Clinical Questions and Answers on Gastrointestinal Endoscopy during the Novel Coronavirus Disease 2019 pandemic

Autor:	Akiko Shiotani, Tomoki Inaba, Kazuma Fujimoto, Kazuhide Higuchi, Atsushi Kanno, Akio Katanuma, Kazunari Murakami, Yuko Kitagawa, Haruhiro Inoue, Takayuki Matsumoto, Toshiharu Ueki, Shinji Tanaka, Takao Otsuka, Shinsaku Fukuda, Tetsuya Mine, Haruhiko Ogata, Mitsuhiro Fujishiro, Naotaka Fujita, Mototsugu Kato, Koji Matsuda, Hiroyasu Iishi, Yoshiro Kawahara, Tohru Ito, Kazuhiro Mizukami, Hisao Tajiri, Takashi Kawai, Kazuichi Okazaki, Takahisa Furuta, Atsushi Irisawa, Ichiro Yasuda, Hironori Yamamoto, Kazuo Inui, Yoshinori Igarashi
Rok vydání:	2020
Předmět:	medicine.diagnostic_test Coronavirus disease 2019 (COVID-19) Endoscope business.industry Risk of infection Gastroenterology medicine.disease Occupational safety and health Endoscopy 03 medical and health sciences 0302 clinical medicine Radiology Nuclear Medicine and imaging 030220 oncology & carcinogenesis Pandemic Medicine 030211 gastroenterology & hepatology Radiology Nuclear Medicine and imaging Medical emergency business Personal protective equipment Gastrointestinal endoscopy
Zdroj:	Digestive Endoscopy
ISSN:	1443-1661 0915-5635
Popis:	Some situations may require endoscopy during the COVID-19 (Coronavirus Disease 2019) pandemic. Here, we describe the necessary precautions in the form of clinical questions and answers (Q&A) regarding the safe deployment of gastrointestinal endoscopy in such situations while protecting endoscopy staff and patients from infection. Non-urgent endoscopy should be postponed. The risk of infection in patients should be evaluated in advance by questionnaire and body temperature. The health of staff must be checked every day. Decisions to employ endoscopy should be based on the institutional conditions and aims of endoscopy. All endoscopic staff need to wear appropriate personal protective equipment (PPE). The endoscope and other devices should be cleaned and disinfected after procedures in accordance with the relevant guidelines. Optimal management of the endoscopy unit is required. Endoscopy for infected patients or those with suspected infection demands exceptional caution. When a patient who undergoes endoscopy is later found to have COVID-19, the members of staff involved are considered exposed to the virus and must not work for at least 14 days if their PPE is considered insufficient. When PPE resources are limited, some equipment may be used continuously throughout a shift as long as it is not contaminated. Details of the aforementioned protective measures are described.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::2d4d8d0c8338987633806ac110853f05 https://doi.org/10.1111/den.13757 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
Nepřihlášeným uživatelům se plný text nezobrazuje	K zobrazení výsledku je třeba se přihlásit.