Potential impact of contaminated bronchoscopes on novel coronavirus disease (COVID-19) patients

Ofstead, Cori L.; Hopkins, Krystina M.; Binnicker, Matthew J.

doi:10.1017/ice.2020.102

Cited by 10 publications

(11 citation statements)

References 10 publications

(21 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…8 In addition, nosocomial outbreaks and pseudo-outbreaks caused by various bacteria or viruses linked to inadequately processed bronchoscopes have been reported in several studies. 7,12 The present study site is a training and research hospital for respiratory diseases and thoracic surgery specifically in Ankara, Turkey, and was, therefore, classified as a nonpandemic hospital. Therefore, during the pandemic, patients We assigned the precise bronchoscopy indications for both outpatients and the intensive care unit patients and implemented the applications outlined below within the framework of protection measures determined by the Centers for Disease Control and Prevention in the United States.…”

Section: Discussionmentioning

confidence: 99%

“…Bronchoscopy is an aerosol‐generating procedure that leads to the pronounced formation of aerosols and thus poses a high risk of infection to proximate health care staff 8 . In addition, nosocomial outbreaks and pseudo‐outbreaks caused by various bacteria or viruses linked to inadequately processed bronchoscopes have been reported in several studies 7,12 . The present study site is a training and research hospital for respiratory diseases and thoracic surgery specifically in Ankara, Turkey, and was, therefore, classified as a nonpandemic hospital.…”

Section: Discussionmentioning

confidence: 99%

“…This is due to the ability of the COVID‐19 virus to spread rapidly from human to human through direct contact or respiratory droplets. Especially within 2 m of an infected person, the transmission risk is even higher 7 …”

Section: Introductionmentioning

confidence: 99%

“…Especially within 2 m of an infected person, the transmission risk is even higher. 7 Although bronchoscopy is a procedure used for the diagnosis and treatment of various conditions, it is also known as an aerosolgenerating procedure, so it results in a high risk of infection for health care workers during the COVID-19 pandemic. 8 On the other hand, throughout the pandemic, patients continued to be admitted with symptoms not related to COVID-19 infection, but as a result of suspected lung cancer instead.…”

mentioning

confidence: 99%

See 3 more Smart Citations

Bronchoscopic procedures during COVID‐19 pandemic: Experiences in Turkey

Öztürk¹,

Şener²,

Yılmaz³

2020

Journal of Surgical Oncology

View full text Add to dashboard Cite

Background: Globally, coronavirus disease-2019 (COVID-19) is a new, highly contagious, and life-threatening virus. We aimed to demonstrate how we proceeded with bronchoscopic procedures without published guidelines at the inception of the pandemic period. Materials and Methods: All bronchoscopic procedures applied from the first case seen in Turkey (11 March-15 May) were evaluated retrospectively. Patient data on indications, diagnosis, types of procedures, and the results of COVID-19 tests were recorded. Results: This study included 126 patients; 36 required interventional bronchoscopic techniques (28.6%), 74 required endobronchial ultrasonography (EBUS; 58.7%), and 16 required flexible fiberoptic bronchoscopy (12.7%). All interventional rigid bronchoscopic techniques were performed for emergent indications: malignant airway obstruction (66.7%), tracheal stenosis (25%), and bronchopleural fistula (8.3%). Malignancy was diagnosed in 59 (79.7%), 12 (50%), and 4 (25%) patients who underwent EBUS, interventional procedures, and fibreoptic bronchoscopy, respectively. All personnel wore personal protective equipment and patients wore a surgical mask, cap, and disposable gown. Of the patients, 31 (24.6%) were tested for COVID-19 and all the results were negative. COVID-19 was not detected in any of the patients after a 14-day follow-up period. Conclusion: This study was based on our experiences and demonstrated that EBUS and/or bronchoscopy should not be postponed in patients with known or suspected lung cancer.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Bronchoscopic procedures during COVID‐19 pandemic: Experiences in Turkey

