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Published on: November 7, 2020
COVID-19 pandemic and challenges in pediatric gastroenterology practice
1Department of Pediatrics, Central Michigan University/Covenant Medical Center, Saginaw, MI 48602, United States. jkriem@gmail.com.
Insights
The coronavirus pandemic challenges pediatric gastroenterology practices, impacting endoscopy safety and necessitating telehealth expansion. Adapting operations and prioritizing safety are crucial for patient and healthcare worker well-being.
Area of Science:
- Pediatric Gastroenterology
- Infectious Diseases
- Healthcare Management
Background:
- The COVID-19 pandemic presents unprecedented challenges to pediatric gastroenterology practices.
- Key challenges include performing aerosol-generating endoscopy procedures and ensuring safety measures.
- Pediatric patients may not show severe COVID-19 symptoms, complicating screening.
Purpose of the Study:
- To outline the challenges faced by pediatric gastroenterology during the COVID-19 pandemic.
- To highlight the impact on endoscopy procedures and the need for safety protocols.
- To discuss the rapid expansion and difficulties of telehealth services.
Main Methods:
- Review of current practices and challenges in pediatric gastroenterology.
- Analysis of safety measures for endoscopy procedures.
- Assessment of telehealth implementation and associated issues.
Main Results:
- Endoscopy procedures require longer turnaround times for disinfection and enhanced safety measures.
- Survey-based screening is insufficient for identifying active COVID-19 infections in pediatric patients.
- Telehealth services have rapidly expanded but face several difficulties.
Conclusions:
- Pediatric gastroenterology practices must adapt to operational restrictions and embrace flexibility.
- Maintaining a strong commitment to patient and healthcare worker safety is paramount.
- Continuous adaptation is necessary to navigate the pandemic's impact on clinical operations.
Abstract:
The current coronavirus pandemic is imposing unpreceded challenges to the practice of pediatric gastroenterology. These are highlighted in their impact on performing aerosol-generating endoscopy procedures and the need to accommodate longer room turnaround time for disinfection, ensuring appropriate and consistent safety measures for patients, staff and providers, and emphasizing the importance for screening patients for active coronavirus disease (COVID) infection before endoscopy when possible. Pediatric patients are less likely to exhibit severe COVID-related symptoms so survey-based screening would not be a sensitive measure to identify patients with active infections. To address the restrictions of patients coming for face to face clinic encounters, there has been rapid expansion of telehealth services in a very short time period with several difficulties encountered. To survive these challenges, pediatric gastroenterology practices need to adapt and accept flexibility in clinical operations with ongoing commitment to safety for patients and healthcare workers.
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