Discrepancies of SARS-CoV-2 testing results among patients with total laryngectomy.


Journal

European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
ISSN: 1434-4726
Titre abrégé: Eur Arch Otorhinolaryngol
Pays: Germany
ID NLM: 9002937

Informations de publication

Date de publication:
Apr 2022
Historique:
received: 19 07 2021
accepted: 24 11 2021
pubmed: 3 12 2021
medline: 22 3 2022
entrez: 2 12 2021
Statut: ppublish

Résumé

Prevention of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection is obtained with nasopharyngeal swabs. By the way, there is no consensus regarding sampling in totally laryngectomized subjects (who thus breathe directly by the tracheostomy and, theoretically, may be infected in the trachea). The aim of this study is to evaluate possible differences between swab results in the trachea and in the nasopharynx of this category of patients. A retrospective chart review was performed in April 2021 among patients who previously had been operated on for total laryngectomy and who underwent swabs for SARS-CoV-2 research in 3 health-care centers in Northern-Eastern Italy. Data regarding the site of swabbing (trachea or nasopharynx) were analyzed. A comprehensive review of the literature regarding the same topic was then performed. A total of 25 totally laryngectomized subjects underwent swabs. Among them, 5 tested positive in the trachea (1) and in the nasopharynx (4). According to the literature review, 4 more subjects tested positive in the trachea (1) and in the nasopharynx (3). Data were overall divergent and no statistically significant correlations emerged between results of the tests performed in the two sites. Due to these discrepancies, both tracheal and nasopharyngeal swabs are recommended in these kinds of patients, to obtain a reliable test and to avoid false negatives.

Identifiants

pubmed: 34853865
doi: 10.1007/s00405-021-07203-8
pii: 10.1007/s00405-021-07203-8
pmc: PMC8636284
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

2193-2196

Informations de copyright

© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

Références

Am J Otolaryngol. 2021 Jan - Feb;42(1):102758
pubmed: 33125901
Otolaryngol Head Neck Surg. 2020 Oct;163(4):710-711
pubmed: 32513036
Rhinology. 2020 Oct 1;58(5):524-525
pubmed: 32683438
J Laryngol Otol. 2020 Nov 04;:1-4
pubmed: 33143754
Support Care Cancer. 2021 Nov;29(11):6297-6304
pubmed: 33860361
J Dr Nurs Pract. 2021 Jun 9;:
pubmed: 34108199
Chem Senses. 2021 Jan 1;46:
pubmed: 33575808
Acta Otorhinolaryngol Ital. 2021 Apr;41(2):101-107
pubmed: 34028454
JAMA. 2020 May 12;323(18):1843-1844
pubmed: 32159775
Head Neck. 2020 Jun;42(6):1137-1143
pubmed: 32298016
Acta Biomed. 2021 Feb 16;92(1):e2021105
pubmed: 33682810
Laryngoscope. 2020 Nov;130(11):2622-2624
pubmed: 32570286
J Otolaryngol Head Neck Surg. 2020 Aug 10;49(1):59
pubmed: 32778168
Wien Klin Wochenschr. 2021 Apr;133(7-8):416-417
pubmed: 33599848
Ann Otol Rhinol Laryngol. 2021 Jan;130(1):104-107
pubmed: 32583671
Laryngoscope Investig Otolaryngol. 2021 Jul 27;6(4):646-649
pubmed: 34401485
Otolaryngol Head Neck Surg. 2021 Feb;164(2):277-284
pubmed: 32746738
Acta Otorhinolaryngol Ital. 2021 Jun;41(3):197-205
pubmed: 33970896
Codas. 2020;32(4):e20200167
pubmed: 32785435

Auteurs

C Fabbris (C)

Unit of Otolaryngology, University Hospital of Treviso, Treviso, Italy. cristoforo.fabbris@gmail.com.

F Boaria (F)

Section of Otolaryngology and Regional Centre for Head and Neck Cancer, Department of Neurosciences, University of Padova, Treviso, Italy.

P Boscolo-Rizzo (P)

Section of Otorhinolaryngology, Azienda Sanitaria Universitaria Integrata di Trieste, Trieste, Italy.

E Emanuelli (E)

Unit of Otolaryngology, University Hospital of Treviso, Treviso, Italy.

G Spinato (G)

Section of Otolaryngology and Regional Centre for Head and Neck Cancer, Department of Neurosciences, University of Padova, Treviso, Italy.
Section of Oncology and Immunology, Department of Surgery, Oncology and Gastroenterology, University of Padova, Padova, Italy.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH