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- Title
Tápcsatornai endoszkópos eljárásokkal összefüggő infekciós kockázat a SARS-CoV-2-járvány idején.: Országos szintű, keresztmetszeti kérdőíves vizsgálat.
- Authors
Fábián, Anna; Bor, Renáta; Tóth, Tibor; Bacsur, Péter; Bálint, Anita; Farkas, Klaudia; Milassin, Ágnes; Molnár, Tamás; Resál, Tamás; Rutka, Mariann; Gelley, András; Gyökeres, Tibor; Hagymási, Krisztina; Kovalcsik, Zsolt; Kristóf, Tünde; Lombay, Béla; Lovik, Kálmán; Miheller, Pál; Rácz, István; Salló, Zoltán
- Abstract
Introduction: COVID–19 significantly affects endoscopic labs' workflow. Endoscopic examinations are considered high-risk for virus transmission. Objectives: To determine impact of COVID–19 pandemic on Hungarian endoscopic labs' workflow and on infection risk of endoscopic staff. Method: A nation-wide, cross-sectional online questionnaire was sent to heads of endoscopic labs in Hungary. The average number (with 95% confidence intervals) of upper and lower gastrointestinal endoscopies performed in 2020 was compared to that in 2019. The number of SARS-CoV-2-infected endoscopic staff members and the source of infection was also investigated. Results: Completion rate was 30% (33/111). Neither the number of upper (1.593 [743–1.514] vs. 1.129 [1.020–2.166], p = 0.053), nor that of lower gastrointestinal endoscopies (1.181 [823–1.538] vs. 871 [591–1.150], p = 0.072) decreased in 2020, but both upper and lower gastrointestinal endoscopies' number decreased by 80% during peak phases. Separate examination room was available in 12% of institutes. Appropriate quality personal protective equipment (PPE) was available during the first and second peak phase in 70% and 82%, respectively. Infection risk stratification by questionnaire and PCR testing was routinely performed in 85% and 42%, respectively. Employee number decreased by 33% and 26% for physicians, and by 19% and 21% for assistants during peak phases, mainly due to age restrictions and COVID care assignments. 32% of assistants and 41% of physicians were infected (associated with inappropriate PPE use in 16% and 18%, respectively). Conclusion: Peak phases' restrictions increase endoscopic workload afterwards. Despite PPE availability, 15% of employees' COVID infection resulted from inappropriate PPE use in pre-vaccination era. Orv Hetil. 2022; 163(46): 1814–1822.
- Publication
Hungarian Medical Journal / Orvosi Hetilap, 2022, Vol 163, Issue 46, p1814
- ISSN
0030-6002
- Publication type
Article
- DOI
10.1556/650.2022.32633