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Revised workflow practices in the management of acute invasive fungal sinusitis during the coronavirus disease 2019 pandemic.

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Title: Revised workflow practices in the management of acute invasive fungal sinusitis during the coronavirus disease 2019 pandemic.
Authors: Kurien, R, Varghese, L, Cherian, L M, Sundaresan, R, John, M, Mammen, M D, Inja, R R, Manesh, A, Paul, H, Gurijala, P R, Michael, J S, Thomas, M, Abhilash, K P P, Varghese, A M, Rupa, V
Source: Journal of Laryngology & Otology; Dec2022, Vol. 136 Issue 12, p1314-1319, 6p
Subject Terms: PREDICTIVE tests, AEROSOLS, RETROSPECTIVE studies, PARANASAL sinuses, MEDICAL protocols, WORKFLOW, MEDICAL care use, MYCOSES, SINUSITIS, MEDICAL referrals, COVID-19 pandemic, DISEASE management
Abstract: Objective: To document changes in evaluation protocols for acute invasive fungal sinusitis during the coronavirus disease 2019 pandemic, and to analyse concordance between clinical and histopathological diagnoses based on new practice guidelines. Methods: Protocols for the evaluation of patients with suspected acute invasive fungal sinusitis both prior and during the coronavirus disease 2019 period are described. A retrospective analysis of patients presenting with suspected acute invasive fungal sinusitis from 1 May to 30 June 2021 was conducted, with assessment of the concordance between clinical and final diagnoses. Results: Among 171 patients with high clinical suspicion, 160 (93.6 per cent) had a final histopathological diagnosis of invasive fungal sinusitis, concordant with the clinical diagnosis, with sensitivity of 100 per cent, positive predictive value of 93.6 per cent and negative predictive value of 100 per cent. Conclusion: The study highlights a valuable screening tool with good accuracy, involving emphasis on 'red flag' signs in high-risk populations. This could be valuable in situations demanding the avoidance of aerosol-generating procedures and in resource-limited settings facilitating early referral to higher level care centres. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Laryngology & Otology is the property of Cambridge University Press and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Revised workflow practices in the management of acute invasive fungal sinusitis during the coronavirus disease 2019 pandemic.
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  Data: <searchLink fieldCode="AR" term="%22Kurien%2C+R%22">Kurien, R</searchLink><br /><searchLink fieldCode="AR" term="%22Varghese%2C+L%22">Varghese, L</searchLink><br /><searchLink fieldCode="AR" term="%22Cherian%2C+L+M%22">Cherian, L M</searchLink><br /><searchLink fieldCode="AR" term="%22Sundaresan%2C+R%22">Sundaresan, R</searchLink><br /><searchLink fieldCode="AR" term="%22John%2C+M%22">John, M</searchLink><br /><searchLink fieldCode="AR" term="%22Mammen%2C+M+D%22">Mammen, M D</searchLink><br /><searchLink fieldCode="AR" term="%22Inja%2C+R+R%22">Inja, R R</searchLink><br /><searchLink fieldCode="AR" term="%22Manesh%2C+A%22">Manesh, A</searchLink><br /><searchLink fieldCode="AR" term="%22Paul%2C+H%22">Paul, H</searchLink><br /><searchLink fieldCode="AR" term="%22Gurijala%2C+P+R%22">Gurijala, P R</searchLink><br /><searchLink fieldCode="AR" term="%22Michael%2C+J+S%22">Michael, J S</searchLink><br /><searchLink fieldCode="AR" term="%22Thomas%2C+M%22">Thomas, M</searchLink><br /><searchLink fieldCode="AR" term="%22Abhilash%2C+K+P+P%22">Abhilash, K P P</searchLink><br /><searchLink fieldCode="AR" term="%22Varghese%2C+A+M%22">Varghese, A M</searchLink><br /><searchLink fieldCode="AR" term="%22Rupa%2C+V%22">Rupa, V</searchLink>
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  Data: Journal of Laryngology & Otology; Dec2022, Vol. 136 Issue 12, p1314-1319, 6p
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  Data: <searchLink fieldCode="DE" term="%22PREDICTIVE+tests%22">PREDICTIVE tests</searchLink><br /><searchLink fieldCode="DE" term="%22AEROSOLS%22">AEROSOLS</searchLink><br /><searchLink fieldCode="DE" term="%22RETROSPECTIVE+studies%22">RETROSPECTIVE studies</searchLink><br /><searchLink fieldCode="DE" term="%22PARANASAL+sinuses%22">PARANASAL sinuses</searchLink><br /><searchLink fieldCode="DE" term="%22MEDICAL+protocols%22">MEDICAL protocols</searchLink><br /><searchLink fieldCode="DE" term="%22WORKFLOW%22">WORKFLOW</searchLink><br /><searchLink fieldCode="DE" term="%22MEDICAL+care+use%22">MEDICAL care use</searchLink><br /><searchLink fieldCode="DE" term="%22MYCOSES%22">MYCOSES</searchLink><br /><searchLink fieldCode="DE" term="%22SINUSITIS%22">SINUSITIS</searchLink><br /><searchLink fieldCode="DE" term="%22MEDICAL+referrals%22">MEDICAL referrals</searchLink><br /><searchLink fieldCode="DE" term="%22COVID-19+pandemic%22">COVID-19 pandemic</searchLink><br /><searchLink fieldCode="DE" term="%22DISEASE+management%22">DISEASE management</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objective: To document changes in evaluation protocols for acute invasive fungal sinusitis during the coronavirus disease 2019 pandemic, and to analyse concordance between clinical and histopathological diagnoses based on new practice guidelines. Methods: Protocols for the evaluation of patients with suspected acute invasive fungal sinusitis both prior and during the coronavirus disease 2019 period are described. A retrospective analysis of patients presenting with suspected acute invasive fungal sinusitis from 1 May to 30 June 2021 was conducted, with assessment of the concordance between clinical and final diagnoses. Results: Among 171 patients with high clinical suspicion, 160 (93.6 per cent) had a final histopathological diagnosis of invasive fungal sinusitis, concordant with the clinical diagnosis, with sensitivity of 100 per cent, positive predictive value of 93.6 per cent and negative predictive value of 100 per cent. Conclusion: The study highlights a valuable screening tool with good accuracy, involving emphasis on 'red flag' signs in high-risk populations. This could be valuable in situations demanding the avoidance of aerosol-generating procedures and in resource-limited settings facilitating early referral to higher level care centres. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label:
  Group: Ab
  Data: <i>Copyright of Journal of Laryngology & Otology is the property of Cambridge University Press and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1017/S0022215122001888
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      – Code: eng
        Text: English
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        PageCount: 6
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      – SubjectFull: PREDICTIVE tests
        Type: general
      – SubjectFull: AEROSOLS
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      – SubjectFull: RETROSPECTIVE studies
        Type: general
      – SubjectFull: PARANASAL sinuses
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      – SubjectFull: MEDICAL protocols
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      – SubjectFull: WORKFLOW
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      – SubjectFull: MEDICAL care use
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      – SubjectFull: MYCOSES
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      – SubjectFull: SINUSITIS
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      – SubjectFull: MEDICAL referrals
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      – SubjectFull: COVID-19 pandemic
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      – SubjectFull: DISEASE management
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              Text: Dec2022
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