Personal Protective Equipment during Endoscopy

Abstract

The novel coronavirus disease 2019 (COVID-19) which originated in China has been declared a pandemic by the World Health Organization (WHO). This virus gets transmitted through air droplets and direct contact. Health care workers doing aerosol-generating procedures are at a higher risk of acquiring the infection. Many procedures done by the gastrointestinal endoscopists are classified as aerosol-generating procedures, which in turn underline the need for proper safety precautions during these procedures. Apart from general safety measures advised by various organizations, proper use of personal protective equipment (PPE) is a pivotal factor in safeguarding health care personnel during endoscopy. This article provides a short overview of the different PPEs available and their proper use in endoscopy.

Keywords

COVID-19 - PPE - endoscopy

Publikationsverlauf

Artikel online veröffentlicht:
16. Mai 2020

• References

• 1 Symptoms of Coronavirus (COVID-19). Available at: https://www.cdc.gov/coronavirus/2019-ncov/index.html. Accessed April 27, 2020
• 2 Wang D, Hu B, Hu C, et al. Clinical characteristics of 138 hospitalized patients with 2019 novel corona virus–infected pneumonia in Wuhan, China JAMA. 2020;323:1061–1069. doi:10.1001/jama.2020.1585
• 3 Sultan S, Lim JK, Altayar O, et al; AGA. AGA Institute Rapid Recommendations for gastrointestinal procedures during the COVID-19 pandemic. Gastroenterology 2020;doi10.1053/j.gastro.2020.03.072[Epub ahead of print]
• 4 Zhang Y, Zhang X, Liu L, Wang H, Zhao Q. Suggestions for infection prevention and control in digestive endoscopy during current 2019-nCoV pneumonia outbreak in Wuhan, Hubei province, China. Endoscopy 2020; 52 (04) 312-314
• 5 Soetikno R, Teoh AY, Kaltenbach T, et al. Considerations in performing endoscopy during the COVID-19 pandemic. Gastrointest Endosc 2020; doi 10.1016/j.gie.2020.03.3758[Epub ahead of print]
• 6 World Health Organization. Rational use of personal protective equipment for coronavirus disease (COVID-19): Interim Guidance, 27 February 2020. Geneva: World Health organization; 2020. Available at: https://extranet.who.int/iris/restricted/handle/10665/331215. Accessed April 27, 2020
• 7 Philip, et al. Joint Guidance from SGEI, ISG and INASL for Gastroenterologists and Gastrointestinal Endoscopists on the Prevention, Care, and Management of Patients With COVID- 19. Journal of Clinical and Experimental Hepatology, https://doi.org/10.1016/j.jceh.2020.04.001
• 8 Repici A, Maselli R, Colombo M, et al. Coronavirus (COVID-19) outbreak: what the department of endoscopy should know. Gastrointest Endosc 2020;doi10.1016/j.gie.2020.03.019[Epub ahead of print]
• 9 A Guide to Air-Purifying Respirators. Publication No. 2018–176; August 2018. Available at: https://doi.org/10.26616/NIOSHPUB2018176DHHS(NIOSH). Accessed April 27, 2020
• 10 Offeddu V, Yung CF, Low MSF, Tam CC. Effectiveness of masks and respirators against respiratory infections in healthcare workers: a systematic review and meta-analysis. Clin Infect Dis 2017; 65 (11) 1934-1942
• 11 Chang D, Xu H, Rebaza A, Sharma L, Dela Cruz CS. Protecting health-care workers from subclinical coronavirus infection. Lancet Respir Med 2020; 8 (03) e13
• 12 Casanova L, Alfano-Sobsey E, Rutala WA, Weber DJ, Sobsey M. Virus transfer from personal protective equipment to healthcare employees’ skin and clothing. Emerg Infect Dis 2008; 14 (08) 1291-1293
• 13 Recommended Guidance for Extended Use and Limited Reuse of N95 Filtering Facepiece Respirators in Healthcare Settings. Available at: cdc.gov/niosh/topics/hcw controls/recommended guidance extuse.html. Accessed April 27, 2020
• 14 Bailar J, Burke D. Reusability of Facemasks during an Influenza Pandemic. Washington, DC: Institute of Medicine of the National Academies; 2006
• 15 Fisher EM, Shaffer RE. Considerations for recommending extended use and limited reuse of filtering facepiece respirators in healthcare settings. J Occup Environ Hyg 2014; 11 (08) D115-D128
• 16 Bergman MS, Viscusi DJ, Zhuang Z, Palmiero AJ, Powell JB, Shaffer RE. Impact of multiple consecutive donnings on filtering facepiece respirator fit. Am J Infect Control 2012; 40 (04) 375-380