Yıl: 2020 Cilt: 21 Sayı: 3 Sayfa Aralığı: 193 - 200 Metin Dili: İngilizce DOI: 10.5152/TurkThoracJ.2020.20107 İndeks Tarihi: 31-10-2020

Turkish Thoracic Society Experts Consensus Report: Recommendations for Pulmonary Function Tests During and After COVID 19 Pandemic

Öz:
The recommendation of conducting pulmonary function tests (PFTs) from different societies during and after the coronavirus disease(COVID-19) pandemic was rated by the experts of the Turkish Thoracic Society (TTS) and presented as the TTS experts consensus report.Information about the topic has been provided.Globally, as of mid-May 2020, there have been over 4.4 million confirmed cases of COVID-19. There are two main routes of transmissionof COVID-19: respiratory droplets and contact transmission. PFTs are non-invasive tests that are commonly performed in routine assessment and follow-up of patients in the pulmonology units. However, PFTs may generate aerosols and require sharing common surfaces.With regard to the high prevalence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in the community, PFTs should notbe performed routinely in confirmed or suspected patients with COVID-19 during the pandemic. Because of the risk of human-to-humantransmission of COVID-19, PFTs should be restricted to a small patient population with selected indications. Triage for COVID-19 shouldbe performed prior to testing. Only essential PFTs such as spirometry, diffusion capacity of the lungs for carbon monoxide (DLCO), arterial blood gas analysis, or pulse oximetry should be performed in the selected cases. Tests should be scheduled to allow sufficient timefor donning and doffing of the technical personnel with the full personal protective equipment (PPE) (gown, a filtering respirator mask,goggles or full-face shield, and disposable gloves), ventilation of the room, and application of post-test cleaning and disinfection procedures of the equipment and the testing room.
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  • 1. American Thoracic Society Recommendations. Pulmonary Function Laboratories: Advice Regarding COVID-19. Available From: URL: https://www.thoracic.org/professionals/clinical-resources/ disease-related-resources/pulmonary-function-laboratories.php
  • 2. European Respiratory Society Recommendations. Recommendation from ERS Group 9.1 (Respiratory function technologists / Scientists) Lung function testing during COVID-19 pandemic and beyond. Available From: URL: https://ers.app.box.com/s/zs1uu88wy51monr0ewd990itoz4tsn2h
  • 3. The Thoracic Society of Australia and New Zealand Recommendations. Peak Respiratory Bodies recommend suspension of lung function testing. Available From: URL: https://www.anzsrs.org.au/ media/com_acymailing/upload/peak_respiratory_bodies_recommend_suspension_of_lung_function_testing.pdf (Date of access 10.05.2020).
  • 4. Association of Respiratory Technology and Physiology Recommendations. COVID 19 Infection Control Issues for Lung Function. Prepared by ARTP COVID19 Group. Available From: URL: https://www.artp.org.uk/COVID19
  • 5. Türk Toraks Derneği tanısal ve girişimsel yöntemler çalışma grubu, COVID-19 salgını ve sonrasında solunum fonksiyon testleri. Available From: URL: https://www.toraks.org.tr/news.aspx?detail=5890
  • 6. Zhou P, Yang XL, Wang XG, et al. A pneumonia outbreak associated with a new coronavirus of probable bat origin. Nature 2020;579:270-3. [Crossref]
  • 7. World Health Organization. Available From: URL: https://www. who.int/publications-detail/water-sanitation-hygiene-and-wastemanagement-for-COVID-19.
  • 8. World Health Organization. Report of the WHO-China Joint Mission on Coronavirus Disease 2019 (COVID-19) 16-24 February 2020 [Internet]. Geneva: World Health Organization; 2020. Available From: URL: https://www.who.int/docs/default- source/coronaviruse/who-china-joint-mission-on-COVID-19-final-report.pdf.
  • 9. World Health Organization. Available From: URL: https://www. who.int/news-room/commentaries/detail/modes-of-transmissionof-virus-causing-COVID-19-implications-for-ipc-precaution-recommendations.
  • 10. Meselson M. Droplets and Aerosols in the Transmission of SARSCoV-2. N Engl J Med 2020. [Crossref]
  • 11. Bourouiba L. Turbulent gas clouds and respiratory pathogen emissions: Potential implications for reducing transmission of COVID-19. JAMA 2020;323:1837-8. [Crossref]
  • 12. Van Doremalen N, Bushmaker T, Morris DH, et al. Aerosol and surface stability of SARS-CoV-2 as compared with SARS-CoV-1. N Engl J Med 2020;382:1564-7. [Crossref]
  • 13. T.C Sağlık Bakanlığı Halk Sağlığı Genel Müdürlüğü COVID-19 (Sars-CoV-2 Enfeksiyonu) Rehberi. Available From: URL: https:// COVID19bilgi.saglik.gov.tr/depo/rehberler/COVID-19_Rehberi. pdf?type=file.
