Department of Hepatobiliary Surgery, Tianjin First Central Hospital, Tianjin, China.
First Central Clinic of Tianjin Medical University, Tianjin, China.
Dig Endosc. 2020 Nov;32(7):1105-1110. doi: 10.1111/den.13799. Epub 2020 Sep 18.
Endoscopy is widely used as a clinical diagnosis and treatment method for certain hepatobiliary and pancreatic diseases. However, due to the distinctive epidemiological characteristics of severe acute respiratory syndrome coronavirus 2, the virus causing coronavirus disease-2019 (COVID-19), healthcare providers are exposed to the patient's respiratory and gastrointestinal fluids, rendering endoscopy a high risk for transmitting a nosocomial infection. This article introduces preventive measures for endoscopic treatment enacted in our medical center during COVID-19, including the adjustment of indications, the application of endoscope protective equipment, the design and application of endoscopic masks and splash-proof films, and novel recommendations for bedside endoscope pre-sterilization.
内镜被广泛应用于某些肝胆胰疾病的临床诊断和治疗。然而,由于严重急性呼吸综合征冠状病毒 2(导致 2019 冠状病毒病的病毒)具有独特的流行病学特征,医护人员会接触到患者的呼吸道和胃肠道分泌物,因此内镜检查存在发生医院感染的高风险。本文介绍了我们医疗中心在 2019 冠状病毒病疫情期间实施的内镜治疗预防措施,包括适应证的调整、内镜防护设备的应用、内镜面罩和防喷溅膜的设计和应用,以及床边内镜预消毒的新建议。