Urological activity at the time of COVID-19 pandemic: Is there any differences between public and private field?

The Pan African Medical Journal

Amine Oueslati¹  Mohamed Chebil¹  Haroun Ayed¹  Ahmed Saadi¹  Amine Derouiche¹  Marouene Chakroun¹  Riadh Ben Slama¹  Marwa Fliss¹  Abderrazek Bouzouita¹  Skander Zouari¹ 

[1] University Tunis El Manar, Faculty of Medicine of Tunis, Charles Nicolle Hospital, Department of Urology, Tunis, Tunisia;

关键词: covid-19;    pandemics;    urology;    urological activity;    impact;   

DOI  :  10.11604/pamj.2020.37.389.25297

来源: DOAJ

【 摘 要 】

INTRODUCTION: As COVID-19 pandemic is rapidly evolving, there is a whole reorganization in hospitals to concentrate more resources to face the crisis. The purpose of this study is to evaluate the impact of COVID-19 disease on urological activity in Tunisia. To assess the differences in the management of urological conditions between the private and the public field. METHODS: a survey was addressed to all certified urologists working in Tunisia in both the public and private sectors (n=194) using the national database of active urologists available and updated. We either called them or looked them up through email or social media. The form was open from March the 28th to April the 3rd. Results were obtained via spreadsheet and analysed using SPSS 23.0. RESULTS: one hundred and twenty urologists have filled in the form. Consultations at the outpatient office were restricted to urgent cases in 66% (n=79). Telemedicine was more used by urologists in private than in public field p=0,03. Urologists in private sector followed more the sterilization protocol of the hospital/clinic and used more disposable materials whenever possible p=0,011. Elective surgical activity has completely stopped in 85% of the responders (n=102). Elective surgery requiring transfusion or intensive care unit was performed in 38% (n=46) and 26% (n=31) if there was a risk of disease progression. BPH surgery was more performed as usual in private sector than in public sector p=0,012. It was the only condition managed differently between both sectors. CONCLUSION: the drop of the urological activity is essential in order to give relevant stakeholders room to act efficiently against the spread of the virus. The context of the pandemic and the hospital´s condition must be taken into consideration without compromising the patient´s outcome.

【 授权许可】

Unknown