The UK national registry of ENT surgeons with coronavirus disease 2019: one year on

K Stephenson1,2, M George3,4, L Sowerby2,5

  • 1Department of Otorhinolaryngology - Head and Neck Surgery, Birmingham Children's Hospital, Birmingham, UK.

Insights

UK otolaryngologists faced significant coronavirus disease 2019 (COVID-19) risks, with workplace exposure and lack of personal protective equipment cited. Ongoing risk-reduction measures, including vaccination, are crucial for protecting these essential healthcare professionals.

Area of Science:

  • Otolaryngology
  • Infectious Diseases
  • Occupational Health

Background:

  • The coronavirus disease 2019 (COVID-19) pandemic posed unprecedented challenges to healthcare systems globally.
  • Healthcare professionals, including Ear, Nose, and Throat (ENT) surgeons, were at the forefront of patient care, facing potential occupational exposure.
  • Understanding the impact of COVID-19 on ENT surgeons and trainees is vital for implementing effective safety protocols.

Purpose of the Study:

  • To document the one-year incidence of COVID-19 among UK ENT surgeons registered nationally.
  • To assess the experiences and perceived risks of COVID-19 among UK ENT trainees through a dedicated survey.

Main Methods:

  • An online national registry was established in April 2020 to track ENT surgeons with suspected or confirmed COVID-19.
  • A separate electronic survey was distributed to all members of the Association of Otolaryngologists in Training.

Main Results:

  • The registry identified 98 ENT clinicians with confirmed or suspected COVID-19, with most infections occurring during the initial wave in Spring 2020.
  • Two ENT surgeons required hospitalization, and one tragically died.
  • A significant proportion of infections were attributed to suspected workplace exposure, often linked to inadequate personal protective equipment (PPE) before formal guidance was issued.
  • Nearly one-third of surveyed ENT trainees reported contracting COVID-19.

Conclusions:

  • The findings underscore the substantial occupational risks faced by ENT surgeons during the COVID-19 pandemic.
  • The study highlights the critical need for robust risk-reduction strategies, emphasizing optimal personal protective equipment (PPE) and widespread vaccination to safeguard healthcare workers.
Abstract