Botulinum toxin treatment practice recommendations for movement disorders clinics during the COVID-19 pandemic
https://doi.org/10.47895/amp.vi0.2737
- Author:
Roland Dominic G. Jamora
1
,
2
;
Jeryl Ritzi T. Yu
3
;
Adrian I. Espiritu
2
,
4
;
Ryan M. Llorin
5
;
Rosemarie M. Tiongson
6
;
Arlene R. Ng
1
Author Information
1. Movement Disorders Service and Section of Neurology, Institute for Neurosciences, St. Lukes Medical Center, Global City, Philippines
2. Division of Adult Neurology, Department of Neurosciences, College of Medicine and Philippine General Hospital, University of the Philippines Manila, Manila, Philippines
3. Section of Neurology, Institute for Neurosciences, St. Lukes Medical Center, Quezon City, Philippines
4. Department of Clinical Epidemiology, College of Medicine, University of the Philippines Manila, Manila, Philippines
5. Infection Control Services and Department of Internal Medicine, St. Lukes Medical Center, Global City, Philippines
6. Nursing Service and Movement Disorders Service, St. Lukes Medical Center, Global City, Philippines
- Publication Type:Journal Article
- Keywords:
Safety recommendations
- MeSH:
Movement Disorders;
COVID-19;
Botulinum Toxins;
Therapeutics;
Pandemics
- From:
Acta Medica Philippina
2022;56(5):94-99
- CountryPhilippines
- Language:English
-
Abstract:
Background:Due to the Coronavirus disease 2019 (COVID-19) pandemic, non-emergency services like botulinum toxin A (BoNT) injections were temporarily discontinued.
Objective:We aimed to create standard practices that optimize the management of patients needing BoNT injections while ensuring both patients' and healthcare professionals' safety.
Methods:We evaluated published guidelines and best practices to determine their applicability for BoNT injection during this pandemic. We then devised a decision tree algorithm for use in our hospital.
Results:A decision tree algorithm has been formulated based on patient evaluation and risk stratification, triaging, the urgency of the procedure, and proper precautions on personal protective wear as appropriate for the procedure’s risk stratification.
Conclusion:The algorithm is in place to ensure the safety of both the patient and healthcare professional. It can be adopted and revised by other centers to suit their clinic needs.
- Full text:2737-Article Text-24964-2-10-20220330.pdf