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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Zhejiang+Univ+Sci+B
2020 ; 21
(5
): 416-422
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Analysis of an improved workflow of endoscope reprocessing for bedside endoscopic
diagnosis and treatment on COVID-19 patients()
#MMPMID32425010
Gu Q
; Wang HF
; Fang Y
; Lu Y
; Shen Z
; Wang Y
; Wu X
; Cen L
; Chen YS
J Zhejiang Univ Sci B
2020[May]; 21
(5
): 416-422
PMID32425010
show ga
Severe cases infected with the coronavirus disease 2019 (COVID-19), named by the
World Health Organization (WHO) on Feb. 11, 2020, tend to present a
hypercatabolic state because of severe systemic consumption, and are susceptible
to stress ulcers and even life-threatening gastrointestinal bleeding. Endoscopic
diagnosis and treatment constitute an irreplaceable part in the handling of
severe COVID-19 cases. Endoscopes, as reusable precision instruments with
complicated structures, require more techniques than other medical devices in
cleaning, disinfection, sterilization, and other reprocessing procedures. From
2016 to 2019, health care-acquired infection caused by improper endoscope
reprocessing has always been among the top 5 on the list of top 10 health
technology hazards issued by the Emergency Care Research Institute. Considering
the highly infective nature of COVID-19 and the potential aerosol contamination
therefrom, it is of pivotal significance to ensure that endoscopes are strictly
reprocessed between uses. In accordance with the national standard "Regulation
for Cleaning and Disinfection Technique of Flexible Endoscope (WS507-2016)," we
improved the workflow of endoscope reprocessing including the selection of
chemicals in an effort to ensure quality control throughout the clinical
management towards COVID-19 patients. Based on the experience we attained from
the 12 severe COVID-19 cases in our hospital who underwent endoscopy 23 times in
total, the article provides an improved version of endoscopic reprocessing
guidelines for bedside endoscopic diagnosis and treatment on COVID-19 patients
for reference.
|*Workflow
[MESH]
|Adult
[MESH]
|Aged
[MESH]
|Aged, 80 and over
[MESH]
|Betacoronavirus
[MESH]
|COVID-19
[MESH]
|China
[MESH]
|Coronavirus Infections/*diagnosis/therapy
[MESH]
|Cross Infection/prevention & control
[MESH]
|Disinfection/*methods
[MESH]
|Endoscopes/*virology
[MESH]
|Equipment Contamination/*prevention & control
[MESH]