AEG-SEED关于在COVID-19大流行高峰期后恢复内镜检查活动的立场文件。
AEG-SEED position paper for the resumption of endoscopic activity after the peak phase of the COVID-19 pandemic.
作者信息
Marín-Gabriel José Carlos, Santiago Enrique Rodríguez de
机构信息
Servicio de Medicina del Aparato Digestivo, Unidad de Endoscopias, Consulta de Alto Riesgo, Hospital Universitario 12 de Octubre, Instituto de Investigación «i+12», Madrid, España.
Servicio de Gastroenterología y Hepatología, Hospital Universitario Ramón y Cajal, Universidad de Alcalá, IRYCIS, Madrid, España.
出版信息
Gastroenterol Hepatol. 2020 Aug-Sep;43(7):389-407. doi: 10.1016/j.gastrohep.2020.05.004. Epub 2020 May 27.
INTRODUCTION
The COVID-19 pandemic has led to the suspension of programmed activity in most of the Endoscopy Units in our environment. The aim of this document is to facilitate the resumption of elective endoscopic activity in an efficient and safe manner.
MATERIAL AND METHODS
A series of questions considered to be of clinical and logistical relevance were formulated. In order to elaborate the answers, a structured bibliographic search was carried out in the main databases and the recommendations of the main Public Health and Digestive Endoscopy institutions were reviewed. The final recommendations were agreed upon through telematic means.
RESULTS
A total of 33 recommendations were made. The main aspects discussed are: 1) Reassessment and prioritization of the indication, 2) Restructuring of spaces, schedules and health personnel, 3) Screening for infection, 4) Hygiene measures and personal protective equipment.
CONCLUSION
The AEG and SEED recommend restarting endoscopic activity in a phased, safe manner, adapted to local resources and the epidemiological situation of SARS-CoV-2 infection.
引言
新冠疫情导致我们所在地区的大多数内镜科室暂停了计划内的活动。本文档旨在以高效且安全的方式推动选择性内镜检查活动的恢复。
材料与方法
提出了一系列被认为具有临床和后勤相关性的问题。为了阐述答案，在主要数据库中进行了结构化文献检索，并查阅了主要公共卫生和消化内镜机构的建议。最终建议通过远程方式达成一致。
结果
共提出了33条建议。讨论的主要方面包括：1）重新评估适应症并确定优先级，2）空间、时间表和医护人员的重组，3）感染筛查，4）卫生措施和个人防护设备。
结论
西班牙胃肠病学协会（AEG）和西班牙消化内镜协会（SEED）建议以分阶段、安全的方式重启内镜检查活动，使其适应当地资源和新冠病毒感染的流行病学情况。
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