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Approach to Endoscopic Procedures: A Routine Protocol from a Quaternary University Referral Center Exclusively for Coronavirus Disease 2019 Patients

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...

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Autores principales: Franzini, Tomazo Antonio Prince, Kotinda, Ana Paula Samy Tanaka, de Moura, Diogo Turiani Hourneaux, Badana, Márcia Lopes Vicente, de Medeiros, Marion Sielfeld, Lima, Patrícia Goulart Rodrigues, de Mello, Brigitte Feiner, 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., de Moura, Eduardo Guimarães Hourneaux
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Faculdade de Medicina / USP 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7247750/
https://www.ncbi.nlm.nih.gov/pubmed/32555947
http://dx.doi.org/10.6061/clinics/2020/e1989
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author Franzini, Tomazo Antonio Prince
Kotinda, Ana Paula Samy Tanaka
de Moura, Diogo Turiani Hourneaux
Badana, Márcia Lopes Vicente
de Medeiros, Marion Sielfeld
Lima, Patrícia Goulart Rodrigues
de Mello, Brigitte Feiner
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.
de Moura, Eduardo Guimarães Hourneaux
author_facet Franzini, Tomazo Antonio Prince
Kotinda, Ana Paula Samy Tanaka
de Moura, Diogo Turiani Hourneaux
Badana, Márcia Lopes Vicente
de Medeiros, Marion Sielfeld
Lima, Patrícia Goulart Rodrigues
de Mello, Brigitte Feiner
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.
de Moura, Eduardo Guimarães Hourneaux
author_sort Franzini, Tomazo Antonio Prince
collection PubMed
description 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.
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spelling pubmed-72477502020-06-15 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 de Moura, Diogo Turiani Hourneaux Badana, Márcia Lopes Vicente de Medeiros, Marion Sielfeld Lima, Patrícia Goulart Rodrigues de Mello, Brigitte Feiner 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. de Moura, Eduardo Guimarães Hourneaux Clinics (Sao Paulo) Original Article 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. Faculdade de Medicina / USP 2020-06-04 2020 /pmc/articles/PMC7247750/ /pubmed/32555947 http://dx.doi.org/10.6061/clinics/2020/e1989 Text en Copyright © 2020 CLINICS http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium or format, provided the original work is properly cited.
spellingShingle Original Article
Franzini, Tomazo Antonio Prince
Kotinda, Ana Paula Samy Tanaka
de Moura, Diogo Turiani Hourneaux
Badana, Márcia Lopes Vicente
de Medeiros, Marion Sielfeld
Lima, Patrícia Goulart Rodrigues
de Mello, Brigitte Feiner
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.
de Moura, Eduardo Guimarães Hourneaux
Approach to Endoscopic Procedures: A Routine Protocol from a Quaternary University Referral Center Exclusively for Coronavirus Disease 2019 Patients
title Approach to Endoscopic Procedures: A Routine Protocol from a Quaternary University Referral Center Exclusively for Coronavirus Disease 2019 Patients
title_full Approach to Endoscopic Procedures: A Routine Protocol from a Quaternary University Referral Center Exclusively for Coronavirus Disease 2019 Patients
title_fullStr Approach to Endoscopic Procedures: A Routine Protocol from a Quaternary University Referral Center Exclusively for Coronavirus Disease 2019 Patients
title_full_unstemmed Approach to Endoscopic Procedures: A Routine Protocol from a Quaternary University Referral Center Exclusively for Coronavirus Disease 2019 Patients
title_short Approach to Endoscopic Procedures: A Routine Protocol from a Quaternary University Referral Center Exclusively for Coronavirus Disease 2019 Patients
title_sort approach to endoscopic procedures: a routine protocol from a quaternary university referral center exclusively for coronavirus disease 2019 patients
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7247750/
https://www.ncbi.nlm.nih.gov/pubmed/32555947
http://dx.doi.org/10.6061/clinics/2020/e1989
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