Infection risk related to gastrointestinal endoscopic procedures during the SARS-CoV-2 pandemic / Tápcsatornai endoszkópos eljárásokkal összefüggo infekciós kockázat a SARS-CoV-2-járvány idején
Orv Hetil
; 163(46): 1814-1822, 2022 Nov 13.
Article
in Hu
| MEDLINE
| ID: mdl-36373579
ABSTRACT
Introduction:
COVID19 significantly affects endoscopic labs' workflow. Endoscopic examinations are considered high-risk for virus transmission.Objectives:
To determine impact of COVID19 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 [7431.514] vs. 1.129 [1.0202.166], p = 0.053), nor that of lower gastrointestinal endoscopies (1.181 [8231.538] vs. 871 [5911.150], 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.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
SARS-CoV-2
/
COVID-19
Type of study:
Observational_studies
/
Prevalence_studies
/
Risk_factors_studies
Limits:
Humans
Language:
Hu
Journal:
Orv Hetil
Year:
2022
Document type:
Article