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[What should urologists know about SARS-CoV-2? Risk analysis for urological operations and recommendations for action
Y Kunz1, W Horninger1, G-M Pinggera2
1Abteilung für Urologie, Medizinische Universitätsklinik Innsbruck, Anichstraße 35, 6020, Innsbruck, Österreich.
Der Urologe. Ausg. A
|October 13, 2020
Summary
Urologists face SARS-CoV-2 infection risks during surgery. Enhanced personal protective equipment (PPE) and stringent hygiene measures are crucial for safe patient care and protecting healthcare workers.
Area of Science:
- Urology
- Infectious Diseases
- Public Health
Background:
- The COVID-19 pandemic presents significant challenges to global healthcare systems.
- Urological surgeons are increasingly encountering patients with SARS-CoV-2 infections.
- There is a critical need for clinical guidance on managing surgical procedures during the pandemic.
Purpose of the Study:
- To assess the risk of SARS-CoV-2 infection during urological surgical procedures.
- To evaluate necessary hygienic measures for handling human tissues.
- To provide evidence-based recommendations for daily urological practice.
Main Methods:
- Comprehensive literature review of PubMed, bioRxiv, and medRxiv.
- Analysis of data from the World Health Organization (WHO) and Robert Koch Institute.
- Review focused on SARS-CoV-2, surgical procedures, and infected patients, with a data cutoff of April 21, 2020.
Main Results:
- Current personal protective equipment (PPE) may be insufficient for surgical interventions during the SARS-CoV-2 pandemic.
- The use of FFP-2 masks, safety goggles, and full-body protective suits is essential.
- High-efficiency particulate air (HEPA) filtration systems and closed suction devices are recommended to minimize viral spread.
Conclusions:
- General and specific recommendations for clinical urology practice have been derived.
- Despite uncertainties regarding aerosol transmission, stringent safety measures can create a safe environment.
- Emergency and urgent urological procedures are not contraindicated if appropriate precautions are followed.
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