Sun Warren Y L, Verhoeff Kevin, El Hafid Melanie, Mocanu Valentin, Dang Jerry T, Lutzak Gregory, Sultanian Richard, Karmali Shahzeer, Wong Clarence K
Division of General Surgery, University of Alberta, Edmonton, Alberta, Canada.
Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
J Can Assoc Gastroenterol. 2022 Jan 19;5(3):143-149. doi: 10.1093/jcag/gwab045. eCollection 2022 Jun.
The COVID-19 pandemic has raised awareness about the importance of personal protective equipment (PPE). We aimed to study and compare PPE practices among Canadian endoscopists before and after the COVID-19 pandemic.
A 74-item questionnaire was emailed from June 2020 to September 2020 to practicing endoscopists in Canada. Survey questions collected basic demographics and differences between PPE practices pre- and post-COVID-19. PPE practices were categorized into four endoscopic procedure types including upper or lower endoscopy and diagnostic or interventional. Outcomes for specific procedures were reported as rates, with ranges shown when evaluating all procedure types together.
A total of 77 respondents completed the survey with the majority of respondents aged 40 to 49 (44%) and identifying as Gastroenterologists (70%). Gender was evenly split (49% females versus 51% males). In the pre-pandemic era, the majority of endoscopists wore gowns (91 to 94%) and all endoscopists wore gloves (100%). However, the majority of endoscopists did not wear surgical masks (21 to 31%), face shields (13 to 34%), eye protection (13 to 21%), hair protection (11 to 13%), or N95 respirators (2 to 3%). In the post-pandemic era, more surgeons plan on wearing face shields (33 to 47%, = 0.001 to 0.045), goggles (38.5 to 58.7%, < 0.001), hair protection (33 to 36%, = 0.011 to 0.024), and a trend suggests more surgeons will wear surgical masks (51 to 61%, = 0.163 to 0.333). More endoscopists also plan on wearing N95 respirators during lower endoscopy (6 to 7%, < 0.005).
The COVID-19 pandemic has changed the attitudes of many endoscopists regarding future PPE use in routine endoscopy. Ongoing studies are needed to inform new post-pandemic PPE consensus guidelines.
新冠疫情提高了人们对个人防护装备（PPE）重要性的认识。我们旨在研究和比较加拿大内镜医师在新冠疫情前后的个人防护装备使用情况。
2020年6月至2020年9月，通过电子邮件向加拿大执业内镜医师发送了一份包含74个条目的问卷。调查问题收集了基本人口统计学信息以及新冠疫情前后个人防护装备使用情况的差异。个人防护装备的使用情况被分为四种内镜检查类型，包括上消化道或下消化道内镜检查以及诊断性或介入性检查。特定检查的结果以比率形式报告，在综合评估所有检查类型时显示范围。
共有77名受访者完成了调查，大多数受访者年龄在40至49岁之间（44%），职业为胃肠病学家（70%）。性别分布均匀（女性占49%，男性占51%）。在疫情前的时代，大多数内镜医师穿手术衣（91%至94%），所有内镜医师都戴手套（100%）。然而，大多数内镜医师不戴外科口罩（21%至31%）、面罩（13%至34%）、眼部防护装备（13%至21%）、头发防护装备（11%至13%）或N95口罩（2%至3%）。在疫情后的时代，更多的外科医生计划戴面罩（33%至47%，P = 0.001至0.045）、护目镜（38.5%至58.7%，P < 0.001）、头发防护装备（33%至36%，P = 0.011至0.024），并且有一种趋势表明更多的外科医生将戴外科口罩（51%至6l%，P = 0.163至0.333）。更多的内镜医师还计划在进行下消化道内镜检查时戴N95口罩（6%至7%，P < 0.005）。
新冠疫情改变了许多内镜医师对未来常规内镜检查中个人防护装备使用的态度。需要持续进行研究以制定新的疫情后个人防护装备共识指南。
