Infection Control Practices and Outcomes of Endoscopy Units in the Lombardy Region of Italy A Survey From the Italian Society of Digestive Endoscopy During COVID-19 Spread

Gabriele Capurso; Livia Archibugi; Giuseppe Vanella; Sabrina G.G. Testoni; Maria C. Petrone; Lorella Fanti; Lucrezia Fanti; Salvatore Greco; Sara Greco; Sergio Cavenati; Nicola Gaffuri; Fausto Lella; Fabio Pace; Gianpaolo Cengia; Cristiano Spada; Mauro Lovera; Guido Missale; Stenio Rosato; Franco Radaelli; Elisabetta Buscarini; Fabrizio Parente; Stefano Pilati; Carmelo Luigiano; Giovanni R. Passoni; Raffaele Salerno; Stefano Bargiggia; Roberto Penagini; Paolo Cantù; Fiorenza Fregoni; Aurora Giannetti; Massimo Devani; Gianpiero Manes; Giancarla Fiori; Paola Fontana; Paolo Fontana; Pietro Gambitta; Enzo Masci; Massimiliano Mutignani; Mario Gatti; Marcella B. Canani; Cristian Vailati; Marco Emilio Dinelli; Vincenza Marzo; Costanza Alvisi; Vitantonio Caramia; Antonio Di Sabatino; Aurelio Mauro; Federico De Grazia; Marco Balzarini; Sergio Segato; Giovanni A. Nella; Patrizia Giannini; Piera Leoni; Paola Leoni; Pier A. Testoni; Alberto Mariani; Paolo G. Arcidiacono

doi:10.1097/MCG.0000000000001440

Infection Control Practices and Outcomes of Endoscopy Units in the Lombardy Region of Italy A Survey From the Italian Society of Digestive Endoscopy During COVID-19 Spread

Gabriele Capurso, Livia Archibugi, Giuseppe Vanella, Sabrina G.G. Testoni, Maria C. Petrone, Lorella Fanti, Lucrezia Fanti, Salvatore Greco, Sara Greco, Sergio Cavenati, Nicola Gaffuri, Fausto Lella, Fabio Pace, Gianpaolo Cengia, Cristiano Spada, Mauro Lovera, Guido Missale, Stenio Rosato, Franco Radaelli, Elisabetta BuscariniFabrizio Parente, Stefano Pilati, Carmelo Luigiano, Giovanni R. Passoni, Raffaele Salerno, Stefano Bargiggia, Roberto Penagini, Paolo Cantù, Fiorenza Fregoni, Aurora Giannetti, Massimo Devani, Gianpiero Manes, Giancarla Fiori, Paola Fontana, Paolo Fontana, Pietro Gambitta, Enzo Masci, Massimiliano Mutignani, Mario Gatti, Marcella B. Canani, Cristian Vailati, Marco Emilio Dinelli, Vincenza Marzo, Costanza Alvisi, Vitantonio Caramia, Antonio Di Sabatino, Aurelio Mauro, Federico De Grazia, Marco Balzarini, Sergio Segato, Giovanni A. Nella, Patrizia Giannini, Piera Leoni, Paola Leoni, Pier A. Testoni, Alberto Mariani, Paolo G. Arcidiacono

Risultato della ricerca: Contributo in rivista › Articolo in rivista

Abstract

Goals: The present survey from the Italian Society of Digestive Endoscopy (SIED-Società Italiana di Endoscopia Digestiva) was aimed at reporting infection control practice and outcomes at Digestive Endoscopy Units in a high-incidence area. Background: Lombardy was the Italian region with the highest coronavirus disease-2019 (COVID-19) prevalence, at the end of March 2020 accounting for 20% of all worldwide deaths. Joint Gastro-Intestinal societies released recommendations for Endoscopy Units to reduce the risk of the contagion. However, there are few data from high-prevalence areas on adherence to these recommendations and on their efficacy. Methods: A survey was designed by the Lombardy section of SIED to analyze (a) changes in activity and organization, (b) adherence to recommendations, (c) rate of health care professionals' (HCP) infection during the COVID-19 outbreak. Results: In total, 35/61 invited centers (57.4%) participated; most modified activities were according to recommendations and had filtering face piece 2/filtering face piece 3 and water-repellent gowns available, but few had negative-pressure rooms or provided telephonic follow-up; 15% of HCPs called in sick and 6% had confirmed COVID-19. There was a trend (P = 0.07) toward different confirmed COVID-19 rates among endoscopists (7.9%), nurses (6.6%), intermediate-care technicians (3.4%), and administrative personnel (2.2%). There was no correlation between the rate of sick HCPs and COVID-19 incidence in the provinces and personal protective equipment availability and use, whereas an inverse correlation with hospital volume was found. Conclusions: Adherence to recommendations was rather good, though a minority were able to follow all recommendations. Confirmed COVID-19 seemed higher among endoscopists and nurses, suggesting that activities in the endoscopy rooms are at considerable viral spread risk.

