Endoscopic mask innovation and protective measures changes during the coronavirus disease-2019 pandemic: Experience from a Chinese hepato-biliary-pancreatic unit

Dig Endosc. 2020 Nov;32(7):1105-1110. doi: 10.1111/den.13799. Epub 2020 Sep 18.

Abstract

Endoscopy is widely used as a clinical diagnosis and treatment method for certain hepatobiliary and pancreatic diseases. However, due to the distinctive epidemiological characteristics of severe acute respiratory syndrome coronavirus 2, the virus causing coronavirus disease-2019 (COVID-19), healthcare providers are exposed to the patient's respiratory and gastrointestinal fluids, rendering endoscopy a high risk for transmitting a nosocomial infection. This article introduces preventive measures for endoscopic treatment enacted in our medical center during COVID-19, including the adjustment of indications, the application of endoscope protective equipment, the design and application of endoscopic masks and splash-proof films, and novel recommendations for bedside endoscope pre-sterilization.

Keywords: COVID-19; SARS-CoV-2; endoscopy; hepatobiliary; pandemic.

MeSH terms

  • Air Microbiology
  • Betacoronavirus
  • COVID-19
  • China / epidemiology
  • Coronavirus Infections / epidemiology
  • Coronavirus Infections / prevention & control*
  • Cross Infection / prevention & control*
  • Disease Transmission, Infectious / prevention & control*
  • Endoscopes / standards*
  • Endoscopy, Gastrointestinal / standards*
  • Equipment Contamination / prevention & control
  • Hospital Units / standards
  • Humans
  • Infection Control / standards*
  • Masks*
  • Pandemics / prevention & control*
  • Pneumonia, Viral / epidemiology
  • Pneumonia, Viral / prevention & control*
  • SARS-CoV-2
  • Sterilization