Tags

Type your tag names separated by a space and hit enter

Stepping up infection control measures in ophthalmology during the novel coronavirus outbreak: an experience from Hong Kong.
Graefes Arch Clin Exp Ophthalmol. 2020 May; 258(5):1049-1055.GA

Abstract

PURPOSE

Coronavirus disease (COVID-19) has rapidly emerged as a global health threat. The purpose of this article is to share our local experience of stepping up infection control measures in ophthalmology to minimise COVID-19 infection of both healthcare workers and patients.

METHODS

Infection control measures implemented in our ophthalmology clinic are discussed. The measures are based on detailed risk assessment by both local ophthalmologists and infection control experts.

RESULTS

A three-level hierarchy of control measures was adopted. First, for administrative control, in order to lower patient attendance, text messages with an enquiry phone number were sent to patients to reschedule appointments or arrange drug refill. In order to minimise cross-infection of COVID-19, a triage system was set up to identify patients with fever, respiratory symptoms, acute conjunctivitis or recent travel to outbreak areas and to encourage these individuals to postpone their appointments for at least 14 days. Micro-aerosol generating procedures, such as non-contact tonometry and operations under general anaesthesia were avoided. Nasal endoscopy was avoided as it may provoke sneezing and cause generation of droplets. All elective clinical services were suspended. Infection control training was provided to all clinical staff. Second, for environmental control, to reduce droplet transmission of COVID-19, installation of protective shields on slit lamps, frequent disinfection of equipment, and provision of eye protection to staff were implemented. All staff were advised to measure their own body temperatures before work and promptly report any symptoms of upper respiratory tract infection, vomiting or diarrhoea. Third, universal masking, hand hygiene, and appropriate use of personal protective equipment (PPE) were promoted.

CONCLUSION

We hope our initial experience in stepping up infection control measures for COVID-19 infection in ophthalmology can help ophthalmologists globally to prepare for the potential community outbreak or pandemic. In order to minimise transmission of COVID-19, ophthalmologists should work closely with local infection control teams to implement infection control measures that are appropriate for their own clinical settings.

Authors+Show Affiliations

Department of Ophthalmology, United Christian Hospital, 130 Hip Wo Street, Kwun Tong, Kowloon, Hong Kong SAR. Department of Ophthalmology, Tseung Kwan O Hospital, 2 Po Ning Path, Tseung Kwan O, Hong Kong SAR.Department of Ophthalmology, United Christian Hospital, 130 Hip Wo Street, Kwun Tong, Kowloon, Hong Kong SAR. Department of Ophthalmology, Tseung Kwan O Hospital, 2 Po Ning Path, Tseung Kwan O, Hong Kong SAR.Department of Pathology, Tseung Kwan O Hospital, 2 Po Ning Path, Tseung Kwan O, Hong Kong SAR.Department of Pathology, United Christian Hospital, 130 Hip Wo Street, Kwun Tong, Kowloon, Hong Kong SAR.Department of Ophthalmology, United Christian Hospital, 130 Hip Wo Street, Kwun Tong, Kowloon, Hong Kong SAR. kennethli@rcsed.ac.uk. Department of Ophthalmology, Tseung Kwan O Hospital, 2 Po Ning Path, Tseung Kwan O, Hong Kong SAR. kennethli@rcsed.ac.uk.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32124000

Citation

Lai, Tracy H T., et al. "Stepping Up Infection Control Measures in Ophthalmology During the Novel Coronavirus Outbreak: an Experience From Hong Kong." Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Fur Klinische Und Experimentelle Ophthalmologie, vol. 258, no. 5, 2020, pp. 1049-1055.
Lai THT, Tang EWH, Chau SKY, et al. Stepping up infection control measures in ophthalmology during the novel coronavirus outbreak: an experience from Hong Kong. Graefes Arch Clin Exp Ophthalmol. 2020;258(5):1049-1055.
Lai, T. H. T., Tang, E. W. H., Chau, S. K. Y., Fung, K. S. C., & Li, K. K. W. (2020). Stepping up infection control measures in ophthalmology during the novel coronavirus outbreak: an experience from Hong Kong. Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Fur Klinische Und Experimentelle Ophthalmologie, 258(5), 1049-1055. https://doi.org/10.1007/s00417-020-04641-8
Lai THT, et al. Stepping Up Infection Control Measures in Ophthalmology During the Novel Coronavirus Outbreak: an Experience From Hong Kong. Graefes Arch Clin Exp Ophthalmol. 2020;258(5):1049-1055. PubMed PMID: 32124000.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Stepping up infection control measures in ophthalmology during the novel coronavirus outbreak: an experience from Hong Kong. AU - Lai,Tracy H T, AU - Tang,Emily W H, AU - Chau,Sandy K Y, AU - Fung,Kitty S C, AU - Li,Kenneth K W, Y1 - 2020/03/03/ PY - 2020/02/21/received PY - 2020/02/26/accepted PY - 2020/02/25/revised PY - 2020/3/4/pubmed PY - 2020/4/22/medline PY - 2020/3/4/entrez KW - COVID-19 KW - Coronavirus KW - Hong Kong KW - Infection control KW - Ophthalmology KW - SARS-CoV-2 SP - 1049 EP - 1055 JF - Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie JO - Graefes Arch. Clin. Exp. Ophthalmol. VL - 258 IS - 5 N2 - PURPOSE: Coronavirus disease (COVID-19) has rapidly emerged as a global health threat. The purpose of this article is to share our local experience of stepping up infection control measures in ophthalmology to minimise COVID-19 infection of both healthcare workers and patients. METHODS: Infection control measures implemented in our ophthalmology clinic are discussed. The measures are based on detailed risk assessment by both local ophthalmologists and infection control experts. RESULTS: A three-level hierarchy of control measures was adopted. First, for administrative control, in order to lower patient attendance, text messages with an enquiry phone number were sent to patients to reschedule appointments or arrange drug refill. In order to minimise cross-infection of COVID-19, a triage system was set up to identify patients with fever, respiratory symptoms, acute conjunctivitis or recent travel to outbreak areas and to encourage these individuals to postpone their appointments for at least 14 days. Micro-aerosol generating procedures, such as non-contact tonometry and operations under general anaesthesia were avoided. Nasal endoscopy was avoided as it may provoke sneezing and cause generation of droplets. All elective clinical services were suspended. Infection control training was provided to all clinical staff. Second, for environmental control, to reduce droplet transmission of COVID-19, installation of protective shields on slit lamps, frequent disinfection of equipment, and provision of eye protection to staff were implemented. All staff were advised to measure their own body temperatures before work and promptly report any symptoms of upper respiratory tract infection, vomiting or diarrhoea. Third, universal masking, hand hygiene, and appropriate use of personal protective equipment (PPE) were promoted. CONCLUSION: We hope our initial experience in stepping up infection control measures for COVID-19 infection in ophthalmology can help ophthalmologists globally to prepare for the potential community outbreak or pandemic. In order to minimise transmission of COVID-19, ophthalmologists should work closely with local infection control teams to implement infection control measures that are appropriate for their own clinical settings. SN - 1435-702X UR - https://www.unboundmedicine.com/medline/citation/32124000/Stepping_up_infection_control_measures_in_ophthalmology_during_the_novel_coronavirus_outbreak:_an_experience_from_Hong_Kong_ L2 - https://dx.doi.org/10.1007/s00417-020-04641-8 DB - PRIME DP - Unbound Medicine ER -