COVID-19和慢性鼻炎:管理和并发症 - 我们学到了什么?
L Klimek1, J Hagemann2, T Huppertz2
1Center for Rhinology and Allergology, Wiesbaden, Germany.
慢性鼻炎 (CRS) 影响全球数百万人,是COVID-19的危险因素. 治疗侧重于鼻内皮质类固醇,并发症时保留手术,并在SARS-CoV-2感染期间仔细管理生物药物.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 传染性疾病 传染性疾病
- 呼吸系统医学 呼吸系统医学
背景情况:
- 慢性鼻炎 (CRS) 影响全球5%-12%的人口.
- 慢性呼吸系统疾病 (CRS) 是一种慢性呼吸系统疾病,也是COVID-19患者潜在的风险因素.
- 在COVID-19大流行期间,对CRS的管理策略需要特别考虑.
研究的目的:
- 在COVID-19大流行期间审查和讨论使用鼻息肉 (CRSwNP) 治疗慢性鼻炎的方法.
- 在SARS-CoV-2流行病的背景下,提供关于管理CRSwNP的指导.
- 为了告知未来的CRS治疗的流行病准备情况.
主要方法:
- 对COVID-19和CRSwNP治疗进行了非系统的文献搜索.
- 审查了国际出版物,医疗数据库,指南和互联网资源.
- 由于具体出版物有限,因此纳入了临床经验.
主要成果:
- 鼻内皮质类固醇是SARS-CoV-2感染患者中CRS的标准治疗方法.
- 对于CRS的手术指示需要进行批判性评估,仅用于并发症或耐火病例.
- 应避免使用全身性皮质类固醇;生物治疗需要在COVID-19感染期间进行仔细监测和潜在的中断.
结论:
- 目前的CRS治疗指南强调了SARS-CoV-2感染患者的鼻内皮质类固醇.
- 在大流行期间对CRS进行手术需要仔细评估风险和益处,并配备适当的个人防护设备.
- 对CRS的生物疗法的管理必须根据COVID-19状态和患者监测进行个性化.
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