Suggestions for lung function testing in the context of COVID-19.

Area of Science:

• Pulmonology
• Infectious Disease Epidemiology
• Public Health

Background:

• The COVID-19 pandemic presents global health challenges.
• Lung function testing is crucial for diagnosing and monitoring respiratory conditions, but poses infection risks.
• Aerosol generation during tests and patient concentration in labs increase COVID-19 transmission potential.

Purpose of the Study:

• To review the risks associated with lung function testing during the COVID-19 pandemic.
• To provide updated recommendations for safe operation of lung function laboratories.
• To support health authorities in decision-making regarding laboratory reopening.

Main Methods:

• Literature review on COVID-19 transmission risks in lung function testing.
• Analysis of evolving data on transmission dynamics.
• Synthesis of recommendations based on pandemic phases.

Main Results:

• Lung function tests can be a route for COVID-19 transmission.
• Risk mitigation strategies are essential for healthcare workers and patients.
• Recommendations have evolved throughout the pandemic.

Conclusions:

• Safe reopening of lung function laboratories is necessary.
• Maximum safety precautions are paramount in the COVID-19 era.
• Guidance is provided to aid health authorities in managing these services.