Gastrointestinal endoscopic practice during COVID-19 pandemic: a multi-institutional survey.

Introduction. An on-going coronavirus disease 2019 (COVID-19) has become a challenge all over the world. Since an endoscopy unit and its staff are at potentially high risk for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, we conducted a survey for the management of the gastrointestinal endoscopic practice, personal protective equipment (PPE), and risk assessment for COVID-19 during the pandemic at multiple facilities.Methods. The 11-item survey questionnaire was sent to representative respondent of Department of Gastroenterology, Osaka City University Hospital, and its 19 related facilities.Results. A total of 18 facilities submitted valid responses and a total of 373 health care professionals (HCPs) participated. All facilities (18/18: 100%) were screening patients at risk for SARS-CoV-2 infection before endoscopy. During the pandemic, we found that the total volume of endoscopic procedures decreased by 44%. Eleven facilities (11/18: 61%) followed recommendations of the Japan Gastroenterological Endoscopy Society (JGES); consequently, about 35%-50% of esophagogastroduodenoscopy and colonoscopy were canceled. Mask (surgical mask or N95 mask), face shield/goggle, gloves (one or two sets), and gown (with long or short sleeves) were being used by endoscopists, nurses, endoscopy technicians, and endoscope cleaning staff in all the facilities (18/18: 100%). SARS-CoV-2 infection risk assessment of HCPs was conducted daily in all the facilities (18/18: 100%), resulting in no subsequent SARS-CoV-2 infection in HCPs.Conclusion. COVID-19 has had a dramatic impact on the gastrointestinal endoscopic practice. The recommendations of the JGES were appropriate as preventive measures for the SARSCoV-2 infection in the endoscopy unit and its staff.

Personal protective equipment for reducing the risk of COVID-19 infection among health care workers involved in emergency trauma surgery during the pandemic: An umbrella review.

BACKGROUND: Health care facilities in low- and middle-income countries are inadequately resourced to adhere to current COVID-19 prevention recommendations. Recommendations for surgical emergency trauma care measures need to be adequately informed by available evidence and adapt to particular settings. To inform future recommendations, we set to summarize the effects of different personal protective equipment (PPE) on the risk of COVID-19 infection in health personnel caring for trauma surgery patients. METHODS: We conducted an umbrella review using Living Overview of Evidence platform for COVID-19, which performs regular automated searches in MEDLINE, Embase, Cochrane Central Register of Controlled Trials, and more than 30 other sources. Systematic reviews of experimental and observational studies assessing the efficacy of PPE were included. Indirect evidence from other health care settings was also considered. Risk of bias was assessed with the AMSTAR II tool (Assessing the Methodological Quality of Systematic Reviews, Ottawa, ON, Canada), and the Grading of Recommendations, Assessment, Development, and Evaluation approach for grading the certainty of the evidence is reported (registered in International Prospective Register of Systematic Reviews, CRD42020198267). RESULTS: Eighteen studies that fulfilled the selection criteria were included. There is high certainty that the use of N95 respirators and surgical masks is associated with a reduced risk of COVID-19 when compared with no mask use. In moderate- to high-risk environments, N95 respirators are associated with a further reduction in risk of COVID-19 infection compared with surgical masks. Eye protection also reduces the risk of contagion in this setting. Decontamination of masks and respirators with ultraviolet germicidal irradiation, vaporous hydrogen peroxide, or dry heat is effective and does not affect PPE performance or fit. CONCLUSION: The use of PPE drastically reduces the risk of COVID-19 compared with no mask use in health care workers. N95 and equivalent respirators provide more protection than surgical masks. Decontamination and reuse appear feasible to overcome PPE shortages and enhance the allocation of limited resources. These effects are applicable to emergency trauma care and should inform future recommendations. LEVEL OF EVIDENCE: Review, level II.

Medidas de prevenção e controle de infecção por vírus respiratórios a serem adotadas por ambulantes na comercialização e produção de produtos alimentícios / Infection prevention and control measures by respiratory viruses to be adopted by street vendors in marketing and production of food products

O Estado do Rio de Janeiro, com fiel observância aos princípios constitucionais e no seu papel de intervir no domínio econômico como agente normativo e regulador, elaborou esse manual tendo em vista a pandemia de COVID-19 e demais vírus respiratórios, para auxiliar no planejamento e retomada das atividades de comércio de rua praticadas por ambulantes. Este manual visa conscientizar as instituições envolvidas na regulação e fiscalização de ambulantes de rua sobre a importância do treinamento e capacitação deste grupo frente aos riscos de disseminação da COVID-19 e demais vírus respiratórios, bem como sensibilizar os consumidores do comércio de rua para colaborar para a eficácia das normas de cuidados e prevenção na transmissão do novo coronavírus, desenvolvendo assim uma postura mais participativa e exigente quanto à qualidade do serviço prestado.

Medidas de prevenção e controle da infecção por vírus respiratórios recomendadas para a retomada das atividades das escolas de ensino fundamental e médio e de jovens adultos no estado do Rio de Janeiro / Infection prevention and control measures by respiratory viruses recommended for the resumption of school activities elementary and secondary education and youth adults in the state of Rio de Janeiro

A COVID-19 é uma doença causada pelo coronavírus SARS-CoV-2, que causa infecções respiratórias e, em 11 de março de 2020, foi considerada uma pandemia pela OMS. Este plano deve ser específico para cada unidade escolar e contemplar as seguintes medidas, de acordo com as atividades e áreas envolvidas:recomendações gerais; recomendações quanto à disposição da sala de aula; recomendações quanto à biblioteca; procedimentos a serem adotados na identificação de um caso suspeito

Medidas de prevenção e controle da infecção por vírus respiratórios a serem adotadas pelos responsáveis pela comercialização de produtos alimentícios em restaurantes populares, restaurantes tipo self-services, cafés, bares, lanchonetes, delivery e food trucks / Infection prevention and control measures by respiratory viruses to be adopted by the responsible for marketing products food at popular restaurants, self-service restaurants, cafes, bars, snack bars, delivery and food trucks

O Brasil e o mundo se deparam com o grande desafio imposto pelo novo coronavirus (SARS- Cov-2) de combate à doença Covid-19. A Vigilância Sanitária tem papel fundamental no enfrentamento da pandemia, devido à sua capacidade de promover ações capazes de eliminar, diminuir ou prevenir riscos à saúde e de intervir nos problemas sanitários decorrentes do meio ambiente, da produção e circulação de bens e da prestação de serviços de interesse da saúde. Neste manual, serão abordadas orientações para os responsáveis técnicos e funcionários, de restaurantes, cafés, bares, lanchonetes e alimentos comercializados sobre rodas quanto às medidas de prevenção da disseminação do novo coronavírus e demais vírus respiratórios.