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Approach to Endoscopic Procedures: A Routine Protocol from a Quaternary University Referral Center Exclusively for Coronavirus Disease 2019 Patients.
Franzini, Tomazo Antonio Prince; Kotinda, Ana Paula Samy Tanaka; Moura, Diogo Turiani Hourneaux de; Badana, Márcia Lopes Vicente; Medeiros, Marion Sielfeld de; Lima, Patrícia Goulart Rodrigues; Mello, Brigitte Feiner de; Kayano, Rafael Priante; Carmona, Maria José Carvalho; Rocha, Marcelo Cristiano; Campos, Aléia Faustina; McCarty, Thomas R; Guimarães, Thaís; Moura, Maria Luisa do Nascimento; Thompson, Christopher C; Moura, Eduardo Guimarães Hourneaux de.
  • Franzini TAP; Unidade de Endoscopia Gastrointestinal, Departamento de Gastroenterologia, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR.
  • Kotinda APST; Unidade de Endoscopia Gastrointestinal, Departamento de Gastroenterologia, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR.
  • Moura DTH; Unidade de Endoscopia Gastrointestinal, Departamento de Gastroenterologia, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR.
  • Badana MLV; Divisao de Enfermagem, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR.
  • Medeiros MS; Divisao de Enfermagem, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR.
  • Lima PGR; Divisao de Enfermagem, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR.
  • Mello BF; Divisao de Anestesiologia, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR.
  • Kayano RP; Divisao de Anestesiologia, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR.
  • Carmona MJC; Divisao de Anestesiologia, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR.
  • Rocha MC; Divisao de Clinica Cirurgica III, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR.
  • Campos AF; Divisao de Molestias Infecciosas e Parasitarias, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR.
  • McCarty TR; Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
  • Guimarães T; Divisao de Molestias Infecciosas e Parasitarias, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR.
  • Moura MLDN; Divisao de Molestias Infecciosas e Parasitarias, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR.
  • Thompson CC; Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
  • Moura EGH; Unidade de Endoscopia Gastrointestinal, Departamento de Gastroenterologia, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR.
Clinics (Sao Paulo) ; 75: e1989, 2020.
Article in English | MEDLINE | ID: covidwho-608407
ABSTRACT

OBJECTIVES:

The present coronavirus disease (COVID-19) pandemic has ushered in an unprecedented era of quality control that has necessitated advanced safety precautions and the need to ensure the adequate protection of healthcare professionals (HCPs). Endoscopy units, endoscopists, and other HCP may be at a significant risk for transmission of the virus. Given the immense burden on the healthcare system and surge in the number of patients with COVID-19, well-designed protocols and recommendations are needed. We aimed to systematically characterize our approach to endoscopic procedures in a quaternary university hospital setting and provide summary protocol recommendations.

METHOD:

This descriptive study details a COVID-19-specific protocol designed to minimize infection risks to patients and healthcare workers in the endoscopy unit.

RESULTS:

Our institution, located in São Paulo, Brazil, includes a 900-bed hospital, with a 200-bed-specific intensive care unit exclusively designed for patients with moderate and severe COVID-19. We highlighted recommendations for infection prevention and control during endoscopic procedures, including appropriate triage and screening, outpatient management and procedural recommendations, role and usage of personal protective equipment (PPE), and role and procedural logistics involving COVID-19-positive patients. We also detailed hospital protocols for reprocessing endoscopes and cleaning rooms and also provided recommendations to minimize severe acute respiratory syndrome coronavirus 2 transmission.

CONCLUSION:

This COVID-19-specific administrative and clinical protocol can be replicated or adapted in multiple institutions and endoscopy units worldwide. Furthermore, the recommendations and summary protocol may improve patient and HCP safety in these trying times.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Infectious Disease Transmission, Patient-to-Professional / Coronavirus Infections / Endoscopy / Pandemics / Personal Protective Equipment / Betacoronavirus / Hospitals, University Type of study: Prognostic study Limits: Humans Country/Region as subject: South America / Brazil Language: English Journal: Clinics (Sao Paulo) Journal subject: Medicine Year: 2020 Document Type: Article Affiliation country: Clinics

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Infectious Disease Transmission, Patient-to-Professional / Coronavirus Infections / Endoscopy / Pandemics / Personal Protective Equipment / Betacoronavirus / Hospitals, University Type of study: Prognostic study Limits: Humans Country/Region as subject: South America / Brazil Language: English Journal: Clinics (Sao Paulo) Journal subject: Medicine Year: 2020 Document Type: Article Affiliation country: Clinics