Clinical Questions and Answers on Gastrointestinal Endoscopy during the Novel Coronavirus Disease 2019 pandemic
Clinical Questions and Answers on Gastrointestinal Endoscopy during the Novel Coronavirus Disease 2019 pandemic
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DOI：
10.1111/den.13757
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发表时间：
2020-07-01
影响因子：
5.3
通讯作者：
Inoue, Haruhiro
中科院分区：
文献类型：
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作者：
Furuta, Takahisa;Irisawa, Atsushi;Inoue, Haruhiro
在 COVID-19（2019 年冠状病毒病）大流行期间，某些情况可能需要进行内窥镜检查。在这里，我们以临床问答（Q&A）的形式描述了在这种情况下安全部署胃肠内窥镜检查的必要预防措施，同时保护内窥镜检查人员和患者免受感染。非紧急内窥镜检查应推迟。应通过问卷和体温提前评估患者感染风险。必须每天检查员工的健康状况。使用内窥镜检查的决定应基于内窥镜检查的机构条件和目的。所有内窥镜工作人员都需要穿戴适当的个人防护装备 (PPE)。手术后应按照相关指南对内窥镜和其他设备进行清洁和消毒。需要对内窥镜设备进行优化管理。对感染患者或疑似感染患者进行内窥镜检查时需要格外小心。当接受内窥镜检查的患者后来被发现患有 COVID-19 时，相关工作人员将被视为暴露于该病毒，如果认为其个人防护装备不足，则至少 14 天内不得工作。当个人防护装备资源有限时，只要不被污染，一些设备可以在整个班次中连续使用。描述了上述保护措施的细节。
Some situations may require endoscopy during the COVID-19 (Coronavirus Disease 2019) pandemic. Here, we describe the necessary precautions in the form of clinical questions and answers (Q&A) regarding the safe deployment of gastrointestinal endoscopy in such situations while protecting endoscopy staff and patients from infection. Non-urgent endoscopy should be postponed. The risk of infection in patients should be evaluated in advance by questionnaire and body temperature. The health of staff must be checked every day. Decisions to employ endoscopy should be based on the institutional conditions and aims of endoscopy. All endoscopic staff need to wear appropriate personal protective equipment (PPE). The endoscope and other devices should be cleaned and disinfected after procedures in accordance with the relevant guidelines. Optimal management of the endoscopy unit is required. Endoscopy for infected patients or those with suspected infection demands exceptional caution. When a patient who undergoes endoscopy is later found to have COVID-19, the members of staff involved are considered exposed to the virus and must not work for at least 14 days if their PPE is considered insufficient. When PPE resources are limited, some equipment may be used continuously throughout a shift as long as it is not contaminated. Details of the aforementioned protective measures are described.