Overview of guidance for endoscopy during the coronavirus disease 2019 pandemic

From its beginning in December 2019, the coronavirus disease 2019 outbreak has spread globally from Wuhan and is now declared a pandemic by the World Health Organization. The sheer scale and severity of this pandemic is unprecedented in the modern era. Although primarily a respiratory tract infectio...

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Bibliographic Details
Published in:Journal of gastroenterology and hepatology Vol. 35; no. 5; pp. 749 - 759
Main Authors: Lui, Rashid N, Wong, Sunny H, Sánchez‐Luna, Sergio A, Pellino, Gianluca, Bollipo, Steven, Wong, Mei‐Yin, Chiu, Philip W Y, Sung, Joseph J Y
Format: Journal Article
Language:English
Published: Australia Wiley Subscription Services, Inc 01.05.2020
Subjects:
Aerosols - adverse effects
Coronaviridae
Coronavirus
Coronavirus Infections - prevention & control
Coronavirus Infections - transmission
Coronaviruses
COVID-19
Disease transmission
Disease Transmission, Infectious - prevention & control
Endoscopy
Endoscopy - standards
Endoscopy, Gastrointestinal - standards
Epidemics
Hospital Units - organization & administration
Hospital Units - standards
Hospitals
Humans
Infection Control - methods
Infection Control - standards
Infection prevention and control
Outbreaks
Pandemic
Pandemics
Pandemics - prevention & control
Personal protective equipment
Pneumonia, Viral - prevention & control
Pneumonia, Viral - transmission
PPE
Practice Guidelines as Topic
Respiratory tract diseases
SARS‐CoV‐2
COVID-19
Personal protective equipment
SARS-CoV-2
Coronavirus
PPE
Pandemic
Endoscopy
Infection prevention and control
ISSN:0815-9319, 1440-1746, 1440-1746
Online Access:Get full text
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Summary:From its beginning in December 2019, the coronavirus disease 2019 outbreak has spread globally from Wuhan and is now declared a pandemic by the World Health Organization. The sheer scale and severity of this pandemic is unprecedented in the modern era. Although primarily a respiratory tract infection transmitted by direct contact and droplets, during aerosol‐generating procedures, there is a possibility of airborne transmission. In addition, emerging evidence suggests possible fecal–oral spread of the virus. Clinical departments that perform endoscopy are faced with daunting challenges during this pandemic. To date, multiple position statements and guidelines have been issued by various professional organizations to recommend practices in endoscopic procedures. This article aims to summarize and discuss available evidence for these practices, to provide guidance for endoscopy to enhance patient safety, avoid nosocomial outbreaks, protect healthcare personnel, and ensure rational use of personal protective equipment. Responses adapted to national recommendations and local infection control guidelines and tailored to the availability of medical resources are imminently needed to fight the coronavirus disease 2019 pandemic.
Bibliography:The authors declare no potential conflicts of interest.
Declaration of conflict of interest
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ISSN:0815-9319
1440-1746
1440-1746
DOI:10.1111/jgh.15053