Infection risk related to gastrointestinal endoscopic procedures during the SARS-CoV-2 pandemic
Introduction: COVID–19 significantly affects endoscopic labs’ workflow. Endoscopic examinations are considered high-risk for virus transmission. Objectives: To determine impact of COVID–19 pandemic on Hungarian endoscopic labs’ workflow and on infection risk of endoscopic staff. Method: A nation-wide, cross-sectional online questionnaire was sent to heads of endoscopic labs in Hungary. The average number (with 95% confidence intervals) of upper and lower gastrointestinal endoscopies performed in 2020 was compared to that in 2019. The number of SARS-CoV-2-infected endoscopic staff members and the source of infection was also investigated. Results: Completion rate was 30% (33/111). Neither the number of upper (1.593 [743–1.514] vs. 1.129 [1.020–2.166], p = 0.053), nor that of lower gastrointestinal endoscopies (1.181 [823–1.538] vs. 871 [591–1.150], p = 0.072) decreased in 2020, but both upper and lower gastrointestinal endoscopies’ number decreased by 80% during peak phases. Separate examination room was available in 12% of institutes. Appropriate quality personal protective equipment (PPE) was available during the first and second peak phase in 70% and 82%, respectively. Infection risk stratification by questionnaire and PCR testing was routinely performed in 85% and 42%, respectively. Employee number decreased by 33% and 26% for physicians, and by 19% and 21% for assistants during peak phases, mainly due to age restrictions and COVID care assignments. 32% of assistants and 41% of physicians were infected (associated with inappropriate PPE use in 16% and 18%, respectively). Conclusion: Peak phases’ restrictions increase endoscopic workload afterwards. Despite PPE availability, 15% of employees’ COVID infection resulted from inappropriate PPE use in pre-vaccination era.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2022 |
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| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:163 |
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| Enthalten in: |
Orvosi hetilap - 163(2022), 46 vom: 13. Nov., Seite 1814-1822 |
| Sprache: |
Ungarisch |
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| Weiterer Titel: |
Tápcsatornai endoszkópos eljárásokkal összefüggő infekciós kockázat a SARS-CoV-2-járvány idején |
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| Beteiligte Personen: |
Fábián, Anna [VerfasserIn] |
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| Links: |
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| Themen: |
COVID–19 |
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| Anmerkungen: |
Date Completed 15.11.2022 Date Revised 19.12.2022 published: Electronic-Print Citation Status MEDLINE |
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| doi: |
10.1556/650.2022.32633 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| 245 | 1 | 0 | |a Infection risk related to gastrointestinal endoscopic procedures during the SARS-CoV-2 pandemic |
| 246 | 3 | 3 | |a Tápcsatornai endoszkópos eljárásokkal összefüggő infekciós kockázat a SARS-CoV-2-járvány idején |
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| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Introduction: COVID–19 significantly affects endoscopic labs’ workflow. Endoscopic examinations are considered high-risk for virus transmission. Objectives: To determine impact of COVID–19 pandemic on Hungarian endoscopic labs’ workflow and on infection risk of endoscopic staff. Method: A nation-wide, cross-sectional online questionnaire was sent to heads of endoscopic labs in Hungary. The average number (with 95% confidence intervals) of upper and lower gastrointestinal endoscopies performed in 2020 was compared to that in 2019. The number of SARS-CoV-2-infected endoscopic staff members and the source of infection was also investigated. Results: Completion rate was 30% (33/111). Neither the number of upper (1.593 [743–1.514] vs. 1.129 [1.020–2.166], p = 0.053), nor that of lower gastrointestinal endoscopies (1.181 [823–1.538] vs. 871 [591–1.150], p = 0.072) decreased in 2020, but both upper and lower gastrointestinal endoscopies’ number decreased by 80% during peak phases. Separate examination room was available in 12% of institutes. Appropriate quality personal protective equipment (PPE) was available during the first and second peak phase in 70% and 82%, respectively. Infection risk stratification by questionnaire and PCR testing was routinely performed in 85% and 42%, respectively. Employee number decreased by 33% and 26% for physicians, and by 19% and 21% for assistants during peak phases, mainly due to age restrictions and COVID care assignments. 32% of assistants and 41% of physicians were infected (associated with inappropriate PPE use in 16% and 18%, respectively). Conclusion: Peak phases’ restrictions increase endoscopic workload afterwards. Despite PPE availability, 15% of employees’ COVID infection resulted from inappropriate PPE use in pre-vaccination era | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a COVID–19 | |
| 650 | 4 | |a coronavirus | |
| 650 | 4 | |a endoscopy | |
| 650 | 4 | |a endoszkópia | |
| 650 | 4 | |a koronavírus | |
| 650 | 4 | |a működésrend | |
| 650 | 4 | |a pandemic | |
| 650 | 4 | |a pandémia | |
| 650 | 4 | |a workflow | |
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