COVID-19 in the endoscopy unit: How likely is transmission of infection? Results from an international, multicenter study

Papanikolaou, Ioannis S.; Tziatzios, Georgios; Chatzidakis, Alexandros; Facciorusso, Antonio; Crinò, Stefano Francesco; Gkolfakis, Paraskevas; Deriban, Gjorgi; Tadić, Marijana; Hauser, Goran; Vezakis, Αntonios; Jovanović, Ivan; Muscatiello, Nicola; Meneghetti, Anna; Miltiadou, Konstantinos; Stardelova, Kalina; Lacković, Alojzije; Bourou, M. Z.; Djuranović, Srdjan; Triantafyllou, Konstantinos

doi:10.4253/wjge.v13.i9.416

Cited by 5 publications

(2 citation statements)

References 15 publications

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“…Accordingly, a multicenter study confirmed our local findings showing a minimal infection rate in a lockdown situation with provision of personal protective measures. 24 , 25 During the pandemic, we were able to comply with ESGE recommendations 26 to establish a negative pressure room with laminar air flow for endoscopy. However, during the entire pandemic, it was actually used only twice, as we had an internal agreement permitting us to perform endoscopies in positive patients at the ICU, if possible only with an emergency indication.…”

Section: Discussionmentioning

confidence: 99%

Analysis of the effects of the first and second/third waves of the COVID-19 pandemic on an Interdisciplinary Endoscopy Unit in a German ‘hotspot’ area: a single-center experience

Wichmann

Schempf

Göpel

et al. 2022

Therap Adv Gastroenterol

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Background: Since December 2019, the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has posed a pandemic threat to global health. We are now in the fourth wave of this pandemic. As the pandemic developed, the requirements and therapeutic endoscopic procedures for SARS-CoV-2-positive patients underwent changes. Methods: Analysis of implications for an endoscopy unit during the first and second/third waves of the COVID-19 pandemic with a focus on COVID-19-related process changing. Addressed are number of SARS-CoV-2-positive patients and endoscopic examinations performed in patients who tested positive for SARS-CoV-2 during the various waves, adherence to scheduled examinations, rotation of staff to COVID-dedicated structures and, finally, impact of vaccination on infection rate among endoscopic staff. Results: During the first wave, 10 SARS-CoV-2-positive in-house patients underwent a total of 22 gastrointestinal (GI) endoscopic procedures. During the second and third waves, 59 GI endoscopies were performed in 38 patients. While in the first wave, GI bleeding was the main indication for endoscopy (82%), in the second and third waves the main indication for endoscopy was endoscopic insertion of deep feeding tubes (78%; p < 0.001). During the first wave, 5 (17%) of 29 Interdisciplinary Endoscopy Unit (IEU) staff members were moved to designated COVID wards, which was not necessary during the following waves. Lack of protective clothing was critical during the first wave, but not in the later waves. Screening tests for patients and staff were widely available after the first wave, and IEU staff was vaccinated during the second wave. Conclusion: Strategies to ensure safe endoscopies with respect to preventing transmission of SARS-CoV-2 from patients to staff were effective. Organizational adjustments allowed the routine program to continue unaffected. Indications for GI endoscopies changed over time: during the first wave, GI endoscopies were performed for life-threatening indications, whereas later supportive procedures were the main indication.

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Section: Discussionmentioning

confidence: 99%

Analysis of the effects of the first and second/third waves of the COVID-19 pandemic on an Interdisciplinary Endoscopy Unit in a German ‘hotspot’ area: a single-center experience

Wichmann

Schempf

Göpel

et al. 2022

Therap Adv Gastroenterol

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“…Papanikolaou et al ( 23 ) conducted a multicenter study to assess the risk of infection with an endoscopic procedure. In the setting of low risk or negative COVID-19 testing in 1,135 individuals, 254 were tested after their procedure and eight were shown to be positive.…”

Section: Methodsmentioning

confidence: 99%

Pediatric Endoscopy During COVID-19 Times

Shaoul¹,

Day

2021

Front. Pediatr.

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The global COVID-19 pandemic has led to healthcare resources being diverted or stretched, especially during periods of lock-down in affected countries. Disruptions to normal services have resulted in reduced or delayed provision of endoscopy in many countries, with consequent impacts on diagnosis or management of digestive diseases and upon endoscopy training. This review article aims to highlight key aspects of the impact of the pandemic upon endoscopy services, with a focus upon endoscopy in children.

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The impact of COVID-19 on hospitalizations that underwent endoscopic retrograde cholangiopancreatography in the United States

Dahiya,

Pinnam,

Chandan

et al. 2023

Surg Endosc

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COVID-19 in the endoscopy unit: How likely is transmission of infection? Results from an international, multicenter study

Cited by 5 publications

References 15 publications

Analysis of the effects of the first and second/third waves of the COVID-19 pandemic on an Interdisciplinary Endoscopy Unit in a German ‘hotspot’ area: a single-center experience

Analysis of the effects of the first and second/third waves of the COVID-19 pandemic on an Interdisciplinary Endoscopy Unit in a German ‘hotspot’ area: a single-center experience

Pediatric Endoscopy During COVID-19 Times

The impact of COVID-19 on hospitalizations that underwent endoscopic retrograde cholangiopancreatography in the United States

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