Lingua originale	English
pagine (da-a)	E87-E91
Rivista	Journal of Clinical Gastroenterology
Volume	55
DOI	https://doi.org/10.1097/MCG.0000000000001440
Stato di pubblicazione	Pubblicato - 2021

Keywords

Covid-19
endoscopy
infection
risk

Accesso al documento

10.1097/MCG.0000000000001440

Altri file e collegamenti

Link a IRIS PubliCatt

Cita questo

Capurso, G., Archibugi, L., Vanella, G., Testoni, S. G. G., Petrone, M. C., Fanti, L., Fanti, L., Greco, S., Greco, S., Cavenati, S., Gaffuri, N., Lella, F., Pace, F., Cengia, G., Spada, C., Lovera, M., Missale, G., Rosato, S., Radaelli, F., ... Arcidiacono, P. G. (2021). Infection Control Practices and Outcomes of Endoscopy Units in the Lombardy Region of Italy A Survey From the Italian Society of Digestive Endoscopy During COVID-19 Spread. Journal of Clinical Gastroenterology, 55, E87-E91. https://doi.org/10.1097/MCG.0000000000001440

@article{2e09f0537729420dbf6bd02973638199,

title = "Infection Control Practices and Outcomes of Endoscopy Units in the Lombardy Region of Italy A Survey From the Italian Society of Digestive Endoscopy During COVID-19 Spread",

abstract = "Goals: The present survey from the Italian Society of Digestive Endoscopy (SIED-Societ{\`a} Italiana di Endoscopia Digestiva) was aimed at reporting infection control practice and outcomes at Digestive Endoscopy Units in a high-incidence area. Background: Lombardy was the Italian region with the highest coronavirus disease-2019 (COVID-19) prevalence, at the end of March 2020 accounting for 20% of all worldwide deaths. Joint Gastro-Intestinal societies released recommendations for Endoscopy Units to reduce the risk of the contagion. However, there are few data from high-prevalence areas on adherence to these recommendations and on their efficacy. Methods: A survey was designed by the Lombardy section of SIED to analyze (a) changes in activity and organization, (b) adherence to recommendations, (c) rate of health care professionals' (HCP) infection during the COVID-19 outbreak. Results: In total, 35/61 invited centers (57.4%) participated; most modified activities were according to recommendations and had filtering face piece 2/filtering face piece 3 and water-repellent gowns available, but few had negative-pressure rooms or provided telephonic follow-up; 15% of HCPs called in sick and 6% had confirmed COVID-19. There was a trend (P = 0.07) toward different confirmed COVID-19 rates among endoscopists (7.9%), nurses (6.6%), intermediate-care technicians (3.4%), and administrative personnel (2.2%). There was no correlation between the rate of sick HCPs and COVID-19 incidence in the provinces and personal protective equipment availability and use, whereas an inverse correlation with hospital volume was found. Conclusions: Adherence to recommendations was rather good, though a minority were able to follow all recommendations. Confirmed COVID-19 seemed higher among endoscopists and nurses, suggesting that activities in the endoscopy rooms are at considerable viral spread risk.",

keywords = "Covid-19, endoscopy, infection, risk, Covid-19, endoscopy, infection, risk",

author = "Gabriele Capurso and Livia Archibugi and Giuseppe Vanella and Testoni, {Sabrina G.G.} and Petrone, {Maria C.} and Lorella Fanti and Lucrezia Fanti and Salvatore Greco and Sara Greco and Sergio Cavenati and Nicola Gaffuri and Fausto Lella and Fabio Pace and Gianpaolo Cengia and Cristiano Spada and Mauro Lovera and Guido Missale and Stenio Rosato and Franco Radaelli and Elisabetta Buscarini and Fabrizio Parente and Stefano Pilati and Carmelo Luigiano and Passoni, {Giovanni R.} and Raffaele Salerno and Stefano Bargiggia and Roberto Penagini and Paolo Cant{\`u} and Fiorenza Fregoni and Aurora Giannetti and Massimo Devani and Gianpiero Manes and Giancarla Fiori and Paola Fontana and Paolo Fontana and Pietro Gambitta and Enzo Masci and Massimiliano Mutignani and Mario Gatti and Canani, {Marcella B.} and Cristian Vailati and Dinelli, {Marco Emilio} and Vincenza Marzo and Costanza Alvisi and Vitantonio Caramia and {Di Sabatino}, Antonio and Aurelio Mauro and {De Grazia}, Federico and Marco Balzarini and Sergio Segato and Nella, {Giovanni A.} and Patrizia Giannini and Piera Leoni and Paola Leoni and Testoni, {Pier A.} and Alberto Mariani and Arcidiacono, {Paolo G.}",

