Infection Control Practices and Outcomes of Endoscopy Units in the Lombardy Region of Italy A Survey From the Italian Society of Digestive Endoscopy During COVID-19 Spread

被引：4

作者：

Capurso, Gabriele ^{[1
]}

Archibugi, Livia ^{[1
]}

Vanella, Giuseppe ^{[1
]}

Testoni, Sabrina G. G. ^{[1
]}

Petrone, Maria C. ^{[1
]}

Fanti, Lorella ^{[2
,3
]}

Greco, Salvatore ^{[14
]}

Cavenati, Sergio ^{[15
]}

Gaffuri, Nicola ^{[16
]}

Lella, Fausto ^{[17
]}

Pace, Fabio ^{[18
]}

Cengia, Gianpaolo ^{[19
]}

Spada, Cristiano ^{[20
]}

Lovera, Mauro ^{[20
]}

Missale, Guido ^{[21
]}

Rosato, Stenio ^{[22
]}

Radaelli, Franco ^{[23
]}

Buscarini, Elisabetta ^{[24
]}

Parente, Fabrizio ^{[25
]}

Pilati, Stefano ^{[26
]}

Luigiano, Carmelo ^{[4
]}

Passoni, Giovanni R. ^{[4
]}

Salerno, Raffaele ^{[5
]}

Bargiggia, Stefano ^{[6
]}

Penagini, Roberto ^{[7
]}

Cantu, Paolo ^{[7
]}

Fregoni, Fiorenza ^{[8
]}

Giannetti, Aurora ^{[8
]}

Devani, Massimo ^{[9
]}

Manes, Gianpiero ^{[9
]}

Fiori, Giancarla ^{[10
]}

Fontana, Paola ^{[11
]}

Gambitta, Pietro ^{[11
]}

Masci, Enzo ^{[12
]}

Mutignani, Massimiliano ^{[13
]}

Gatti, Mario ^{[27
]}

Canani, Marcella B. ^{[28
]}

Vailati, Cristian ^{[28
]}

Dinelli, Marco Emilio ^{[29
]}

Marzo, Vincenza ^{[30
]}

Alvisi, Costanza ^{[30
]}

Caramia, Vitantonio ^{[31
]}

Di Sabatino, Antonio ^{[32
]}

Mauro, Aurelio ^{[32
]}

De Grazia, Federico ^{[32
]}

Balzarini, Marco ^{[33
]}

Segato, Sergio ^{[33
]}

Nella, Giovanni A. ^{[34
]}

Giannini, Patrizia ^{[34
]}

Leoni, Piera ^{[35
]}

机构：

[1] Vita & Salute Univ, IRCCS San Raffaele Sci Inst, Pancreatobiliary Endoscopy & Endosonog Unit, Milan, Italy

[2] Vita & Salute Univ, IRCCS San Raffaele Sci Inst, Gastroenterol Unit, Milan, Italy

[3] Vita & Salute Univ, IRCCS San Raffaele Sci Inst, Gastrointestinal Endoscopy Unit, Milan, Italy

[4] ASST St Paolo & Carlo, Digest Endoscopy Unit, Milan, Italy

[5] ASST Fatebenefratelli Sacco, Digest Endoscopy, Milan, Italy

[6] Clin San Carlo Paderno Dugnano, Digest Endoscopy, Milan, Italy

[7] Fdn IRCCS Ca Granda Osped Maggiore Policlin, Gastroenterol & Endoscopy Unit, Milan, Italy

[8] Multimed Milano, Digest Endoscopy, Milan, Italy

[9] Rho & Garbagnate Milanese Hosp, Dept Gastroenterol, ASST Rhodense, Milan, Italy

[10] European Inst Oncol, Digest Endoscopy Unit, Milan, Italy

[11] ASST Ovest Milanese, Endoscopy Unit, Legnano Hosp, Milan, Italy

[12] Fdn IRCCS Ist Nazl Tumori, Diagnost & Therapeut Endoscop Unit, Milan, Italy

[13] ASST Niguarda, Digest & Operat Endoscopy Unit, Milan, Italy

[14] Papa Giovanni XXIII Hosp, Gastroenterol & Digest Endoscopy Unit, Treviglio, Italy

