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

R. Kurien*, L. Varghese, L. M. Cherian, R. Sundaresan, M. John, M. D. Mammen, R. R. Inja, A. Manesh, H. Paul, P. R. Gurijala, J. S. Michael, M. Thomas, K. P.P. Abhilash, A. M. Varghese, V. Rupa

*المؤلف المقابل لهذا العمل

نتاج البحث: المساهمة في مجلةArticleمراجعة النظراء


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.

اللغة الأصليةEnglish
الصفحات (من إلى)1314-1319
عدد الصفحات6
دوريةJournal of Laryngology and Otology
مستوى الصوت136
رقم الإصدار12
المعرِّفات الرقمية للأشياء
حالة النشرPublished - ديسمبر 16 2022

ASJC Scopus subject areas

  • ???subjectarea.asjc.2700.2733???

قم بذكر هذا