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Revised workflow practices in the management of acute invasive fungal sinusitis during the coronavirus disease 2019 pandemic.
Kurien, R; Varghese, L; Cherian, L M; Sundaresan, R; John, M; Mammen, M D; Inja, R R; Manesh, A; Paul, H; Gurijala, P R; Michael, J S; Thomas, M; Abhilash, K P P; Varghese, A M; Rupa, V.
  • Kurien R; Department of ENT, Christian Medical College, Vellore, India.
  • Varghese L; Department of ENT, Christian Medical College, Vellore, India.
  • Cherian LM; Department of ENT, Christian Medical College, Vellore, India.
  • Sundaresan R; Department of ENT, Christian Medical College, Vellore, India.
  • John M; Department of ENT, Christian Medical College, Vellore, India.
  • Mammen MD; Department of ENT, Christian Medical College, Vellore, India.
  • Inja RR; Department of ENT, Christian Medical College, Vellore, India.
  • Manesh A; Department of Infectious Diseases, Christian Medical College, Vellore, India.
  • Paul H; Department of Hospital Infection Control Committee, Christian Medical College, Vellore, India.
  • Gurijala PR; Department of Radiodiagnosis, Christian Medical College, Vellore, India.
  • Michael JS; Department of Microbiology, Christian Medical College, Vellore, India.
  • Thomas M; Department of Pathology, Christian Medical College, Vellore, India.
  • Abhilash KPP; Department of Emergency Medicine, Christian Medical College, Vellore, India.
  • Varghese AM; Department of ENT, Christian Medical College, Vellore, India.
  • Rupa V; Department of ENT, Christian Medical College, Vellore, India.
J Laryngol Otol ; 136(12): 1314-1319, 2022 Dec.
Статья в английский | MEDLINE | ID: covidwho-2069839
ABSTRACT

OBJECTIVE:

To document changes in evaluation protocols for acute invasive fungal sinusitis during the coronavirus disease 2019 pandemic, and to analyse concordance between clinical and histopathological diagnoses based on new practice guidelines.

METHODS:

Protocols for the evaluation of patients with suspected acute invasive fungal sinusitis both prior and during the coronavirus disease 2019 period are described. A retrospective analysis of patients presenting with suspected acute invasive fungal sinusitis from 1 May to 30 June 2021 was conducted, with assessment of the concordance between clinical and final diagnoses.

RESULTS:

Among 171 patients with high clinical suspicion, 160 (93.6 per cent) had a final histopathological diagnosis of invasive fungal sinusitis, concordant with the clinical diagnosis, with sensitivity of 100 per cent, positive predictive value of 93.6 per cent and negative predictive value of 100 per cent.

CONCLUSION:

The study highlights a valuable screening tool with good accuracy, involving emphasis on 'red flag' signs in high-risk populations. This could be valuable in situations demanding the avoidance of aerosol-generating procedures and in resource-limited settings facilitating early referral to higher level care centres.
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Полный текст: Имеется в наличии Коллекция: Международные базы данных база данных: MEDLINE Основная тема: Sinusitis / Invasive Fungal Infections / COVID-19 Тип исследования: Диагностическое исследование / Экспериментальные исследования / Наблюдательное исследование / Прогностическое исследование Пределы темы: Люди Язык: английский Журнал: J Laryngol Otol Тематика журнала: Отоларингология Год: 2022 Тип: Статья Аффилированная страна: S0022215122001888

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Полный текст: Имеется в наличии Коллекция: Международные базы данных база данных: MEDLINE Основная тема: Sinusitis / Invasive Fungal Infections / COVID-19 Тип исследования: Диагностическое исследование / Экспериментальные исследования / Наблюдательное исследование / Прогностическое исследование Пределы темы: Люди Язык: английский Журнал: J Laryngol Otol Тематика журнала: Отоларингология Год: 2022 Тип: Статья Аффилированная страна: S0022215122001888