[15] Treviglio Hosp, Digest Endoscopy Unit, ASST Bergamo Ovest, Treviglio, Italy

[16] Humanitas Gavazzeni Hosp, Digest Endoscopy Unit, Ponte San Pietro, Italy

[17] Policlin Ponte San Pietro Bergamo, Digest Endoscopy Unit, Ponte San Pietro, Italy

[18] ASST Bergamo Est, Digest Endoscopy Unit, Bergamo, Italy

[19] Manerbio Hosp, Digest Endoscopy Unit, Brescia, Italy

[20] Fdn Poliambulanza Ist Osped, Digest Endoscopy Unit, Brescia, Italy

[21] ASST Spedali Civili, Digest Endoscopy Unit, Brescia, Italy

[22] Esine Hosp, Digest Endoscopy Unit, Brescia, Italy

[23] Valduce Hosp, Digest Endoscopy Unit, Como, Italy

[24] ASST Crema, Gastroenterol & Endoscopy Dept, Maggiore Hosp, Cremona, Italy

[25] ASST Lecco, Digest Endoscopy Unit, Lecce, Italy

[26] ASST Mantova, Digest Endoscopy Unit, Carlo Poma Hosp, Mantua, Italy

[27] ASST Vimercate, Digest Endoscopy & Gastroenterol Unit, Carate Brianza Hosp, Monza Brianza, Italy

[28] ASST Vimercate, Endoscopy Unit, Vimercate Hosp, Monza Brianza, Italy

[29] ASST Monza, Endoscopy Unit, San Gerardo Hosp, Monza Brianza, Italy

[30] Voghera Vigevano ASST Pavia, Endoscopy Unit, Pavia, Italy

[31] ICS Maugeri Pavia, Endoscopy Unit, Pavia, Italy

[32] IRCCS Policlin S Matteo Pavia, Endoscopy Unit, Pavia, Italy

[33] ASST Sette Laghi Varese, Endoscopy Unit, Varese, Italy

[34] ASST Valtellina & Alto Lario, Endoscopy Unit, Sondalo, Sondrio, Italy

[35] Osped Maggiore Lodi, Digest Endoscopy, Lodi, Italy

来源：

JOURNAL OF CLINICAL GASTROENTEROLOGY | 2021年 / 55卷 / 10期

关键词：

Covid-19; endoscopy; infection; risk;

D O I：

10.1097/MCG.0000000000001440

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Goals: The present survey from the Italian Society of Digestive Endoscopy (SIED-Societa Italiana di Endoscopia Digestiva) was aimed at reporting infection control practice and outcomes at Digestive Endoscopy Units in a high-incidence area. Background: Lombardy was the Italian region with the highest coronavirus disease-2019 (COVID-19) prevalence, at the end of March 2020 accounting for 20% of all worldwide deaths. Joint Gastro-Intestinal societies released recommendations for Endoscopy Units to reduce the risk of the contagion. However, there are few data from high-prevalence areas on adherence to these recommendations and on their efficacy. Methods: A survey was designed by the Lombardy section of SIED to analyze (a) changes in activity and organization, (b) adherence to recommendations, (c) rate of health care professionals' (HCP) infection during the COVID-19 outbreak. Results: In total, 35/61 invited centers (57.4%) participated; most modified activities were according to recommendations and had filtering face piece 2/filtering face piece 3 and water-repellent gowns available, but few had negative-pressure rooms or provided telephonic follow-up; 15% of HCPs called in sick and 6% had confirmed COVID-19. There was a trend (P=0.07) toward different confirmed COVID-19 rates among endoscopists (7.9%), nurses (6.6%), intermediate-care technicians (3.4%), and administrative personnel (2.2%). There was no correlation between the rate of sick HCPs and COVID-19 incidence in the provinces and personal protective equipment availability and use, whereas an inverse correlation with hospital volume was found. Conclusions: Adherence to recommendations was rather good, though a minority were able to follow all recommendations. Confirmed COVID-19 seemed higher among endoscopists and nurses, suggesting that activities in the endoscopy rooms are at considerable viral spread risk.

