Herramientas de prevención en las unidades de endoscopia digestiva en época de pandemia
DOI:
https://doi.org/10.22516/25007440.536Keywords:
Keywords: Endoscopy, gastroenterology, COVID-19, contagion, aerosols, fecal matter, protection., endoscopy, gastroenterology, COVID-19, contagion, aerosols, fecal matter, protectionAbstract
Last December, SARS-CoV-2 emerged in Wuhan, China, like a new coronavirus, producing the coronavirus disease (COVID-19), that as of April 15, 2020, it has infected more than 2,000,000 people worldwide and caused 128,833 deaths. Due to the way SARS-CoV-2 is transmitted, endoscopy rooms and endoscopic procedures are an easy source of dissemination, as they fulfill the different characteristics of a contaminated environment for patients and healthcare personnel involved in endoscopic procedures. It is of great importance to establish measures within endoscopy units to prevent and reduce the risk of spreading this infection, creating a safe environment that protects patients and health personnel. A Pubmed search was performed with the following terms: (“COVID-19” OR “coronavirus” OR “SARS-Cov-2”) and (“gastrointestinal” OR “transmission” OR “intestinal” OR “digestive” OR “endoscopy “OR” esophagogastroduodenoscopy “OR” colonoscopy “). The gastroenterology team of our institution, considers that all patients brought to endoscopic procedures should be classified as high risk and presents the recommendations that all healthcare staff in endoscopy units, should take into account to reduce the risk of infection.
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References
Roujian Lu, Xiang Zhao, Juan Li, Peihua Niu, Bo Yang, Honglong Wu, et al. Genomic characterisation and epidemiology of 2019 novel coronavirus: implications for virus origins and receptor binding. Lancet. 2020;395(10224):565-574. https://doi.org/10.1016/S0140-6736(20)30251-8
WHO [Internet]. Director-General’s opening remarks at the media briefing on COVID-19 - 11 March 2020 [acceso 2 de abril de 2020]. Disponible en: https://www.who.int/dg/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020
Zou X, Chen K, Zou J, Han P, Hao J, Han Z. Single-cell RNA-seq data analysis on the receptor ACE2 expression reveals the potential risk of different human organs vulnerable to 2019-nCoV infection. Front Med. 2020. https://doi.org/10.1007/s11684-020-0754-0
Guan W, Ni Z, Hu Y, et al. Clinical characteristics of 2019 novel coronavirus infection in China. N Engl J Med. 2020. https://doi.org/10.1056/NEJMoa2002032
Repici A, Maselli R, Colombo M, Gabbiadini R, Spadaccini M, Anderloni A, et al. Coronavirus (COVID- 19) outbreak: what the department of endoscopy should know. Gastrointest Endosc. 2020;S0016510720302455. https://doi.org/10.1016/j.gie.2020.03.019
Consenso colombiano de atención, diagnóstico y manejo de la infección por SARS-COV-2/COVID-19 en establecimientos de atención de la salud. Instituto de evaluación tecnológica en salud; 2020.
American Society for Gastrointestinal Endoscopy [Internet]. JOINT GI SOCIETY MESSAGE: COVID-19 Clinical Insights for Our Community of Gastroenterologists and Gastroenterology Care Providers [acceso 20 de marzo de 2020]. Disponible en: https://www.asge. org/home/joint-gi-society-message-covid-19
Zhang Y, Zhang X, Liu L, Wang H, Zhao Q. Suggestions for prevention and control in digestive endoscopy during current 2019 – n CoV pneumonia outbreak in Wuhan, Hubei province, China. Endoscopy. 2020;52(4):312-314. https://doi.org/10.1055/a-1128-4313.
Sultan S, Lim JK, Altayar O, Davitkov P, Feuerstein JD, Siddique SM, et al. AGA Institute Rapid Recommendations for Gastrointestinal Procedures During the COVID-19 Pandemic. Gastroenterology. 2020. https://doi.org/10.1053/j.gastro.2020.03.072.