Öztürk¹,

Şener²,

Yılmaz³

2020

Journal of Surgical Oncology

View full text Add to dashboard Cite

show abstract

“…Using contaminated bronchoscopes that have physical defects and harbor viruses, bacteria, or fungi will put vulnerable patients at risk of bronchoscopy-associated pathogen transmission and result erroneous BAL test results. [ 21 ] Single-use portable disposable bronchoscopes have been evaluated in the critical care setting with favorable evaluation for bronchoscopy, tracheotomy, tracheal intubation and suction,[ 22 23 ] and have been recommended to be used first line in patients with COVID-19. [ 21 24 ] However, it is recommended to use reusable electronic bronchoscopes for advanced and complicated interventional therapies of bronchoscopy, because the poor visibility and controllability of single-use bronchoscopes might induce operator to suffer excessive fatigue in operations and even delay of emergency condition (such as severe hemoptysis of airway, foreign body aspiration).…”

Section: Suggestions On Procedures Of the Bronchoscopy In The Patientmentioning

confidence: 99%

Expert panel consensus statement on the applications and precaution strategies of bronchoscopy in patients with COVID-19

Yang¹,

Chen

Gao

et al. 2020

Endosc Ultrasound

View full text Add to dashboard Cite

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a novel coronavirus with higher transmissibility compared with SARS coronavirus (SARS-CoV) and Middle East respiratory distress syndrome coronavirus. Coronavirus disease 2019 (COVID-19) caused by SARS-CoV-2 is an unprecedented global crisis that has not been experienced, which is still disrupting health systems, economies, and societies around the world by the rapid spread. Bronchoscopy plays an important role in diagnosis and therapy of pulmonary diseases, especially in patients with severe pulmonary infection, however, application of bronchoscopy in patients suspected or confirmed SARS-CoV-2 infection is extremely limited for the potential airborne transmission from aerosol generated during the procedure. This consensus statement was completed by expert panel of Interventional & Minimally Invasive Respiratory Committee of China Medical Education Association, and the issues were summarized as seven key topics to define the indications of bronchoscopy and matters needing attentions on the bronchoscopy procedures in patients with COVID-19, as well as the protective precaution strategies to avoid nosocomial SARS-CoV-2 infection.

show abstract

Bronchoscopy-Related Infection and the Development of Single-Use Bronchoscopy Technology

Logan,

Yurosko,

Mehta

et al. 2023

Curr Pulmonol Rep

View full text Add to dashboard Cite

Purpose of Review Bronchoscopy-related infection is recognized as a leading healthcare hazard, and this review delves into its incidence, causes, and prevention. Recent Findings Due to both the recognition of the scale of bronchoscopy-related infection and the COVID-19 pandemic, single-use or disposable bronchoscopy (SUFB) technology has progressed beyond the ICU setting to the bronchoscopy suite. A review of data related to currently available scopes, bench-top, and clinical data is also presented. Summary Not only does SUFB technology provide a portable and immediately accessible bronchoscope for procedures in the ICU and endoscopy suite, it also is a sterile option for standard bronchoscopy procedures thus avoiding infection related to scope contamination. Cost-effectiveness comparisons vary between single-use and reusable scopes depending on calculated incidence of scope-related infection. Although no one should suffer an infection related to bronchoscopy, SUFB technology lacks proper comparison to reusable scope quality. In the meantime, the most important intervention is proper cleaning and assessment of reusable scopes for damage.

show abstract

Potential impact of contaminated bronchoscopes on novel coronavirus disease (COVID-19) patients

Cited by 10 publications

References 10 publications

Bronchoscopic procedures during COVID‐19 pandemic: Experiences in Turkey

Bronchoscopic procedures during COVID‐19 pandemic: Experiences in Turkey

Expert panel consensus statement on the applications and precaution strategies of bronchoscopy in patients with COVID-19

Bronchoscopy-Related Infection and the Development of Single-Use Bronchoscopy Technology

Contact Info

Product

Resources

About