year = "2021",

doi = "10.1097/MCG.0000000000001440",

language = "English",

volume = "55",

pages = "E87--E91",

journal = "Journal of Clinical Gastroenterology",

issn = "0192-0790",

publisher = "Lippincott, Williams & Wilkins:530 Walnut Street:Philadelphia, PA 19106:(800)638-3030, (301)223-2300, EMAIL: [email protected], INTERNET: http://www.lww.com, Fax: (301)223-2320, (301)223-2320",

}

Capurso, G, Archibugi, L, Vanella, G, Testoni, SGG, Petrone, MC, Fanti, L, Fanti, L, Greco, S, Greco, S, Cavenati, S, Gaffuri, N, Lella, F, Pace, F, Cengia, G, Spada, C, Lovera, M, Missale, G, Rosato, S, Radaelli, F, Buscarini, E, Parente, F, Pilati, S, Luigiano, C, Passoni, GR, Salerno, R, Bargiggia, S, Penagini, R, Cantù, P, Fregoni, F, Giannetti, A, Devani, M, Manes, G, Fiori, G, Fontana, P, Fontana, P, Gambitta, P, Masci, E, Mutignani, M, Gatti, M, Canani, MB, Vailati, C, Dinelli, ME, Marzo, V, Alvisi, C, Caramia, V, Di Sabatino, A, Mauro, A, De Grazia, F, Balzarini, M, Segato, S, Nella, GA, Giannini, P, Leoni, P, Leoni, P, Testoni, PA, Mariani, A & Arcidiacono, PG 2021, 'Infection Control Practices and Outcomes of Endoscopy Units in the Lombardy Region of Italy A Survey From the Italian Society of Digestive Endoscopy During COVID-19 Spread', Journal of Clinical Gastroenterology, vol. 55, pagg. E87-E91. https://doi.org/10.1097/MCG.0000000000001440

Infection Control Practices and Outcomes of Endoscopy Units in the Lombardy Region of Italy A Survey From the Italian Society of Digestive Endoscopy During COVID-19 Spread. / Capurso, Gabriele; Archibugi, Livia; Vanella, Giuseppe et al.
In: Journal of Clinical Gastroenterology, Vol. 55, 2021, pag. E87-E91.

Risultato della ricerca: Contributo in rivista › Articolo in rivista

TY - JOUR

T1 - Infection Control Practices and Outcomes of Endoscopy Units in the Lombardy Region of Italy A Survey From the Italian Society of Digestive Endoscopy During COVID-19 Spread

AU - Capurso, Gabriele

AU - Archibugi, Livia

AU - Vanella, Giuseppe

AU - Testoni, Sabrina G.G.

AU - Petrone, Maria C.

AU - Fanti, Lorella

AU - Fanti, Lucrezia

AU - Greco, Salvatore

AU - Greco, Sara

AU - Cavenati, Sergio

AU - Gaffuri, Nicola

AU - Lella, Fausto

AU - Pace, Fabio

AU - Cengia, Gianpaolo

AU - Spada, Cristiano

AU - Lovera, Mauro

AU - Missale, Guido

AU - Rosato, Stenio

AU - Radaelli, Franco

AU - Buscarini, Elisabetta

AU - Parente, Fabrizio

AU - Pilati, Stefano

AU - Luigiano, Carmelo

AU - Passoni, Giovanni R.

AU - Salerno, Raffaele

AU - Bargiggia, Stefano

AU - Penagini, Roberto

AU - Cantù, Paolo

AU - Fregoni, Fiorenza

AU - Giannetti, Aurora

AU - Devani, Massimo

AU - Manes, Gianpiero

AU - Fiori, Giancarla

AU - Fontana, Paola

AU - Fontana, Paolo

AU - Gambitta, Pietro

AU - Masci, Enzo

AU - Mutignani, Massimiliano

AU - Gatti, Mario

AU - Canani, Marcella B.