European Society of Gastrointestinal Endoscopy (ESGE) [Internet]. ESGE and ESGENA Position Statement on gastrointestinal endoscopy and the COVID-19 pandemic [acceso 22 de marzo de 2020]. Disponible en: https://www.esge. com/esge-and-esgena-position-statement-on-gastrointestinal-endoscopy-and-the-covid-19-pandemic/
Cao Z, Zhang Q, Lu X, Pfeiffer D, Jia Z, Song H, Zeng DD. Estimating the effective reproduction number of the 2019-nCoV in China. medRxiv. 2020. https://doi.org/10.1101/2020.01.27.20018952
European Centre for Disease Prevention and Control [Internet]. Guidance for wearing and removing personal protective equipment in healthcare settings for the care of patients with suspected or confirmed COVID-19 [actualizado 28 de febrero de 20202; acceso 27 de abril de 2020]. Disponible en: https://www.ecdc.europa.eu/en/publications-data/guidance-wearing-and-removing-personal-protective-equipment-healthcare-settings
WHO [Internet]. Report of the WHO-China joint mission on coronavirus disease 2019 (COVID-19). [acceso 27 de abril de 2020]. Disponible en: https://www.who.int/docs/default-source/coronaviruse/who-china-joint-mission-oncovid 19-final-report.pdf
ASGE Quality Assurance in Endoscopy Committee, Calderwood AH, Day LW, Muthusamy VR, Collins J, Hambrick RD 3rd, et al. ASGE guideline for infection control during GI endoscopy. Gastrointest Endosc. 2018;87(5):1167-1179. https://doi.org/10.1016/j.gie.2017.12.009
Beilenhoff U, Biering H, Blum R, Brljak J, Cimbro M, Dumonceau JM, et al. Reprocessing of flexible endoscopes and endoscopic accessories used in gastrointestinal endoscopy: Position Statement of the European Society of Gastrointestinal Endoscopy (ESGE) and European Society of Gastroenterology Nurses and Associates (ESGENA) - Update 2018. Endoscopy. 2018;50(12):1205-1234. https://doi.org/10.1055/a-0759-1629
Zhang H, Kang Z, Gong H, Xu D, Wang J, Li Z, et al. The digestive System is a potential route of 2019- nCov infection: a bioinformatics analysis base do single- cell transcriptomes. Microbiology. 2020. https://doi.org/10.1101/2020.01.30.927806
Luo S, Zhang X, Xu H. Don’t overlook digestive symptoms in patients with 2019 novel coronavirus disease (COVID-19). Clin Gastroenterol Hepatol. 2020. https://doi.org/10.1016/j.cgh.2020.03.043
Chen X, Shang Y, Yao S Liu R, Liu H. Perioperative care provider’s considerations in managing patients with the COVID-19 infections. Translational perioperative and Pain Medicine. 2020;7(2):216-224 https://doi.org/10.31480/2330-4871/116
Ti LK, Ang LS, Foong TW, Ng BSW. What we do when a COVID-19 patient needs an operation: operating room preparation and guidance. Can J Anaesth. 2020. https://doi.org/10.1007/s12630-020-01617-4
Centers for Disease Control and Prevention [Internet]. Coronavirus Disease 2019 (COVID-19) [actualización 23 de abril de 2020]. Disponible en: https://www.cdc.gov/coronavirus/2019-ncov/infection-control/infection-prevention-control-faq.html
Sociedad Española de Endoscopia Digestiva (SEED) [Internet]. Recomendaciones de la SEED: Protección en Unidades de Endoscopia frente al COVID-19 [acceso 23 de marzo de 2020]. Disponible en: https://wseed.es/ima-ges/site/guia_clinica/2020/RecomendacionesSEED_ ProteccionUnidadesEndoscopia_Coronavirus.pdf
Chen N, Zhou M, Dong X, Qu J, Gong F, Han Y, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet. 2020;395(10223):507-513. https://doi.org/10.1016/S0140-6736(20)30211-7.
Otero W, Gómez MA, Ángel LA, Ruíz OF, Marulanda H, et al. Procedimientos endoscópicos y pandemia COVID19. Consideraciones básicas. Rev Colomb Gastroenterol. 2020;35(1):65-75. https://doi.org/10.22516/25007440.526
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