  • 14. Guan WJ, Ni ZY, Hu Y, et al. China Medical Treatment Expert Group for COVID-19. Clinical characteristics of Coronavirus Disease 2019 in China. N Engl J Med 2020;382:1708-20. [Crossref]
  • 15. Drummond M. Sleep labs, lung function tests and COVID-19 pandemic- only emergencies allowed. Pulmonology 2020. [Crossref]
  • 16. Irish Thoracic Society (ITS). Guidance on lung function testing: SARS COVID-19. Available From: URL: www.irishthoracicsociety. com
  • 17. ARTP COVID19 Group. COVID 19 Infection Control Issues for Lung Function. Available From: URL: https://www.artp.org.uk/ write/MediaUploads/Standards/COVID19/ARTP_COVID19_Infection_Control_Issues_for_Lung_Function.pdf
  • 18. The Thoracic Society of Australia and New Zealand (TSANZ). Update on suspension of lung function testing. Available From: URL: www.thoracic.org.au
  • 19. Rasam SA. Infection control in the pulmonary function test laboratory. Lung India 2015;32:359-366 [Crossref]
  • 20. Kendrick AH, Johns DP, Leeming JP. Infection control of lung function equipment: a practical approach. Respir Med 2003;97:1163- 79. [Crossref]
  • 21. Heilmann M, Klocke M, Smaczny C. et al. Advances in lung function tests: ultrasound spirometry. Am J Respir Crit Care Med 1998;157:A704.
  • 22. SBAR for Performing Pulmonary Function Test in PFT lab. Available From: URL: https://www.nebraskamed.com/sites/default/files/ documents/COVID-19/Guidance-regarding-pulmonary-functiontesting-(PFT).pdf?date=04012020.
  • 23. T.C Ministry of Health. Using of Protective Personal Equipment (PPE) by healthcare workers in the case or contact monitoring. The use of N95 / FFP2 masks for a longer time. Available From: URL: https://COVID19bilgi.saglik.gov.tr/depo/enfeksiyon-kontorl-onlemleri/COVID19-N95-FFP2MaskelerinUzunSureKullanimi.pdf
  • 24. Bartoszko JJ, Farooqi MAM, Alhazzani W, et al. Medical Masks vs N95 Respirators for Preventing COVID-19 in Healthcare Workers: A Systematic Review and Meta-Analysis of Randomized Trials. Influenza Other Respir Viruses 2020. [Crossref]
  • 25. Recommendation of Centers for Disease Control and Prevention. Recommended Guidance for Extended Use and Limited Reuse of N95 Filtering Facepiece Respirators in Healthcare Settings. Available From: URL: https://www.cdc.gov/niosh/topics/hcwcontrols/ recommendedguidanceextuse.html#ref18
  • 26. Hardie JA, Buist AS, Wollmer WM, et. Al. Blue-collar normative spirometric values for Caucasian and African-American men and women aged 18 to 65. Am J Respir Crit care Med 1995;151:412- 22. [Crossref]
  • 27. Glindmeyer HW, Lefante JJ, McColloster C, et. Al. Risk of overdiagnosis of COPD in asymptomatic elderly never-smokers. Eur Respir J 2002;20:1117-22. [Crossref]
  • 28. Miller MR, Crapo R, Hankinson J, et. al. ATS/ERS Task Force: Standardization of Lung Function Testing: General considerations for lung function testing. Eur Respir J 2005;26:153-161. [Crossref]
  • 29. WHO. Infection prevention and control during health care when novel coronavirus (nCoV) infection is suspected. Available From: URL: https://www.who.int/publications-detail/infection-prevention-and-control-during-health-care-when-novel-coronavirus- (ncov)-infection-is-suspected-20200125.
  • 30. Air changes per hour, assessed from. Available From: URL: https:// en.wikipedia.org/wiki/Air_changes_per_hour.
  • 31. Bearg, David W. Indoor Air Quality and HVAC Systems. CRC Press. 1993.p.64.
