Personal protective equipment for endoscopy in low-resource settings during the COVID-19 pandemic: guidance from the World Gastroenterology Organisation.
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Authors
Veitch, Andrew M
Issue Date
2020-09-08
Journal
Type
Guideline
Comparative Study
Review
Peer-Reviewed Publication
Comparative Study
Review
Peer-Reviewed Publication
Keywords
COVID-19
Endoscopy
Global health
Infection prevention
Personal protective equipment
Low resource countries
World Gastroenterology Organisation (WGO)
Infection prevention
Infectious diseases
Transmission
Patient-to-Professional
Occupational health
Pandemic
Pneumonia
Practice guidelines
Viral pneumonia
Endoscopy
Global health
Infection prevention
Personal protective equipment
Low resource countries
World Gastroenterology Organisation (WGO)
Infection prevention
Infectious diseases
Transmission
Patient-to-Professional
Occupational health
Pandemic
Pneumonia
Practice guidelines
Viral pneumonia
Journal Title
Journal of Clinical Gastroenterology
Volume
54
Issue
10
Begin page
833
End page
840
Abstract
Performance of endoscopic procedures is associated with a risk of infection from COVID-19. This risk can be reduced by the use of personal protective equipment (PPE). However, shortage of PPE has emerged as an important issue in managing the pandemic in both traditionally high and low-resource areas. A group of clinicians and researchers from thirteen countries representing low, middle, and high-income areas has developed recommendations for optimal utilization of PPE before, during, and after gastrointestinal endoscopy with particular reference to low-resource situations. We determined that there is limited flexibility with regard to the utilization of PPE between ideal and low-resource settings. Some compromises are possible, especially with regard to PPE use, during endoscopic procedures. We have, therefore, also stressed the need to prevent transmission of COVID-19 by measures other than PPE and to conserve PPE by reduction of patient volume, limiting procedures to urgent or emergent, and reducing the number of staff and trainees involved in procedures. This guidance aims to optimize utilization of PPE and protection of health care providers.
Citation
Leddin D, Armstrong D, Raja Ali RA, Barkun A, Butt AS, Chen Y, Khara HS, Lee YY, Leung WK, Macrae F, Makharia G, Malekzadeh R, Makhoul E, Sadeghi A, Saurin JC, Topazian M, Thomson SR, Veitch A, Wu K. Personal Protective Equipment for Endoscopy in Low-Resource Settings During the COVID-19 Pandemic: Guidance From the World Gastroenterology Organisation. J Clin Gastroenterol. 2020 Nov/Dec;54(10):833-840. doi: 10.1097/MCG.0000000000001411. PMID: 32909973.