Essential Infection Prevention Tips for ENT Visits During the Pandemic - Otolaryngology

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Infection Awareness for Patients Before Seeking Medical Care During the Pandemic


Due to the pandemic, there is increased attention to details regarding potential infections.
Recently, I would like to inquire about colds and have some questions for the physician: 1.
Do general otolaryngology clinics disinfect the nasal spray applicators for each patient, or is it sufficient to disinfect them after the clinic closes? 2.
In clinical settings, is the disinfection of detachable nasal spray applicators more commonly done using Cidex immersion or alcohol wipes? (The health department only responded that otolaryngology spray applicators cannot achieve the same level of sterilization as dental practices, which use a separate high-pressure, high-temperature sterilization for each patient, and instead use either Cidex immersion or alcohol wipes for disinfection.) Thank you.

Zhihong, 40~49 year old female. Ask Date: 2020/11/16

Dr. Zheng Jueyi reply Otolaryngology


Hello: According to the Health Bureau's opinion, it is not feasible to disinfect the nasal spray guns used in general otolaryngology clinics for every patient; they are typically disinfected after each consultation.
The disinfection methods may vary by hospital, using either Cidex or alcohol wipes as per their regulations.
If you have concerns about potential infections during your visit, you can directly inform the physician not to use the spray gun for local treatment.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2020/11/16

More Info


During the pandemic, it is essential to take precautions when visiting healthcare facilities, especially for ENT (Ear, Nose, and Throat) consultations. Here are some essential infection prevention tips and answers to your specific questions regarding the safety measures in ENT clinics.

1. Disinfection of Equipment: In ENT clinics, the equipment used for administering nasal or oral sprays, such as nebulizers or spray guns, should ideally be disinfected after each use. However, the reality may vary depending on the clinic's protocols. Some clinics may disinfect the equipment after each patient, while others might wait until the end of the day or after a specific number of patients. It is advisable to inquire directly with the clinic about their disinfection practices to ensure your safety.

2. Disinfection Methods: The most common methods for disinfecting reusable nasal or oral spray devices in clinical settings include using Cidex (a brand of glutaraldehyde solution) or alcohol wipes. Cidex is typically used for soaking equipment that can withstand such solutions, while alcohol wipes are often used for surface disinfection. The choice between these methods can depend on the type of equipment and the clinic's protocols. It is important to note that while some clinics may not have the capacity to provide single-use high-pressure sterilization like dental offices, they should still adhere to strict disinfection protocols to minimize infection risks.

3. Personal Protective Measures: When visiting an ENT clinic, it is crucial to wear a mask, preferably a surgical mask or an N95 respirator, to protect yourself and others. Ensure that you maintain social distancing in waiting areas and follow any additional guidelines provided by the clinic. Hand hygiene is also vital; use hand sanitizer upon entering and exiting the clinic.

4. Timing of Your Visit: If you are experiencing symptoms of a respiratory infection, consider calling the clinic ahead of time to discuss your symptoms. Many clinics have protocols for managing patients with respiratory symptoms to minimize the risk of spreading infections. They may offer telehealth consultations or schedule you during specific times to reduce exposure to other patients.

5. Monitoring Symptoms: If you have concerns about potential exposure to COVID-19 or other infections, monitor your symptoms closely. If you develop symptoms such as fever, cough, or difficulty breathing, it is advisable to get tested for COVID-19 and follow local health guidelines regarding isolation and treatment.

6. General Precautions: In addition to the above measures, ensure that you are up to date with vaccinations, including the COVID-19 vaccine and any recommended boosters. Vaccination significantly reduces the risk of severe illness and transmission.

In summary, while visiting an ENT clinic during the pandemic, it is essential to be proactive about your safety. Inquire about the clinic's disinfection practices, wear appropriate personal protective equipment, maintain good hand hygiene, and monitor your health closely. By taking these precautions, you can help reduce the risk of infection while seeking necessary medical care.

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