引用

页码：E87 / E91

页数：5

共 9 条

[1] Italian doctors call for protecting healthcare workers and boosting community surveillance during covid-19 outbreak
Anelli, Filippo
Leoni, Giovanni
Monaco, Roberto
Nume, Cosimo
Rossi, Roberto Carlo
Marinoni, Guido
Spata, Gianluigi
De Giorgi, Donato
Peccarisi, Luigi
Miani, Alessandro
Burgio, Ernesto
Gentile, Ivan
Colao, Annamaria
Triassi, Maria
Piscitelli, Prisco
[J]. BMJ-BRITISH MEDICAL JOURNAL, 2020, 368
[2] [Anonymous], 2020, LANCET, V395, P922, DOI 10.1016/S0140-6736(20)30644-9
[3] Gastrointestinal Manifestations of SARS-CoV-2 Infection and Virus Load in Fecal Samples From a Hong Kong Cohort: Systematic Review and Meta-analysis
Cheung, Ka Shing
Hung, Ivan F. N.
Chan, Pierre P. Y.
Lung, K. C.
Tso, Eugene
Liu, Raymond
Ng, Y. Y.
Chu, Man Y.
Chung, Tom W. H.
Tam, Anthony Raymond
Yip, Cyril C. Y.
Leung, Kit-Hang
Fung, Agnes Yim-Fong
Zhang, Ricky R.
Lin, Yansheng
Cheng, Ho Ming
Zhang, Anna J. X.
To, Kelvin K. W.
Chan, Kwok-H
Yuen, Kwok-Y
Leung, Wai K.
[J]. GASTROENTEROLOGY, 2020, 159 (01) : 81 - 95
[4] Sedation and monitoring for gastrointestinal endoscopy: A nationwide web survey in Italy
Fanti, Lorella
Agostoni, Massimo
Gemma, Marco
Radaelli, Franco
Conigliaro, Rita
Beretta, Luigi
Rossi, Gemma
Guslandi, Mario
Testoni, Pier Alberto
[J]. DIGESTIVE AND LIVER DISEASE, 2011, 43 (09) : 726 - 730
[5] Coronavirus Disease 2019 (COVID-2019) Infection Among Health Care Workers and Implications for Prevention Measures in a Tertiary Hospital in Wuhan, China
Lai, Xiaoquan
Wang, Minghuan
Qin, Chuan
Tan, Li
Ran, Lusen
Chen, Daiqi
Zhang, Han
Shang, Ke
Xia, Chen
Wang, Shaokang
Xu, Shabei
Wang, Wei
[J]. JAMA NETWORK OPEN, 2020, 3 (05)
[6] Endoscopy Units and the Coronavirus Disease 2019 Outbreak: A Multicenter Experience From Italy
Repici, Alessandro
Pace, Fabio
Gabbiadini, Roberto
Colombo, Matteo
Hassan, Cesare
Dinelli, Marco
[J]. GASTROENTEROLOGY, 2020, 159 (01) : 363 - +
[7] Coronavirus (COVID-19) outbreak: what the department of endoscopy should know
Repici, Alessandro
Maselli, Roberta
Colombo, Matteo
Gabbiadini, Roberto
Spadaccini, Marco
Anderloni, Andrea
Carrara, Silvia
Fugazza, Alessandro
Di Leo, Milena
Galtieri, Piera Alessia
Pellegatta, Gaia
Ferrara, Elisa Chiara
Azzolini, Elena
Lagioia, Michele
[J]. GASTROINTESTINAL ENDOSCOPY, 2020, 92 (01) : 192 - 197
[8] Considerations in performing endoscopy during the COVID-19 pandemic
Soetikno, Roy
Teoh, Anthony Y. B.
Kaltenbach, Tonya
Lau, James Y. W.
Asokkumar, Ravishankar
Cabral-Prodigalidad, Patricia
Shergill, Amandeep
[J]. GASTROINTESTINAL ENDOSCOPY, 2020, 92 (01) : 176 - 183
[9] How to get away with COVID-19: endoscopy during post-peak pandemic. A perspective review
Vanella, Giuseppe
Capurso, Gabriele
Boskoski, Ivo
Bossi, Eleonora
Signorelli, Carlo
Ciceri, Fabio
Arcidiacono, Paolo Giorgio
Costarnagn, Guido
[J]. THERAPEUTIC ADVANCES IN GASTROENTEROLOGY, 2020, 13

← 1 →