Fábián Anna, Bor Renáta, Tóth Tibor, Bacsur Péter, Bálint Anita, Farkas Klaudia, Milassin Ágnes, Molnár Tamás, Resál Tamás, Rutka Mariann, Gelley András, Gyökeres Tibor, Hagymási Krisztina, Kovalcsik Zsolt, Kristóf Tünde, Lombay Béla, Lovik Kálmán, Miheller Pál, Rácz István, Salló Zoltán, Tomcsik Zoltán, Varga Márta, Vincze Áron, Szepes Zoltán
1 Szegedi Tudományegyetem, Szent-Györgyi Albert Orvostudományi Kar, Belgyógyászati Klinika Szeged, Kálvária sgt. 57., 6725 Magyarország.
2 Betegápoló Irgalmasrend Budai Irgalmasrendi Kórháza Budapest Magyarország.
Orv Hetil. 2022 Nov 13;163(46):1814-1822. doi: 10.1556/650.2022.32633.
Introduction: COVID–19 significantly affects endoscopic labs’ workflow. Endoscopic examinations are considered high-risk for virus transmission. Objectives: To determine impact of COVID–19 pandemic on Hungarian endoscopic labs’ workflow and on infection risk of endoscopic staff. Method: A nation-wide, cross-sectional online questionnaire was sent to heads of endoscopic labs in Hungary. The average number (with 95% confidence intervals) of upper and lower gastrointestinal endoscopies performed in 2020 was compared to that in 2019. The number of SARS-CoV-2-infected endoscopic staff members and the source of infection was also investigated. Results: Completion rate was 30% (33/111). Neither the number of upper (1.593 [743–1.514] vs. 1.129 [1.020–2.166], p = 0.053), nor that of lower gastrointestinal endoscopies (1.181 [823–1.538] vs. 871 [591–1.150], p = 0.072) decreased in 2020, but both upper and lower gastrointestinal endoscopies’ number decreased by 80% during peak phases. Separate examination room was available in 12% of institutes. Appropriate quality personal protective equipment (PPE) was available during the first and second peak phase in 70% and 82%, respectively. Infection risk stratification by questionnaire and PCR testing was routinely performed in 85% and 42%, respectively. Employee number decreased by 33% and 26% for physicians, and by 19% and 21% for assistants during peak phases, mainly due to age restrictions and COVID care assignments. 32% of assistants and 41% of physicians were infected (associated with inappropriate PPE use in 16% and 18%, respectively). Conclusion: Peak phases’ restrictions increase endoscopic workload afterwards. Despite PPE availability, 15% of employees’ COVID infection resulted from inappropriate PPE use in pre-vaccination era.
新型冠状病毒肺炎（COVID–19）对内镜检查实验室的工作流程有重大影响。内镜检查被认为是病毒传播的高风险操作。目的：确定COVID–19大流行对匈牙利内镜检查实验室工作流程以及内镜工作人员感染风险的影响。方法：向匈牙利内镜检查实验室负责人发送了一份全国性的横断面在线调查问卷。将2020年上消化道和下消化道内镜检查的平均数量（及其95%置信区间）与2019年进行比较。还调查了感染严重急性呼吸综合征冠状病毒2（SARS-CoV-2）的内镜工作人员数量及感染源。结果：完成率为30%（33/111）。2020年上消化道内镜检查数量（1.593 [743–1.514] 对1.129 [1.020–2.166]，p = 0.053）和下消化道内镜检查数量（1.181 [823–1.538] 对871 [591–1.150]，p = 0.072）均未减少，但在高峰期上消化道和下消化道内镜检查数量均下降了80%。12%的机构设有单独的检查室。在第一和第二个高峰期，分别有70%和82%的机构备有合适质量的个人防护装备（PPE）。分别有85%和42%的机构常规通过问卷调查和聚合酶链反应（PCR）检测进行感染风险分层。在高峰期，医师人数分别减少了33%和26%，助理人数分别减少了19%和21%，主要原因是年龄限制和COVID护理任务。32%的助理和41%的医师被感染（分别有16%和18%与PPE使用不当有关）。结论：高峰期的限制增加了之后的内镜工作量。尽管有PPE，但在疫苗接种前时代，15%的员工感染COVID是由于PPE使用不当。
