Perception of Gastrointestinal Endoscopy Personnel on Society Recommendations on Personal Protective Equipment, Case Selection, and Scope Cleaning During Covid-19 Pandemic: An International Survey Study

Background/Aims The Thai Association for Gastrointestinal Endoscopy published recommendations on safe endoscopy during the coronavirus disease 2019 (COVID-19) pandemic. This study aimed to assess the practicality and applicability of the recommendations and the perceptions of endoscopy personnel on...

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Main Authors: Parit Mekaroonkamol, Kasenee Tiankanon, Rapat Pittayanon, Wiriyaporn Ridtitid, Fariha Shams, Ghias Un Nabi Tayyab, Julia Massaad, Saurabh Chawla, Stanley Khoo, Siriboon Attasaranya, Nonthalee Pausawasdi, Qiang Cai, Thawee Ratanachu-ek, Pradermchai Kongkham, Rungsun Rerknimitr
Format: Article
Language:English
Published: Korean Society of Gastrointestinal Endoscopy 2022-03-01
Series:Clinical Endoscopy
Subjects:
Online Access:http://www.e-ce.org/upload/pdf/ce-2021-051.pdf
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author Parit Mekaroonkamol
Kasenee Tiankanon
Rapat Pittayanon
Wiriyaporn Ridtitid
Fariha Shams
Ghias Un Nabi Tayyab
Julia Massaad
Saurabh Chawla
Stanley Khoo
Siriboon Attasaranya
Nonthalee Pausawasdi
Qiang Cai
Thawee Ratanachu-ek
Pradermchai Kongkham
Rungsun Rerknimitr
author_facet Parit Mekaroonkamol
Kasenee Tiankanon
Rapat Pittayanon
Wiriyaporn Ridtitid
Fariha Shams
Ghias Un Nabi Tayyab
Julia Massaad
Saurabh Chawla
Stanley Khoo
Siriboon Attasaranya
Nonthalee Pausawasdi
Qiang Cai
Thawee Ratanachu-ek
Pradermchai Kongkham
Rungsun Rerknimitr
author_sort Parit Mekaroonkamol
collection DOAJ
description Background/Aims The Thai Association for Gastrointestinal Endoscopy published recommendations on safe endoscopy during the coronavirus disease 2019 (COVID-19) pandemic. This study aimed to assess the practicality and applicability of the recommendations and the perceptions of endoscopy personnel on them. Methods A validated questionnaire was sent to 1290 endoscopy personnel globally. Of these, the data of all 330 responders (25.6%) from 15 countries, related to the current recommendations on proper personal protective equipment (PPE), case selection, scope cleaning, and safety perception, were analyzed. Ordinal logistic regression was used to determine the relationships between the variables. Results Despite an overwhelming agreement with the recommendations on PPE (94.5%) and case selection (95.5%), their practicality and applicability on PPE recommendations and case selection were significantly lower (p=0.001, p=0.047, p<0.001, and p=0.032, respectively). Factors that were associated with lower sense of safety in endoscopy units were younger age (p=0.004), less working experience (p=0.008), in-training status (p=0.04), and higher national prevalence of COVID-19 (p=0.003). High prevalent countries also had more difficulty implementing the guidelines (p<0.001) and they considered the PPE recommendations less practical and showed lower agreement with them (p<0.001 and p=0.008, respectively). A higher number of in-hospital COVID-19 patients was associated with less agreement with PPE recommendations (p=0.039). Conclusions Using appropriate PPE and case selection in endoscopic practice during a pandemic remains a challenge. Resource availability and local prevalence are critical factors influencing the adoption of the current guidelines.
