[Expert consensus on pulmonary function testing during the epidemic of coronavirus disease 2019]

Zhonghua Jie He He Hu Xi Za Zhi. 2020 Apr 12;43(4):302-307. doi: 10.3760/cma.j.cn112147-20200225-00175.
[Article in Chinese]


Coronavirus disease 2019 (COVID-19) is transmitted mainly by respiratory droplets and close contact, probably by aerosol. Pulmonary function testing procedures have been associated with an increasing risk of COVID-19 transmission among patients/subjects and medical staffs. Effective prevention and control strategies must be compulsorily implemented to prevent nosocomial infection. This recommendation is intended to be followed by healthcare workers (HCWs) of pulmonary function testing laboratory when COVID-19 is in epidemic. Based on the features of pulmonary function testing, precaution principles and considerations are developed in three aspects of management for HCWs, operating procedure, environment and equipment. Indications of pulmonary function testing should be followed strictly. It is strongly recommended to suspend the test for the confirmed or suspected cases of COVID-19 during the contagious stage, and to postpone the test for other patients if it is not imperative. Medical personnel should mandatorily adhere to the standard stratification of precaution measures. Patients/Subjects should be isolated in a separate area for testing. Disposable in-line filters must be used during pulmonary function testing. Cleaning and disinfection procedures for environment and equipment in pulmonary function testing laboratory should be paid more attention.


Keywords: COVID-19; Infection prevention and control; Pulmonary function testing.

MeSH terms

  • Betacoronavirus
  • COVID-19
  • Consensus
  • Coronavirus Infections / prevention & control*
  • Disinfection
  • Humans
  • Infection Control / methods*
  • Pandemics / prevention & control*
  • Pneumonia, Viral / prevention & control*
  • Respiratory Function Tests / standards*
  • SARS-CoV-2