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Risk Stratification and Personal Protective Equipment Use in Pediatric Endoscopy During the Coronavirus Disease 2019

Daphne S Say1,2,3, Arthur de Lorimier1,2,3, Cathleen R Lammers2,4,3

  • 1Division of Gastroenterology, Hepatology, and Nutrition.

Journal of Pediatric Gastroenterology and Nutrition
|May 23, 2020
PubMed

Insights

This study outlines a risk stratification method for pediatric patients undergoing endoscopy during the COVID-19 pandemic. It details personal protective equipment recommendations to ensure the safety of patients and staff.

Area of Science:

  • Infectious Diseases
  • Gastroenterology
  • Pediatrics

Background:

  • The COVID-19 pandemic, caused by SARS-CoV-2, poses risks to healthcare professionals, particularly endoscopists, due to aerosol-generating procedures.
  • Pediatric patients with COVID-19 may exhibit minimal symptoms, complicating disease transmission control.
  • Endoscopic procedures can disseminate respiratory pathogens like SARS-CoV-2 through airborne and droplet routes.

Purpose of the Study:

  • To present a methodology for stratifying the risk of SARS-CoV-2 infection in pediatric patients undergoing endoscopy.
  • To provide recommendations for the safe and responsible utilization of endoscopic resources during the COVID-19 crisis.
  • To outline personal protective equipment (PPE) guidelines for endoscopists and associated staff.

Main Methods:

  • Development of a pediatric patient risk stratification framework for endoscopy.
  • Establishment of protocols for personal protective equipment (PPE) use for endoscopists and staff.
  • Guidelines for managing endoscopic procedures in the context of the SARS-CoV-2 pandemic.

Main Results:

  • A structured approach to assess pediatric patient risk for SARS-CoV-2 transmission during endoscopy.
  • Defined PPE requirements to mitigate infection risk for healthcare personnel.
  • Facilitation of continued endoscopic care while prioritizing safety.

Conclusions:

  • Implementing a risk stratification system is crucial for managing pediatric endoscopy during pandemics.
  • Appropriate PPE and safety protocols are essential to protect endoscopists, staff, and pediatric patients.
  • This strategy enables the judicious use of endoscopic procedures while minimizing SARS-CoV-2 transmission risks.

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