name":"Leicester Royal Infirmary Infirmary Square  Leicester LE1 5WW United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,6,5]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"WHO Director\u2010General's opening remarks at the media briefing on COVID\u201019 \u2010 11 March 2020. Available at:https:\/\/www.who.int\/director-general\/speeches\/detail\/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020. Accessed March 21 2021."},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.m1985"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjresp-2020-000730"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2213-2600(20)30514-2"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.33320"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)31182-X"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2665-9913(21)00001-1"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-039652"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2020.100331"},{"key":"e_1_2_6_11_1","unstructured":"COVID\u201019 infection prevention and control guidance: aerosol generating procedures. Available at:https:\/\/www.gov.uk\/government\/publications\/wuhan-novel-coronavirus-infection-prevention-and-control\/covid-19-infection-prevention-and-control-guidance-aerosol-generating-procedures. Accessed January 21 2021."},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)31256-3"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.29667","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/lary.29667","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.29667","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,29]],"date-time":"2023-08-29T04:05:31Z","timestamp":1693281931000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.29667"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6,5]]},"references-count":11,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2021,11]]}},"alternative-id":["10.1002\/lary.29667"],"URL":"https:\/\/doi.org\/10.1002\/lary.29667","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"type":"print","value":"0023-852X"},{"type":"electronic","value":"1531-4995"}],"subject":[],"published":{"date-parts":[[2021,6,5]]},"assertion":[{"value":"2021-03-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-05-20","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-06-05","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}