Τίτλος:
COVID-19 in the endoscopy unit: How likely is transmission of infection?
Results from an international, multicenter study
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
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.
Συγγραφείς:
Papanikolaou, Ioannis S.
Tziatzios, Georgios
Chatzidakis,
Alexandros
Facciorusso, Antonio
Crino, Stefano Francesco and
Gkolfakis, Paraskevas
Deriban, Gjorgi
Tadic, Mario
Hauser,
Goran
Vezakis, Antonios
Jovanovic, Ivan
Muscatiello, Nicola
and Meneghetti, Anna
Miltiadou, Konstantinos
Stardelova, Kalina
and Lackovic, Alojzije
Bourou, Maria-Zoi
Djuranovic, Srdjan and
Triantafyllou, Konstantinos
Περιοδικό:
WORLD JOURNAL OF GASTROINTESTINAL ENDOSCOPY
Εκδότης:
BAISHIDENG PUBLISHING GROUP INC
Λέξεις-κλειδιά:
COVID-19; SARS-CoV-2; Gastrointestinal endoscopy; Personal protection
measures; Transmission; Lockdown
DOI:
10.4253/wjge.v13.i9.416
