Journal
OTOLARYNGOLOGY-HEAD AND NECK SURGERY
Volume 162, Issue 6, Pages 809-810Publisher
WILEY
DOI: 10.1177/0194599820920649
Keywords
COVID-19; SARS-CoV-2; 2019-nCoV; coronavirus; health care worker protection
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More than half of COVID-19 patients are afebrile early in the disease course, yet mildly ill or asymptomatic patients can still spread SARS-CoV-2 with high efficiency. Atypically presenting patients may be seen in noninfectious disease settings such as otolaryngology, which is a specialty prone to occupational exposure. Otolaryngologists have been infected with COVID-19 at higher rates than other specialties in China and other countries. Otolaryngology providers should maintain high clinical suspicion for mild and asymptomatic COVID-19 patients. Protective strategies should be implemented including preappointment screening, triaging, restriction of nonurgent visits and surgeries, telemedicine, and appropriate personal protective equipment use.
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