COVID-19 世界の眼科および形成外科学会からの勧告

COVID-19 Recommendations From Ophthalmic and Plastic Reconstructive Surgery Societies Worldwide.

• Anne X Nguyen
• Kalla A Gervasio
• Albert Y Wu

抄録

目的:

COVID-19パンデミックは、ケアの提供、医療機器、リスクの高い患者管理という点で、世界中の眼形成外科医に前例のない課題をもたらしました。現在までのところ、眼形成外科医のためのCOVID-19の国際的なガイドラインは中央集権化されておらず、また編集されていない。

PURPOSE: The COVID-19 pandemic has brought unprecedented challenges for oculoplastic surgeons worldwide, in terms of care delivery, medical equipment and at-risk patient management. To date, there are no centralized or compiled international COVID-19 guidelines for oculoplastic surgeons.

方法:

本研究では、世界中の眼科学会が発行しているCOVID-19ガイドラインを調査した。当初は世界各国を対象としたが、本研究の対象となったのは9つの眼形成外科学会のみであった。(1) 眼科学会のウェブサイトに掲載されている一般公開されているガイドライン、または(2) 眼科学会のウェブサイトに掲載されている連絡先を利用して2回連絡を取った後に眼科学会から入手したガイドラインである。

METHODS: We examined COVID-19 guidelines published by oculoplastic societies worldwide. All countries around the world were initially considered in this study, but only 9 oculoplastic societies met the inclusion criteria: (1) publicly available guidelines displayed on the oculoplastic society's website, or (2) guidelines received from the oculoplastic society after contacting them twice using the contact information on their website.

結果:

RESULTS: The 9 oculoplastic societies examined include: the American Society of Ophthalmic Plastic and Reconstructive Surgery, the British Oculoplastic Surgery Society, the Canadian Society of Oculoplastic Surgery, the European Society of Ophthalmic Plastic and Reconstructive Surgery, la Sociedad Española de Cirugía Plástica Ocular y Orbitaria, la Asociación Colombiana de Cirugía Plastica Ocular, the Asia Pacific Society of Ophthalmic Plastic & Reconstructive Surgery, the Oculoplastics Association of India, and the Philippine Society of Ophthalmic Plastic and Reconstructive Surgery. They all agree that urgent procedures should not be delayed, while non-necessary procedures (including all elective clinic services) should be postponed. When adequate protective equipment is available, oculoplastic surgeons must treat urgent cases. Eight out of 9 societies have provided recommendations on personal protective equipment use in order to prevent the spread of COVID-19 and to adequately protect mucous membranes. Other recommendations provided by certain societies are related to shelter in place measures, hand hygiene and surface disinfection protocols, patient triage, and thyroid eye disease management.

結論:

勧告を発表した9つの学会はすべて、ケアの緊急性と感染対策（個人用保護具、手指衛生、遠隔医療、社会的隔離）について、会員に貴重な勧告を提供している。

CONCLUSIONS: All 9 societies with published recommendations have provided valuable recommendations to their members, regarding urgency of care and infection control solutions (personal protective equipment, hand hygiene, telemedicine, and social isolation).