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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| Veröffentlicht in: | Journal of gastroenterology and hepatology Jg. 35; H. 5; S. 749 - 759 |
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| Format: | Journal Article |
| Sprache: | Englisch |
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Australia
Wiley Subscription Services, Inc
01.05.2020
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| ISSN: | 0815-9319, 1440-1746, 1440-1746 |
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| Abstract | 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. |
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| AbstractList | 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. 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.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. |
| Author | Sánchez‐Luna, Sergio A Sung, Joseph J Y Bollipo, Steven Lui, Rashid N Wong, Mei‐Yin Pellino, Gianluca Chiu, Philip W Y Wong, Sunny H |
| Author_xml | – sequence: 1 givenname: Rashid N orcidid: 0000-0003-1277-9595 surname: Lui fullname: Lui, Rashid N organization: The Chinese University of Hong Kong – sequence: 2 givenname: Sunny H orcidid: 0000-0002-3354-9310 surname: Wong fullname: Wong, Sunny H organization: The Chinese University of Hong Kong – sequence: 3 givenname: Sergio A surname: Sánchez‐Luna fullname: Sánchez‐Luna, Sergio A organization: The University of New Mexico School of Medicine – sequence: 4 givenname: Gianluca surname: Pellino fullname: Pellino, Gianluca organization: Vall d'Hebron University Hospital – sequence: 5 givenname: Steven surname: Bollipo fullname: Bollipo, Steven organization: John Hunter Hospital – sequence: 6 givenname: Mei‐Yin surname: Wong fullname: Wong, Mei‐Yin organization: The Chinese University of Hong Kong – sequence: 7 givenname: Philip W Y surname: Chiu fullname: Chiu, Philip W Y organization: The Chinese University of Hong Kong – sequence: 8 givenname: Joseph J Y surname: Sung fullname: Sung, Joseph J Y email: jjysung@cuhk.edu.hk organization: The Chinese University of Hong Kong |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/32233034$$D View this record in MEDLINE/PubMed |
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| Keywords | COVID-19 Personal protective equipment SARS-CoV-2 Coronavirus PPE Pandemic Endoscopy Infection prevention and control |
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| Title | Overview of guidance for endoscopy during the coronavirus disease 2019 pandemic |
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