在COVID-19大流行期间内镜单位的安全性
Margarida Gonçalves1, Andreia Guimarães1, Tânia Carvalho1
1Gastroenterology Department, Hospital de Braga, Braga, Portugal.
GE Portuguese journal of gastroenterology
|November 29, 2023
概括
对严重急性呼吸系统综合征冠状病毒2 (SARS-CoV-2) 的前内镜查发现了很少的感染. 内镜单位在症状查和个人防护设备方面是安全的,因此不需要进行常规的SARS-CoV-2测试.
科学领域:
- 传染性疾病 传染性疾病
- 胃肠病学 胃肠病学
- 公共卫生 公共卫生
背景情况:
- 由于感知到传染风险很高,COVID-19大流行严重影响了医疗保健系统,特别是内镜单位.
- 人们对内镜手术的安全性和对SARS-CoV-2的内镜前查的必要性表示担忧.
研究的目的:
- 在COVID-19大流行期间评估内镜单元的安全性.
- 为了确定前内镜检查SARS-CoV-2查的有效性和必要性.
主要方法:
- 在葡萄牙一家三级医院进行了回顾性单中心研究.
- 包括2020年9月至2021年2月期间接受内镜手术的患者.
- 前内镜查需要使用问卷或RT-PCR检测SARS-CoV-2.
主要成果:
- 包括2,166名患者;3.7%的人以前曾感染过SARS-CoV-2.
- 70.2%的人接受了RT-PCR测试,其中1.4%的测试结果呈阳性 (所有无症状).
- 0.42%的患者在内镜检查后14天内被诊断出患有SARS-CoV-2感染.
结论:
- 在内镜前的SARS-CoV-2查中,发现了最小数量的感染.
- 当使用症状查和个人防护设备时,内镜单位的传播风险很低.
- 常规的前内镜SARS-CoV-2检测可能不需要.
相关概念视频
Standard Precaution
1.9K
Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
1.9K
Endoscopic Procedures I: Esophagogastroduodenoscopy
124
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
124
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
90
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
90
Transmission-based Precautions I: Contact, Enteric, and Droplets
3.6K
Transmission-based precautions are for patients known to be infected or suspected to be infected or colonized with organisms that pose a significant risk to others. Some transmission-based precautions include contact, enteric, and droplet.
Contact Precautions:
Contact precautions are the measures taken to prevent the transmission of infectious agents, especially epidemiologically important microorganisms such as MRSA or influenza, primarily transmitted through direct or indirect contact with an...
Contact Precautions:
Contact precautions are the measures taken to prevent the transmission of infectious agents, especially epidemiologically important microorganisms such as MRSA or influenza, primarily transmitted through direct or indirect contact with an...
3.6K
Suctioning the Oropharyngeal Airway
227
In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
227
Transmission-based Precautions II: Airborne and Protective Environment
1.3K
Transmission-based precautions are for patients infected or suspected to be infected (or colonized) with organisms posing a significant risk to others. The transmission precautions include airborne and protective environment precautions.
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...
1.3K


