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10.1136/bmjgast-2020-000558

http://scihub22266oqcxt.onion/10.1136/bmjgast-2020-000558
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33436482!7804823!33436482
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suck abstract from ncbi


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pmid33436482      BMJ+Open+Gastroenterol 2021 ; 8 (1): ä
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  • Adherence to recommendations for endoscopy practice during COVID-19 pandemic in Latin America: how are we doing it? #MMPMID33436482
  • Murcio-Perez E; Zamarripa-Mottu RA; Andrade-DePaulo G; Aguilar-Najera O; Tchekmedyian JA; Blanco-Velasco G; Solorzano-Pineda OM; Hernandez-Mondragon OV; Tellez-Avila F
  • BMJ Open Gastroenterol 2021[Jan]; 8 (1): ä PMID33436482show ga
  • BACKGROUND AND AIMS: Digestive endoscopy is considered a high-risk procedure for COVID-19. Recommendations have been made for its practice during the pandemic. This study was conducted to determine adherence to recommendations for endoscopy practice during the COVID-19 pandemic in Latin America (LA). METHODS: A survey was conducted of endoscopists from LA consisting of 43 questions for the evaluation of four items: general and sociodemographic features, and preprocedure, intraprocedure and postprocedure aspects. RESULTS: A response was obtained from 338 endoscopists (response rate 34.5%) across 15 countries in LA. In preprocedure aspects (hand washing, use of face masks for patients, respiratory triage area, training for the placement/removal of personal protective equipment (PPE) and availability of specific area for the placement/removal of PPE), there was adherence in <75%. Regarding postprocedure aspects, 77% (261/338) had reused PPE, mainly the N95 respirator or higher, and this was with a standardised decontamination procedure only in 32% (108/338) of the time. Postprocedure room decontamination was carried out by 47% on >75% of occasions. In relationship to intraprocedure aspects (knowledge of risk and type of endoscopic procedures, use of PPE, airway management in patients and infrastructure), there was adherence in >75% for all the parameters and 78% of endoscopists only performed emergencies or time-sensitive procedures. CONCLUSIONS: Adherence to the recommendations for endoscopy practice during the COVID-19 pandemic is adequate in the intraprocedure aspect. However, it is deficient in the preprocedure and postprocedure aspects.
  • |*COVID-19/epidemiology/prevention & control[MESH]
  • |*Endoscopy, Gastrointestinal[MESH]
  • |*Guideline Adherence[MESH]
  • |*Practice Guidelines as Topic[MESH]
  • |Adult[MESH]
  • |Female[MESH]
  • |Health Care Surveys[MESH]
  • |Humans[MESH]
  • |Infection Control/methods[MESH]
  • |Infectious Disease Transmission, Patient-to-Professional/prevention & control[MESH]
  • |Latin America/epidemiology[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Pandemics[MESH]
  • |Personal Protective Equipment[MESH]
  • |Prospective Studies[MESH]
  • |Risk Factors[MESH]


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