  • 32. Kampf G, Todt D, Pfaender S, et al. Persistence of coronaviruses on inanimate surfaces and their inactivation with biocidal agents. J Hosp Infect 2020;104:246-51. [Crossref]
  • 33. Side EA, Harrington G, Then F, et. Al. A cost-analysis of two approaches to infection control in a lung function laboratory. Aust NZ J Med 1999;29:9-14. [Crossref]
  • 34. Clausen JL. Lung volume equipment and infection control. Eur Respir J 1997;10:1928-32. [Crossref]
APA Gemicioglu B, Borekci S, Gorek Dilektasli A, ulubay g, Azap Ö, SARYAL S (2020). Turkish Thoracic Society Experts Consensus Report: Recommendations for Pulmonary Function Tests During and After COVID 19 Pandemic. , 193 - 200. 10.5152/TurkThoracJ.2020.20107
Chicago Gemicioglu Bilun,Borekci Sermin,Gorek Dilektasli Asli,ulubay gaye,Azap Özlem Kurt,SARYAL SEVGI BEHIYE Turkish Thoracic Society Experts Consensus Report: Recommendations for Pulmonary Function Tests During and After COVID 19 Pandemic. (2020): 193 - 200. 10.5152/TurkThoracJ.2020.20107
MLA Gemicioglu Bilun,Borekci Sermin,Gorek Dilektasli Asli,ulubay gaye,Azap Özlem Kurt,SARYAL SEVGI BEHIYE Turkish Thoracic Society Experts Consensus Report: Recommendations for Pulmonary Function Tests During and After COVID 19 Pandemic. , 2020, ss.193 - 200. 10.5152/TurkThoracJ.2020.20107
AMA Gemicioglu B,Borekci S,Gorek Dilektasli A,ulubay g,Azap Ö,SARYAL S Turkish Thoracic Society Experts Consensus Report: Recommendations for Pulmonary Function Tests During and After COVID 19 Pandemic. . 2020; 193 - 200. 10.5152/TurkThoracJ.2020.20107
Vancouver Gemicioglu B,Borekci S,Gorek Dilektasli A,ulubay g,Azap Ö,SARYAL S Turkish Thoracic Society Experts Consensus Report: Recommendations for Pulmonary Function Tests During and After COVID 19 Pandemic. . 2020; 193 - 200. 10.5152/TurkThoracJ.2020.20107
IEEE Gemicioglu B,Borekci S,Gorek Dilektasli A,ulubay g,Azap Ö,SARYAL S "Turkish Thoracic Society Experts Consensus Report: Recommendations for Pulmonary Function Tests During and After COVID 19 Pandemic." , ss.193 - 200, 2020. 10.5152/TurkThoracJ.2020.20107
ISNAD Gemicioglu, Bilun vd. "Turkish Thoracic Society Experts Consensus Report: Recommendations for Pulmonary Function Tests During and After COVID 19 Pandemic". (2020), 193-200. https://doi.org/10.5152/TurkThoracJ.2020.20107
APA Gemicioglu B, Borekci S, Gorek Dilektasli A, ulubay g, Azap Ö, SARYAL S (2020). Turkish Thoracic Society Experts Consensus Report: Recommendations for Pulmonary Function Tests During and After COVID 19 Pandemic. Turkish Thoracic Journal, 21(3), 193 - 200. 10.5152/TurkThoracJ.2020.20107
Chicago Gemicioglu Bilun,Borekci Sermin,Gorek Dilektasli Asli,ulubay gaye,Azap Özlem Kurt,SARYAL SEVGI BEHIYE Turkish Thoracic Society Experts Consensus Report: Recommendations for Pulmonary Function Tests During and After COVID 19 Pandemic. Turkish Thoracic Journal 21, no.3 (2020): 193 - 200. 10.5152/TurkThoracJ.2020.20107
MLA Gemicioglu Bilun,Borekci Sermin,Gorek Dilektasli Asli,ulubay gaye,Azap Özlem Kurt,SARYAL SEVGI BEHIYE Turkish Thoracic Society Experts Consensus Report: Recommendations for Pulmonary Function Tests During and After COVID 19 Pandemic. Turkish Thoracic Journal, vol.21, no.3, 2020, ss.193 - 200. 10.5152/TurkThoracJ.2020.20107
AMA Gemicioglu B,Borekci S,Gorek Dilektasli A,ulubay g,Azap Ö,SARYAL S Turkish Thoracic Society Experts Consensus Report: Recommendations for Pulmonary Function Tests During and After COVID 19 Pandemic. Turkish Thoracic Journal. 2020; 21(3): 193 - 200. 10.5152/TurkThoracJ.2020.20107
Vancouver Gemicioglu B,Borekci S,Gorek Dilektasli A,ulubay g,Azap Ö,SARYAL S Turkish Thoracic Society Experts Consensus Report: Recommendations for Pulmonary Function Tests During and After COVID 19 Pandemic. Turkish Thoracic Journal. 2020; 21(3): 193 - 200. 10.5152/TurkThoracJ.2020.20107
IEEE Gemicioglu B,Borekci S,Gorek Dilektasli A,ulubay g,Azap Ö,SARYAL S "Turkish Thoracic Society Experts Consensus Report: Recommendations for Pulmonary Function Tests During and After COVID 19 Pandemic." Turkish Thoracic Journal, 21, ss.193 - 200, 2020. 10.5152/TurkThoracJ.2020.20107
ISNAD Gemicioglu, Bilun vd. "Turkish Thoracic Society Experts Consensus Report: Recommendations for Pulmonary Function Tests During and After COVID 19 Pandemic". Turkish Thoracic Journal 21/3 (2020), 193-200. https://doi.org/10.5152/TurkThoracJ.2020.20107