Safety in Endoscopy for Patients and Healthcare Workers During the COVID-19 Pandemic

Lui, Rashid N.

doi:10.1016/j.tige.2020.10.004

Cited by 10 publications

(19 citation statements)

References 79 publications

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“…This technique does not discriminate between live virus and non-infectious viral particles. Only a few studies have reported live SARS-CoV-2 in the stools of COVID-19 patients[ 23 - 26 ]. There is also limited evidence on the duration of fecal viral shedding[ 7 ].…”

Section: Discussionmentioning

confidence: 99%

High fecal calprotectin levels are associated with SARS-CoV-2 intestinal shedding in COVID-19 patients: A proof-of-concept study

Zerbato

Bella

Giuffrè

et al. 2021

WJG

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BACKGROUND One third of coronavirus disease 2019 (COVID-19) patients have gastrointestinal symptoms. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) RNA has been detected in stool samples of approximately 50% of COVID-19 individuals. Fecal calprotectin is a marker of gastrointestinal inflammation in the general population. AIM To investigate if fecal calprotectin correlates with SARS-CoV-2 intestinal shedding in COVID-19 patients with pneumonia. METHODS Patients with SARS-CoV-2 pneumonia admitted to the Infectious Disease Unit (University Hospital of Trieste, Italy) from September to November 2020 were consecutively enrolled in the study. Fecal samples were collected and analyzed for quantification of fecal calprotectin (normal value < 50 mg/kg) and SARS-CoV-2 RNA presence by polymerase chain reaction (PCR). Inter-group differences were determined between patients with and without diarrhea and patients with and without detection of fecal SARS-CoV-2. RESULTS We enrolled 51 adults (40 males) with SARS-CoV-2 pneumonia. Ten patients (20%) presented with diarrhea. Real-time-PCR of SARS-CoV-2 in stools was positive in 39 patients (76%), in all patients with diarrhea (100%) and in more than two thirds (29/41, 71%) of patients without diarrhea. Obesity was one of the most common comorbidities (13 patients, 25%); all obese patients (100%) ( P = 0.021) tested positive for fecal SARS-CoV-2. Median fecal calprotectin levels were 60 mg/kg [interquartile range (IQR) 21; 108]; higher fecal calprotectin levels were found in the group with SARS-CoV-2 in stools (74 mg/kg, IQR 29; 132.5) compared to the group without SARS-CoV-2 (39 mg/kg, IQR 14; 71) ( P < 0.001). CONCLUSION High fecal calprotectin levels among COVID-19 patients correlate with SARS-CoV-2 detection in stools supporting the hypothesis that this virus can lead to bowel inflammation and potentially to the ‘leaky gut’ syndrome.

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Section: Discussionmentioning

confidence: 99%

High fecal calprotectin levels are associated with SARS-CoV-2 intestinal shedding in COVID-19 patients: A proof-of-concept study

Zerbato

Bella

Giuffrè

et al. 2021

WJG

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“…Although there are significant concerns about the risk of spread of the virus from an infected patient to endoscopy staff, the overall risk if appropriate precautions are followed appear to be low ( 22 ). In addition to the patient-related processes mentioned earlier, other suggested steps within the endoscopy unit include the use of personal protective equipment, limitations on the number of staff in the endoscopy suite and procedural modifications.…”

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 units prioritized the case using urgent, semi-urgent, and elective classifications [13]. Gastrointestinal endoscopy is performed only on potentially life-threatening conditions (urgent), such as gastrointestinal bleeding, foreign body retrieval, urgent nutritional access, cancer patient, and other conditions that cannot be postponed [9,10].…”

Section: Safety In Gi Endoscopymentioning

confidence: 99%

“…Endoscopic procedures should be performed with safety precautions for patients and also healthcare workers [9]. Rashid emphasized that the endoscopy unit should be reorganized to facilitate procedures as safely as possible along with general measures and COVID-19 screening [10].…”

Section: Introductionmentioning

confidence: 99%

Patient Safety and Healthcare Worker Safety in Gastrointestinal Endoscopy during COVID-19 Pandemic

Pribadi¹

2023

Contemporary Topics in Patient Safety - Volume 2

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Patient safety remains a concern worldwide. Failure in executing patient safety measures will result in serious consequences such as diminished patient\'s quality of life, increased morbidity and mortality, increased negative image, and public distrust of healthcare providers. Healthcare worker (HW) safety is also increasingly becoming a concern. During the COVID-19 pandemic, we should implement standards including COVID-19 screening, patient safety, healthcare worker safety, endoscopy room, equipment, and personal protective equipment (PPE). This review is intended to discuss the preparation before, during, and after gastrointestinal endoscopy (GIE) procedures to ensure patient and healthcare worker safety in the era of the COVID-19 pandemic. A literature search was conducted from August 2022 to October 2022 and comprised several journals related to the topic. The literatures were searched on credible platforms such as Google Scholar, PubMed, and Science Direct. Most of the endoscopy units were reducing the performance, down to 50%–90% reductions. The units prioritized cases using time-sensitive factors to urgent, semi-urgent, and elective classification. The endoscopy procedure is performed in accordance with protocols to maintain patient and healthcare worker safety. Adherence of gastrointestinal endoscopy procedure strictly to standards has to be implemented to protect patient and healthcare workers during COVID-19 pandemic.

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Safety in Endoscopy for Patients and Healthcare Workers During the COVID-19 Pandemic

Cited by 10 publications

References 79 publications

High fecal calprotectin levels are associated with SARS-CoV-2 intestinal shedding in COVID-19 patients: A proof-of-concept study

High fecal calprotectin levels are associated with SARS-CoV-2 intestinal shedding in COVID-19 patients: A proof-of-concept study

Pediatric Endoscopy During COVID-19 Times

Patient Safety and Healthcare Worker Safety in Gastrointestinal Endoscopy during COVID-19 Pandemic

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