Adherence to recommendations for endoscopy practice during COVID-19 pandemic in Latin America: how are we doing it?
BMJ Open Gastroenterol
; 8(1)2021 01.
Article
in English
| MEDLINE | ID: covidwho-1066882
ABSTRACT
BACKGROUND AND AIMS:
Digestive endoscopy is considered a high-risk procedure for COVID-19. Recommendations have been made for its practice during the pandemic. This study was conducted to determine adherence to recommendations for endoscopy practice during the COVID-19 pandemic in Latin America (LA).METHODS:
A survey was conducted of endoscopists from LA consisting of 43 questions for the evaluation of four items general and sociodemographic features, and preprocedure, intraprocedure and postprocedure aspects.RESULTS:
A response was obtained from 338 endoscopists (response rate 34.5%) across 15 countries in LA. In preprocedure aspects (hand washing, use of face masks for patients, respiratory triage area, training for the placement/removal of personal protective equipment (PPE) and availability of specific area for the placement/removal of PPE), there was adherence in <75%. Regarding postprocedure aspects, 77% (261/338) had reused PPE, mainly the N95 respirator or higher, and this was with a standardised decontamination procedure only in 32% (108/338) of the time. Postprocedure room decontamination was carried out by 47% on >75% of occasions. In relationship to intraprocedure aspects (knowledge of risk and type of endoscopic procedures, use of PPE, airway management in patients and infrastructure), there was adherence in >75% for all the parameters and 78% of endoscopists only performed emergencies or time-sensitive procedures.CONCLUSIONS:
Adherence to the recommendations for endoscopy practice during the COVID-19 pandemic is adequate in the intraprocedure aspect. However, it is deficient in the preprocedure and postprocedure aspects.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Endoscopy, Gastrointestinal
/
Practice Guidelines as Topic
/
Guideline Adherence
/
COVID-19
Type of study:
Cohort study
/
Experimental Studies
/
Observational study
/
Prognostic study
/
Qualitative research
Limits:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Language:
English
Year:
2021
Document Type:
Article
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