AU - Vailati, Cristian

AU - Dinelli, Marco Emilio

AU - Marzo, Vincenza

AU - Alvisi, Costanza

AU - Caramia, Vitantonio

AU - Di Sabatino, Antonio

AU - Mauro, Aurelio

AU - De Grazia, Federico

AU - Balzarini, Marco

AU - Segato, Sergio

AU - Nella, Giovanni A.

AU - Giannini, Patrizia

AU - Leoni, Piera

AU - Leoni, Paola

AU - Testoni, Pier A.

AU - Mariani, Alberto

AU - Arcidiacono, Paolo G.

PY - 2021

Y1 - 2021

N2 - Goals: The present survey from the Italian Society of Digestive Endoscopy (SIED-Società Italiana di Endoscopia Digestiva) was aimed at reporting infection control practice and outcomes at Digestive Endoscopy Units in a high-incidence area. Background: Lombardy was the Italian region with the highest coronavirus disease-2019 (COVID-19) prevalence, at the end of March 2020 accounting for 20% of all worldwide deaths. Joint Gastro-Intestinal societies released recommendations for Endoscopy Units to reduce the risk of the contagion. However, there are few data from high-prevalence areas on adherence to these recommendations and on their efficacy. Methods: A survey was designed by the Lombardy section of SIED to analyze (a) changes in activity and organization, (b) adherence to recommendations, (c) rate of health care professionals' (HCP) infection during the COVID-19 outbreak. Results: In total, 35/61 invited centers (57.4%) participated; most modified activities were according to recommendations and had filtering face piece 2/filtering face piece 3 and water-repellent gowns available, but few had negative-pressure rooms or provided telephonic follow-up; 15% of HCPs called in sick and 6% had confirmed COVID-19. There was a trend (P = 0.07) toward different confirmed COVID-19 rates among endoscopists (7.9%), nurses (6.6%), intermediate-care technicians (3.4%), and administrative personnel (2.2%). There was no correlation between the rate of sick HCPs and COVID-19 incidence in the provinces and personal protective equipment availability and use, whereas an inverse correlation with hospital volume was found. Conclusions: Adherence to recommendations was rather good, though a minority were able to follow all recommendations. Confirmed COVID-19 seemed higher among endoscopists and nurses, suggesting that activities in the endoscopy rooms are at considerable viral spread risk.

AB - Goals: The present survey from the Italian Society of Digestive Endoscopy (SIED-Società Italiana di Endoscopia Digestiva) was aimed at reporting infection control practice and outcomes at Digestive Endoscopy Units in a high-incidence area. Background: Lombardy was the Italian region with the highest coronavirus disease-2019 (COVID-19) prevalence, at the end of March 2020 accounting for 20% of all worldwide deaths. Joint Gastro-Intestinal societies released recommendations for Endoscopy Units to reduce the risk of the contagion. However, there are few data from high-prevalence areas on adherence to these recommendations and on their efficacy. Methods: A survey was designed by the Lombardy section of SIED to analyze (a) changes in activity and organization, (b) adherence to recommendations, (c) rate of health care professionals' (HCP) infection during the COVID-19 outbreak. Results: In total, 35/61 invited centers (57.4%) participated; most modified activities were according to recommendations and had filtering face piece 2/filtering face piece 3 and water-repellent gowns available, but few had negative-pressure rooms or provided telephonic follow-up; 15% of HCPs called in sick and 6% had confirmed COVID-19. There was a trend (P = 0.07) toward different confirmed COVID-19 rates among endoscopists (7.9%), nurses (6.6%), intermediate-care technicians (3.4%), and administrative personnel (2.2%). There was no correlation between the rate of sick HCPs and COVID-19 incidence in the provinces and personal protective equipment availability and use, whereas an inverse correlation with hospital volume was found. Conclusions: Adherence to recommendations was rather good, though a minority were able to follow all recommendations. Confirmed COVID-19 seemed higher among endoscopists and nurses, suggesting that activities in the endoscopy rooms are at considerable viral spread risk.

KW - Covid-19

KW - endoscopy

KW - infection

KW - risk

KW - Covid-19

KW - endoscopy

KW - infection

KW - risk

UR - http://hdl.handle.net/10807/250560

U2 - 10.1097/MCG.0000000000001440

DO - 10.1097/MCG.0000000000001440

M3 - Article

SN - 0192-0790

VL - 55

SP - E87-E91

JO - Journal of Clinical Gastroenterology

JF - Journal of Clinical Gastroenterology

ER -

Infection Control Practices and Outcomes of Endoscopy Units in the Lombardy Region of Italy A Survey From the Italian Society of Digestive Endoscopy During COVID-19 Spread

Abstract

Keywords

Accesso al documento

Altri file e collegamenti

Fingerprint

Cita questo