COVID-19 in the endoscopy unit: How likely is transmission of infection? Results from an international, multicenter study
| Autor: | Mario Tadic, Alexandros Chatzidakis, Goran Hauser, Alojzije Lacković, Ivan Jovanovic, K Miltiadou, Kalina Grivcheva Stardelova, Maria-Zoi Bourou, Stefano Francesco Crinò, Paraskevas Gkolfakis, Georgios Tziatzios, Antonio Facciorusso, Nicola Muscatiello, Ioannis S. Papanikolaou, Anna Meneghetti, Gjorgi Deriban, Antonios Vezakis, Konstantinos Triantafyllou, Srdjan Djuranovic |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Coronavirus disease 2019 (COVID-19) Personal protection measures Observational Study 03 medical and health sciences 0302 clinical medicine Intensive care Lockdown medicine Transmission Gastrointestinal endoscopy medicine.diagnostic_test SARS-CoV-2 Esophagogastroduodenoscopy business.industry Transmission (medicine) General surgery COVID-19 3. Good health Endoscopy Endoscopy procedure Multicenter study 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology business |
| Zdroj: | World Journal of Gastrointestinal Endoscopy |
| ISSN: | 1948-5190 |
| Popis: | Background Coronavirus disease 2019 (COVID-19) significantly affected endoscopy practice, as gastrointestinal endoscopy is considered a risky procedure for transmission of infection to patients and personnel of endoscopy units (PEU). Aim To assess the impact of COVID-19 on endoscopy during the first European lockdown (March-May 2020). Methods Patients undergoing endoscopy in nine endoscopy units across six European countries during the period of the first European lockdown for COVID-19 (March-May 2020) were included. Prior to the endoscopy procedure, participants were stratified as low- or high- risk for potential COVID-19 infection according to the European Society of Gastrointestinal Endoscopy (ESGE) and the European Society of Gastroenterology and Endoscopy Nurses and Associates (ESGENA) joint statement, and contacted 7-14 d later to assess COVID-19 infection status. PEU were questioned regarding COVID-19 symptoms and/or infection via questionnaire, while information regarding hospitalizations, intensive care unit-admissions and COVID-19-related deaths were collected. The number of weekly endoscopies at each center during the lockdown period was also recorded. Results A total of 1267 endoscopies were performed in 1222 individuals across nine European endoscopy departments in six countries. Eighty-seven (7%) were excluded because of initial positive testing. Of the 1135 pre-endoscopy low risk or polymerase chain reaction negative for COVID-19, 254 (22.4%) were tested post endoscopy and 8 were eventually found positive, resulting in an infection rate of 0.7% [(95%CI: 0.2-0.12]. The majority (6 of the 8 patients, 75%) had undergone esophagogastroduodenoscopy. Of the 163 PEU, 5 [3%; (95%CI: 0.4-5.7)] tested positive during the study period. A decrease of 68.7% (95%CI: 64.8-72.7) in the number of weekly endoscopies was recorded in all centers after March 2020. All centers implemented appropriate personal protective measures (PPM) from the initial phases of the lockdown. Conclusion COVID-19 transmission in endoscopy units is highly unlikely in a lockdown setting, provided endoscopies are restricted to emergency cases and PPM are implemented. |
| Databáze: | OpenAIRE |
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