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Impact of the SARS-CoV-2 epidemic on private ENT consulting practice during the first month of lockdown in RĂ©union Island in 2020.
- Source :
-
European annals of otorhinolaryngology, head and neck diseases [Eur Ann Otorhinolaryngol Head Neck Dis] 2020 Sep; Vol. 137 (4), pp. 251-256. Date of Electronic Publication: 2020 Jun 23. - Publication Year :
- 2020
-
Abstract
- Objective: To analyze the impact of the first month of lockdown related to the 2020 SARS-Cov-2 epidemic on the consulting activity of private ENT physicians in Réunion Island.<br />Material and Methods: A multicenter prospective study analyzed the consulting activity of 12 ENT physicians in full-time private practice. The main endpoints were the number, characteristics and conditions of consultations. Secondary endpoints comprised presenting symptoms, diagnosis, prescriptions, adverse effects, and progression of monthly consulting turnover.<br />Results: Six hundred and ninety three consultations were performed during the study period (Appendix 1), with 50% emergency consultations. In 57.9% were face-to-face, 28.4% by phone and 13.7% video. In face-to-face consultation, the physician wore gloves in 53.8% of cases and a mask in 92.2%: surgical mask in 71.6% of cases and FFP2 in 28.4%. The three most frequent symptoms (48.5% of cases) were otalgia, hearing impairment, and vertigo. The three most frequent diagnoses (60.6% of cases) were otitis, intra-auricular foreign body (including wax), and pharyngeal infection. The three most frequently prescribed complementary exams (74.3% of cases) were imaging, hearing work-up, and specialist opinion. The three most frequently prescribed treatments (52.7% of cases) were intra-auricular drops, oral antibiotics, and nasal spray. The incidence of adverse effects was 0.001%. None of the physicians or patients seemed to have been infected by Covid-19 during the study period. There was a 47.3-91% (median, 75.6%) drop in monthly consultation turnover.<br />Conclusion: The present study underscored the availability and adaptability of ENT physicians in the Réunion Island in an epidemic context, although economic impact was detrimental.<br /> (Copyright © 2020 Elsevier Masson SAS. All rights reserved.)
- Subjects :
- COVID-19
Child
Child, Preschool
Female
Humans
Infant
Male
Pandemics
Prospective Studies
Reunion
Time Factors
Coronavirus Infections epidemiology
Otolaryngology
Otorhinolaryngologic Diseases diagnosis
Otorhinolaryngologic Diseases therapy
Pneumonia, Viral epidemiology
Private Practice statistics & numerical data
Quarantine statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 1879-730X
- Volume :
- 137
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- European annals of otorhinolaryngology, head and neck diseases
- Publication Type :
- Academic Journal
- Accession number :
- 32712116
- Full Text :
- https://doi.org/10.1016/j.anorl.2020.06.013