ASGE guideline for infection control during GI endoscopy

Calderwood, Audrey H.; Day, Lukejohn W.; Muthusamy, V. Raman; Collins, J. V.; Hambrick, Ralph David; Brock, Andrew; Guda, Nalini M.; Buscaglia, Jonathan M.; Petersen, Bret T.; Buttar, Navtej; Khanna, Lauren G.; Kushnir, Vladimir; Repaka, Aparna; Villa, Nicolas; Eisen, Glenn M.

doi:10.1016/j.gie.2017.12.009

Cited by 157 publications

(167 citation statements)

References 126 publications

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“…Despite ASGE suggestions to perform endoscopic procedures in a negative-pressure room [16], in most endoscopy facilities around the world, this is not available. Therefore, it would be advisable to urgently equip at least one endoscopic room with a negative-pressure system to be used for all patients with respiratory symptoms.…”

Section: Role Of the Negative-pressure Room In The Covid-19 Outbreakmentioning

confidence: 99%

“…Each endoscopy department should have a detailed plan addressing the cleaning of rooms, including methods and chemical agents for cleaning and disinfecting the procedure space at the end of the daily procedures. The cleaning process should include cleaning of all surfaces in the procedure room in order to remove all soil and biofilm, followed by proper disinfection [16] noncritical patient-care equipment disinfection, we are currently using 1:100 dilution of household bleach and water [18]. In case of negative-pressure rooms, a delay of about 30 minutes is suggested before allowing a new patient to enter in the room.…”

Section: Decontamination Policy For Endoscopy Roomsmentioning

confidence: 99%

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Coronavirus (COVID-19) outbreak: what the department of endoscopy should know

Repici

Maselli

Colombo

et al. 2020

Gastrointestinal Endoscopy

514

595

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Italy recorded its first case of confirmed acute respiratory case due to Coronavirus on February 18, 2020, soon after the initial reports in China. Since that time, Italy and nations throughout the world have adopted very stringent and severe measures to protect populations from spread of infection.Despite these measures, the number of infected people is growing exponentially with a significant number of patients developing acute respiratory insufficiency. Endoscopy departments face significant risk for diffusion of respiratory diseases that can be spread via an airborne route, including aspiration of oral and fecal material via endoscopes. The purpose of this article is to discuss the measures, with specific focus on personal protection equipment and dressing code modalities, which have been implemented in our hospital to prevent further dissemination of COVID-19 infection.

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Section: Role Of the Negative-pressure Room In The Covid-19 Outbreakmentioning

confidence: 99%

Section: Decontamination Policy For Endoscopy Roomsmentioning

confidence: 99%

Coronavirus (COVID-19) outbreak: what the department of endoscopy should know

Repici

Maselli

Colombo

et al. 2020

Gastrointestinal Endoscopy

514

595

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show abstract

“…2 For patients defined as suspected, probable or confirmed COVID-19, enhanced PPE should be practised during endoscopy, including the use of a N95 mask; isolation gown with water resistance; head cover; eye protection and face shield. 25 26 29 The procedure should be conducted in negative pressure room when available (see statement 9).…”

Section: Statement 5 Regular Monitoring Of Supply and Use Of Personamentioning

confidence: 99%

Practice of endoscopy during COVID-19 pandemic: position statements of the Asian Pacific Society for Digestive Endoscopy (APSDE-COVID statements)

Chiu

Inoue

et al. 2020

Gut

311

386

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Coronavirus-19 (COVID-19) caused by SARS-CoV-2 has become a global pandemic. Risk of transmission may occur during endoscopy and the goal is to prevent infection among healthcare professionals while providing essential services to patients. Asia was the first continent to have a COVID-19 outbreak, and this position statement of the Asian Pacific Society for Digestive Endoscopy shares our successful experience in maintaining safe and high-quality endoscopy practice at a time when resources are limited. Sixteen experts from key societies of digestive endoscopy in Asia were invited to develop position statements, including patient triage and risk assessment before endoscopy, resource prioritisation and allocation, regular monitoring of personal protective equipment, infection control measures, protective device training and implementation of a strategy for stepwise resumption of endoscopy services after control of the COVID-19 outbreak.

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“…Whereas highlevel disinfection is recommended for endoscopes, and other ''semi-critical'' instruments, sterilization is recommended for ''critical'' instruments, including biopsy forceps, polypectomy snares and papillotomes. Disposable accessories are an alternative to sterilization of reusable devices [68]. 6.…”

Section: Reprocessing Of Endoscopes and Endoscopic Accessoriesmentioning

confidence: 99%