1. Infection Control Practices and Outcomes of Endoscopy Units in the Lombardy Region of Italy
- Author
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Alberto Mariani, S. Bargiggia, Gianpaolo Cengia, Mario Gatti, Franco Radaelli, Paola Fontana, Giancarla Fiori, Piera Leoni, Sergio Cavenati, Marco Dinelli, Gabriele Capurso, Fabio Pace, Cristiano Spada, Livia Archibugi, Patrizia Giannini, Massimiliano Mutignani, Costanza Alvisi, Fausto Lella, Maria C Petrone, Stefano Pilati, Paolo Cantù, Pietro Gambitta, S. Greco, Mauro Lovera, Giuseppe Vanella, Nicola Gaffuri, Fiorenza Fregoni, Gianpiero Manes, Sergio Segato, Federico De Grazia, Carmelo Luigiano, Paolo Giorgio Arcidiacono, F. Parente, Lorella Fanti, Raffaele Salerno, Aurora Giannetti, Antonio Di Sabatino, Massimo Devani, Vincenza Marzo, M. Balzarini, Aurelio Mauro, Guido Missale, Elisabetta Buscarini, Vitantonio Caramia, Cristian Vailati, Enzo Masci, Pier Alberto Testoni, Stenio Rosato, Sabrina G G Testoni, Giovanni A Nella, Giovanni R Passoni, Roberto Penagini, Marcella B Canani, Capurso, Gabriele, Archibugi, Livia, Vanella, Giuseppe, Testoni, Sabrina G G, Petrone, Maria C, Fanti, Lorella, Greco, Salvatore, Cavenati, Sergio, Gaffuri, Nicola, Lella, Fausto, Pace, Fabio, Cengia, Gianpaolo, Spada, Cristiano, Lovera, Mauro, Missale, Guido, Rosato, Stenio, Radaelli, Franco, Buscarini, Elisabetta, Parente, Fabrizio, Pilati, Stefano, Luigiano, Carmelo, Passoni, Giovanni R, Salerno, Raffaele, Bargiggia, Stefano, Penagini, Roberto, Cantù, Paolo, Fregoni, Fiorenza, Giannetti, Aurora, Devani, Massimo, Manes, Gianpiero, Fiori, Giancarla, Fontana, Paola, Gambitta, Pietro, Masci, Enzo, Mutignani, Massimiliano, Gatti, Mario, Canani, Marcella B, Vailati, Cristian, Dinelli, Marco Emilio, Marzo, Vincenza, Alvisi, Costanza, Caramia, Vitantonio, Di Sabatino, Antonio, Aurelio, Mauro, De Grazia, Federico, Balzarini, Marco, Segato, Sergio, Nella, Giovanni A, Giannini, Patrizia, Leoni, Piera, Testoni, Pier A, Mariani, Alberto, and Arcidiacono, Paolo G
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Infection Control ,medicine.medical_specialty ,Coronavirus disease 2019 (COVID-19) ,medicine.diagnostic_test ,SARS-CoV-2 ,business.industry ,Incidence (epidemiology) ,Gastroenterology ,MEDLINE ,COVID-19 ,Endoscopy, Gastrointestinal ,Endoscopy ,03 medical and health sciences ,Digestive endoscopy ,0302 clinical medicine ,Italy ,030220 oncology & carcinogenesis ,Family medicine ,Health care ,Humans ,Infection control ,Medicine ,030211 gastroenterology & hepatology ,business ,Personal protective equipment - Abstract
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.
- Published
- 2020
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