Özet:

Uncertainties remain regarding the effect of coronavirus disease-2019 (COVID-19) on the health system and our overall life. For this reason the COVID-19 epidemic has forced it necessary to change the health services and care provided to patients all over the world. As in all other health services, it is important to establish operational steps in the management of patients with swallowing disorders, in order to increase efficiency. Swallowing assessment is one of the procedures at high risk of transmission of the virus. However, COVID- 19 significantly affect the pulmonary system, a possible aspiration pneumonia due to swallowing disorder may lead to further aggravation of the current condition. Many studies during the COVID-19 pandemic have emphasized the importance of telehealth services, which can be used to minimize the risk of cross contamination from close contact. Therefore, the swallowing functions of these patients should be evaluated remotely as far as possible, but when face-to-face assessment is required or any airway procedures such as flexible endoscopy or nasogastric tube are used, using personal protective equipment (PPE) according to the highest risk of aerosol contamination should be taken. The procedure, including the FFP2 (N95) mask, goggles, gloves and apron, and full face protection should be followed. It is also important how to properly put on and take off these personal PPEs to prevent contamination during and after the procedure.

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