Comprehensive gastroenterology endoscopy unit workflow and infection prevention during the COVID‐19 Pandemic: Experience with 159 cases in Wuhan, China

Yu, Qiong; Xu, Peng; Gan, Hongying; Yegui, Jia; Xiao, Dan; Liao, Wen-fei; Pi, Guoliang; Yu, Weizhong

doi:10.1111/den.13832

Cited by 6 publications

(9 citation statements)

References 5 publications

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“…Subsequently, Hsu et al 76 , proposed an alternative perspective reporting institutional practice of universal pre-procedure PCR based testing, to allow standard PPE, including surgical masks, for patients who test negative. A report from an endoscopy unit in Wuhan China described experience performing 159 endoscopies, including 17 in patients previously infected or thought to be carriers of the virus, and no cases of transmission were identified 77 . A more recent set of recommendations from the AGA suggests using a pre-procedure testing based on estimated local prevalence of asymptomatic infection 78 .…”

Section: Discussionmentioning

confidence: 99%

COVID-19 and Pediatric Gastroenterology

Taylor

Mallon

2021

Pediatric Clinics of North America

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Synopsis: Pediatric gastroenterologists took on a variety of challenges during the COVID-19 pandemic, including learning about a new disease and how to recognize and manage it, prevent its spread among their patients and health professions colleagues, and make decisions about managing patients with chronic gastrointestinal and liver problems in light of the threat. They adapted their practice to accommodate drastically reduced in-person visits, adopting telehealth, and instituting new protocols to perform endoscopies safely. The workforce pipeline was also affected by the pandemic because of its impact on trainee education, clinical experience, research, and job searches.

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Section: Discussionmentioning

confidence: 99%

COVID-19 and Pediatric Gastroenterology

Taylor

Mallon

2021

Pediatric Clinics of North America

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“…Fifteen studies with a total of 122 COVID-positive patients reported the potential COVID-19 transmission rate, as shown in Table 2 . 11 , 19 , 20 , 22 – 24 , 26 – 34 Three studies 11 , 19 , 32 reported potential transmission of SARS-CoV-2 within GI endoscopy units, for a total of 46 HCWs or patients. The total basic reproduction rate (R0) equals 0.37, while the subgroup results from Asia, Europe, and America are 0.13, 0.44, and 0.33, respectively.…”

Section: Resultsmentioning

confidence: 99%

“…The effect of PPE use on the transmission of SARS-CoV-2 within GI endoscopy units is evaluated by comparing the differences of PPE use between the studies that reported no transmission and the studies that reported positive transmissions. Eight studies 20 , 27 , 29 – 34 were finally included for the analysis of PPE use in GI endoscopy units. Seven studies 20 , 27 , 29 – 31 , 33 , 34 claimed that no transmission of SARS-CoV-2 was found in their GI endoscopy unit, whereas one study 32 demonstrated successful screening of 3 COVID-positive transmitted cases.…”

Section: Resultsmentioning

confidence: 99%

Systematic review and meta-analysis of clinical outcomes of COVID-19 patients undergoing gastrointestinal endoscopy

Tan

Guo

Chen

et al. 2021

Therap Adv Gastroenterol

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Background: The impact of gastrointestinal endoscopy on COVID-19 infection remains poorly investigated. We herein performed a systematic review and meta-analysis to evaluate the outcomes of COVID-19 in patients undergoing gastrointestinal endoscopy. Method: Ovid Medline, Ovid EMBASE, Ovid the Cochrane Library, and other electronic databases were searched until 30 November 2020 to identify publications with confirmed COVID-19 infection in patients undergoing gastrointestinal endoscopy. The primary outcomes were SARS-CoV-2 transmission, personal protective equipment use, rates of case fatality, complications, and procedural success. Results: A total of 18 articles involving 329 patients were included in this systematic review and meta-analysis. The overall basic reproduction rate is 0.37, while the subgroup results from Asia, Europe, and North America are 0.13, 0.44, and 0.33, respectively. The differences in personal protective equipment use between the positive transmission and non-transmission group are mainly in isolation gowns, N95 or equivalent masks, and goggles or face-shields. The rate of case fatality, complication, and procedural success are 0.17 (95% confidence interval = 0.02–0.38), 0.00 (95% confidence interval = 0.00–0.02), and 0.89 (95% confidence interval = 0.50–1.00), respectively. The fatality rate in Europe was the highest (0.23, 95% confidence interval = 0.04–0.50), which is significantly different from other continents ( p = 0.034). Conclusion: The risk of SARS-CoV-2 transmission within gastrointestinal endoscopy units is considerably low if proper use of personal protective equipment is applied. Similarly, a low fatality and complication rate, as well as a high procedural success rate, indicated that a full recovery of endoscopic units should be considered.

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“…24,25 During the COVID-19 pandemic, the WHO issued an advisory to avoid crowded places. 26 The Japanese government also recommended avoiding the three C's: closed spaces, crowded places, and close contact settings. Endoscopy units could increase the risk of infection from potential airborne droplets and fecal-oral transmission.…”

Section: Discussionmentioning

confidence: 99%

Risk Factors for Prolonged Hospital Stay after Endoscopy

Nishizawa¹,

Yoshida²,

Toyoshima³

et al. 2021

Clin Endosc

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INTRODUCTION Endoscopic sedation reduces distress during invasive procedures; however, esophagogastroduodenoscopy (EGD) and colonoscopy can be performed without sedation. 1-3 Non-sedated endoscopy offers several potential advantages, such as lower cost, higher efficiency, and decreased post-endoscopic impairment, which allows patients to drive sooner. 4 Small-diameter endoscopes (< 6 mm) can improve the tolerability of EGDs when a sedative is not used. On the other hand, the American Society for Gastrointestinal Endoscopy (ASGE) recommends that a combination of an opiate and benzodiazepine is a safe and effective regimen for achieving minimal-to-moderate sedation for EGDs and colonoscopies in patients without risk factors for sedation-related adverse events. 5 In the United States, more than 98% of endoscopists use sedation during EGDs and colonoscopies. 6 Endoscopic sedation requires the use of a recovery room. When space is limited in the recovery room, the relatively longer residual effects of opiate and benzodiazepine administration could be problematic. If there are any delays in the recovery or discharge of patients, endoscopic procedures

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Comprehensive gastroenterology endoscopy unit workflow and infection prevention during the COVID‐19 Pandemic: Experience with 159 cases in Wuhan, China

Cited by 6 publications

References 5 publications

COVID-19 and Pediatric Gastroenterology

COVID-19 and Pediatric Gastroenterology

Systematic review and meta-analysis of clinical outcomes of COVID-19 patients undergoing gastrointestinal endoscopy

Risk Factors for Prolonged Hospital Stay after Endoscopy

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