COVID-19 and gastrointestinal endoscopies: current insights and emergent strategies.
Identifieur interne : 000939 ( Main/Exploration ); précédent : 000938; suivant : 000940COVID-19 and gastrointestinal endoscopies: current insights and emergent strategies.
Auteurs : Abhilash Perisetti [États-Unis] ; Mahesh Gajendran [États-Unis] ; Umesha Boregowda [États-Unis] ; Pardeep Bansal [États-Unis] ; Hemant Goyal [États-Unis]Source :
- Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society [ 1443-1661 ] ; 2020.
Abstract
A new coronavirus emerged in December 2019 in Wuhan city of China, named as the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), and disease was called as coronavirus disease-2019 (COVID-19). The infection due to this virus spread exponentially throughout China and then spread across >205 nations, including the United States (US). Gastrointestinal (GI) endoscopies are routinely performed in the US and globally. Previous reports of isolated infection outbreaks were reported with endoscopes acting as potential vectors. While multidrug-resistant organisms have been reported to be spread by endoscopes, few cases of viruses such as Hepatitis B and C are noted in the literature. COVID-19 predominately spread by droplet transmission, although recent evidence showed that shedding in feces and feco-oral transmission could also be possible. It is unclear if COVID-19 could be transmitted by endoscopes, but it could theoretically happen due to contact with mucous membranes and body fluids. GI endoscopies involve close contact with oral and colonic contents exposing endoscopy staff to respiratory and oropharyngeal secretions. This can increase the risk of contamination and contribute to virus transmission. Given these risks, all major GI societies have called for rescheduling elective non-urgent procedures and perform only emergent or urgent based on the clinical need. Furthermore, pre-screening of all individuals prior to endoscopy is recommended. This article focuses on the risk of COVID-19 transmission by GI shedding, the potential role of endoscopes as a vector of this novel virus including transmission during endoscopies and prevention strategies including deferral of elective non-urgent endoscopy procedures.
DOI: 10.1111/den.13693
PubMed: 32281689
Affiliations:
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The infection due to this virus spread exponentially throughout China and then spread across >205 nations, including the United States (US). Gastrointestinal (GI) endoscopies are routinely performed in the US and globally. Previous reports of isolated infection outbreaks were reported with endoscopes acting as potential vectors. While multidrug-resistant organisms have been reported to be spread by endoscopes, few cases of viruses such as Hepatitis B and C are noted in the literature. COVID-19 predominately spread by droplet transmission, although recent evidence showed that shedding in feces and feco-oral transmission could also be possible. It is unclear if COVID-19 could be transmitted by endoscopes, but it could theoretically happen due to contact with mucous membranes and body fluids. GI endoscopies involve close contact with oral and colonic contents exposing endoscopy staff to respiratory and oropharyngeal secretions. This can increase the risk of contamination and contribute to virus transmission. Given these risks, all major GI societies have called for rescheduling elective non-urgent procedures and perform only emergent or urgent based on the clinical need. Furthermore, pre-screening of all individuals prior to endoscopy is recommended. This article focuses on the risk of COVID-19 transmission by GI shedding, the potential role of endoscopes as a vector of this novel virus including transmission during endoscopies and prevention strategies including deferral of elective non-urgent endoscopy procedures.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Arkansas</li><li>Pennsylvanie</li></region></list><tree><country name="États-Unis"><region name="Arkansas"><name sortKey="Perisetti, Abhilash" sort="Perisetti, Abhilash" uniqKey="Perisetti A" first="Abhilash" last="Perisetti">Abhilash Perisetti</name></region><name sortKey="Bansal, Pardeep" sort="Bansal, Pardeep" uniqKey="Bansal P" first="Pardeep" last="Bansal">Pardeep Bansal</name><name sortKey="Boregowda, Umesha" sort="Boregowda, Umesha" uniqKey="Boregowda U" first="Umesha" last="Boregowda">Umesha Boregowda</name><name sortKey="Gajendran, Mahesh" sort="Gajendran, Mahesh" uniqKey="Gajendran M" first="Mahesh" last="Gajendran">Mahesh Gajendran</name><name sortKey="Goyal, Hemant" sort="Goyal, Hemant" uniqKey="Goyal H" first="Hemant" last="Goyal">Hemant Goyal</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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