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COVID-19 in the endoscopy unit:How likely is transmission of infection?Results from an international,multicenter study

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World Journal of Gastrointestinal Endoscopy 2021年第9期13卷 416-425页

作者： Ioannis S Papanikolaou Georgios Tziatzios alexandros chatzidakis Antonio Facciorusso Stefano Francesco Crinò Paraskevas Gkolfakis Gjorgi Deriban Mario Tadic Goran Hauser Antonios Vezakis Ivan Jovanovic Nicola Muscatiello Anna Meneghetti Konstantinos Miltiadou Kalina Stardelova Alojzije Lacković Maria-Zoi Bourou Srdjan Djuranovic Konstantinos Triantafyllou Hepatogastroenterology Unit 2nd Department of Internal Medicine-PropaedeuticNational and Kapodistrian University of Athens"Attikon"University General HospitalAthens 12462Greece Gastroenterology Unit Department of Surgical and Medical SciencesUniversity of Foggia AOUFoggia 1245Italy Gastroenterology and Digestive Endoscopy Unit The Pancreas InstituteUniversity of VeronaVerona 37138Italy Department of Gastroenterology Hepatopancreatology and Digestive OncologyErasme University HospitalUniversitéLibre de BruxellesBrussels 1070Belgium Department of Medical Oncology Institut Jules BordetBrussels 1000Belgium University Clinic of Gastroenterohepatology Medical FacultyUniversity"Ss.Cyril and Methodius"SkopjeSkopje 12345Republic of North Macedonia Department of Gastroenterology Dubrava University Hospital ZagrebZagreb 10040Croatia Clinical Hospital Center Rijeka Faculty of MedicineUniversity of RijekaRijeka 51000Croatia 2nd Department of Surgery Aretaieio HospitalSchool of MedicineNational and Kapodistrian University of AthensAthens 11528Greece Clinical Center of Serbia Clinic for Gastroenterology and HepatologyUniversity of Belgrade Faculty of MedicineBeograd 12345Serbia

BACKGROUND Coronavirus disease 2019(COVID-19)significantly affected endoscopy practice,as gastrointestinal endoscopy is considered a risky procedure for transmission of infection to patients and personnel of endoscopy units(PEU).AIM To assess the impact of COVID-19 on endoscopy during the first European lockdown(March-May 2020).METHODS Patients undergoing endoscopy in nine endoscopy units across six European countries during the period of the first European lockdown for COVID-19(March-May 2020)were *** to the endoscopy procedure,participants were stratified as low-or high-risk for potential COVID-19 infection according to the European Society of Gastrointestinal Endoscopy(ESGE)and the European Society of Gastroenterology and Endoscopy Nurses and Associates(ESGENA)joint statement,and contacted 7-14 d later to assess COVID-19 infection *** were questioned regarding COVID-19 symptoms and/or infection via questionnaire,while information regarding hospitalizations,intensive care unitadmissions and COVID-19-related deaths were *** number of weekly endoscopies at each center during the lockdown period was also *** A total of 1267 endoscopies were performed in 1222 individuals across nine European endoscopy departments in six ***-seven(7%)were excluded because of initial positive *** the 1135 pre-endoscopy low risk or polymerase chain reaction negative for COVID-19,254(22.4%)were tested post endoscopy and 8 were eventually found positive,resulting in an infection rate of 0.7%[95%CI:0.2-0.12].The majority(6 of the 8 patients,75%)had undergone *** the 163 PEU,5[3%;(95%CI:0.4-5.7)]tested positive during the study period.A decrease of 68.7%(95%CI:64.8-72.7)in the number of weekly endoscopies was recorded in all centers after March *** centers implemented appropriate personal protective measures(PPM)from the initial phases of the *** COVID-19 transmission in endoscopy unit

关键词： COVID-19 SARS-CoV-2 Gastrointestinal endoscopy Personal protection measures Transmission Lockdown

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