“…Full PPE includes hair net or overhead, face shield or goggles, surgical masks or N95 respirators or equivalent, gowns, and gloves. In one study it was found that in the high-incidence areas of COVID-19, the incidence of infection among GI endoscopists was higher than in lowincidence areas (21 % vs 9.5%) and most COVID-19 infections occurred at the onset of the epidemic, when protective measures had not been implemented [18].…”
Background and study aims:The health care workers at endoscopy units are at a high risk of COVID-19 infection. Several guidelines for COVID-19 infection control measures at endoscopy units are available. However, the knowledge and practice of endoscopists toward these measures are not evaluated. We aimed to assess the level of knowledge and practice of Egyptian gastrointestinal (GI) endoscopists for these measures.
Patientsand Method:An online questionnaire was filled by the GI endoscopists. It consisted of 4 sections; the demographic features of the participants, pre-endoscopic infection control measures, during endoscopy on COVID-19 patients measures and postendoscopic measures. Each of the last 3 sections contained questions assessing the knowledge and practices of the endoscopists. The answers to some questions were set up as 'yes' or 'no' and the other questions required selecting the appropriate answer.Results: A total of 120 participants completed the questionnaire. About half had endoscopic experience between 5 and 10 years. The overall correct answers regarding the knowledge were 45.6% while 62.2% for the practice. Low percent of correct answers was related to the personal protective equipment (PPE) use. About 56.7% and 58.3% found their level of knowledge and practices to be fair, respectively.
Conclusion:The knowledge of the infection control against COVID-19 was insufficient among GI endoscopists particularly PPE use. Meanwhile, the practice was relatively adequate due to hospital policies of strict application of infection control measures.
“…Full PPE includes hair net or overhead, face shield or goggles, surgical masks or N95 respirators or equivalent, gowns, and gloves. In one study it was found that in the high-incidence areas of COVID-19, the incidence of infection among GI endoscopists was higher than in lowincidence areas (21 % vs 9.5%) and most COVID-19 infections occurred at the onset of the epidemic, when protective measures had not been implemented [18].…”
Background and study aims:The health care workers at endoscopy units are at a high risk of COVID-19 infection. Several guidelines for COVID-19 infection control measures at endoscopy units are available. However, the knowledge and practice of endoscopists toward these measures are not evaluated. We aimed to assess the level of knowledge and practice of Egyptian gastrointestinal (GI) endoscopists for these measures.
Patientsand Method:An online questionnaire was filled by the GI endoscopists. It consisted of 4 sections; the demographic features of the participants, pre-endoscopic infection control measures, during endoscopy on COVID-19 patients measures and postendoscopic measures. Each of the last 3 sections contained questions assessing the knowledge and practices of the endoscopists. The answers to some questions were set up as 'yes' or 'no' and the other questions required selecting the appropriate answer.Results: A total of 120 participants completed the questionnaire. About half had endoscopic experience between 5 and 10 years. The overall correct answers regarding the knowledge were 45.6% while 62.2% for the practice. Low percent of correct answers was related to the personal protective equipment (PPE) use. About 56.7% and 58.3% found their level of knowledge and practices to be fair, respectively.
Conclusion:The knowledge of the infection control against COVID-19 was insufficient among GI endoscopists particularly PPE use. Meanwhile, the practice was relatively adequate due to hospital policies of strict application of infection control measures.
“…Risk of transmission among health care workers, including in an endoscopy setting, has been reported to range from 4.3% to 21%. [32][33][34] Addressing safety concerns is an important aspect to resuming endoscopy operations for both endoscopists and patients. 35,36 The downsides include perceived patient burden and limited availability of testing, logistics and bottleneck of testing for providers, and false-positive and false-negative results.…”
“…7 Investigators showed the risk of viral infection caused by GI endoscopy. 2,8 In addition, several infection control devices were produced, especially for GI endoscopy. 2,9,10 Currently strict precautionary measures are recommended by the American Society for Gastrointestinal Endoscopy during GI endoscopy.…”
Objectives
Gastrointestinal endoscopy increases the risk of bacterial exposure to endoscopists. However, before 2019, most endoscopists did not pay attention to microorganism transmission from patients. This study aimed to investigate the incidence of bacterial exposure to endoscopists’ faces during gastrointestinal endoscopic procedures using the bacterial culture method.
Methods
This was a single‐centered, retrospective study including endoscopists who performed various gastrointestinal endoscopy procedures at the Division of Endoscopy, Hirosaki University Hospital between August 31 and October 6, 2020. Endoscopists wore surgical masks and affixed pre‐sterilized films over them. Following the gastrointestinal endoscopic procedures, attached microbes were collected from the endoscopists’ surface films using sterilized swabs. Collected microorganisms were cultured on tryptic soy agar and 5% sheep blood agar, and the incidence of bacterial exposure was determined by bacterial culture positivity. Cultured bacteria were identified by gram staining and 16S rRNA gene sequencing.
Results
Bacterial culture positivity was 12.6%, and it was significantly higher in therapeutic than in diagnostic endoscopy. Notably, therapeutic endoscopy increased bacterial culture positivity in colonoscopy, but not in esophagogastroduodenoscopy. Staphylococci, including Staphylococcus epidermidis and Staphylococcus capitis, were the most commonly found bacteria in samples identified through 16S rRNA gene sequencing.
Conclusions
The risk of bacterial exposure to the endoscopist's face was increased in colonoscopy treatment procedures. Therefore, endoscopists should be aware of the significant risk of microbial infection from scattering fluid that comes from the endoscopy's working channel.
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