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spelling doaj.art-0a821bc61f6047a8a58b6d978ea8a66d2023-11-02T09:46:29ZengKorean Society of Gastrointestinal EndoscopyClinical Endoscopy2234-24002234-24432022-03-0155221522510.5946/ce.2021.0517572Perception of Gastrointestinal Endoscopy Personnel on Society Recommendations on Personal Protective Equipment, Case Selection, and Scope Cleaning During Covid-19 Pandemic: An International Survey StudyParit Mekaroonkamol0Kasenee Tiankanon1Rapat Pittayanon2Wiriyaporn Ridtitid3Fariha Shams4Ghias Un Nabi Tayyab5Julia Massaad6Saurabh Chawla7Stanley Khoo8Siriboon Attasaranya9Nonthalee Pausawasdi10Qiang Cai11Thawee Ratanachu-ek12Pradermchai Kongkham13Rungsun Rerknimitr14 Division of Gastroenterology, Department of Medicine, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross, Bangkok, Thailand Division of Gastroenterology, Department of Medicine, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross, Bangkok, Thailand Division of Gastroenterology, Department of Medicine, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross, Bangkok, Thailand Division of Gastroenterology, Department of Medicine, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross, Bangkok, Thailand Division of Radiology, Jinnah Hospital, Lahore, Pakistan Division of Gastroenterology, Lahore General Hospital, Lahore, Pakistan Division of Digestive Diseases, Department of Internal Medicine, Emory University, Atlanta, GA, USA Division of Digestive Diseases, Department of Internal Medicine, Emory University, Atlanta, GA, USA Gastroenterology and Hepatology Unit, Department of Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia Division of Gastroenterology, Department of Medicine, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross, Bangkok, Thailand Division of Gastroenterology, Department of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand Division of Digestive Diseases, Department of Internal Medicine, Emory University, Atlanta, GA, USA Department of Surgery, Rajavithi Hospital, Bangkok, Thailand Division of Gastroenterology, Department of Medicine, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross, Bangkok, Thailand Division of Gastroenterology, Department of Medicine, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross, Bangkok, ThailandBackground/Aims The Thai Association for Gastrointestinal Endoscopy published recommendations on safe endoscopy during the coronavirus disease 2019 (COVID-19) pandemic. This study aimed to assess the practicality and applicability of the recommendations and the perceptions of endoscopy personnel on them. Methods A validated questionnaire was sent to 1290 endoscopy personnel globally. Of these, the data of all 330 responders (25.6%) from 15 countries, related to the current recommendations on proper personal protective equipment (PPE), case selection, scope cleaning, and safety perception, were analyzed. Ordinal logistic regression was used to determine the relationships between the variables. Results Despite an overwhelming agreement with the recommendations on PPE (94.5%) and case selection (95.5%), their practicality and applicability on PPE recommendations and case selection were significantly lower (p=0.001, p=0.047, p<0.001, and p=0.032, respectively). Factors that were associated with lower sense of safety in endoscopy units were younger age (p=0.004), less working experience (p=0.008), in-training status (p=0.04), and higher national prevalence of COVID-19 (p=0.003). High prevalent countries also had more difficulty implementing the guidelines (p<0.001) and they considered the PPE recommendations less practical and showed lower agreement with them (p<0.001 and p=0.008, respectively). A higher number of in-hospital COVID-19 patients was associated with less agreement with PPE recommendations (p=0.039). Conclusions Using appropriate PPE and case selection in endoscopic practice during a pandemic remains a challenge. Resource availability and local prevalence are critical factors influencing the adoption of the current guidelines.http://www.e-ce.org/upload/pdf/ce-2021-051.pdfcovid-19endoscopyguidelinesrecommendationssurvey
spellingShingle Parit Mekaroonkamol
Kasenee Tiankanon
Rapat Pittayanon
Wiriyaporn Ridtitid
Fariha Shams
Ghias Un Nabi Tayyab
Julia Massaad
Saurabh Chawla
Stanley Khoo
Siriboon Attasaranya
Nonthalee Pausawasdi
Qiang Cai
Thawee Ratanachu-ek
Pradermchai Kongkham
Rungsun Rerknimitr
Perception of Gastrointestinal Endoscopy Personnel on Society Recommendations on Personal Protective Equipment, Case Selection, and Scope Cleaning During Covid-19 Pandemic: An International Survey Study
Clinical Endoscopy
covid-19
endoscopy
guidelines
recommendations
survey
title Perception of Gastrointestinal Endoscopy Personnel on Society Recommendations on Personal Protective Equipment, Case Selection, and Scope Cleaning During Covid-19 Pandemic: An International Survey Study
title_full Perception of Gastrointestinal Endoscopy Personnel on Society Recommendations on Personal Protective Equipment, Case Selection, and Scope Cleaning During Covid-19 Pandemic: An International Survey Study
title_fullStr Perception of Gastrointestinal Endoscopy Personnel on Society Recommendations on Personal Protective Equipment, Case Selection, and Scope Cleaning During Covid-19 Pandemic: An International Survey Study
title_full_unstemmed Perception of Gastrointestinal Endoscopy Personnel on Society Recommendations on Personal Protective Equipment, Case Selection, and Scope Cleaning During Covid-19 Pandemic: An International Survey Study
title_short Perception of Gastrointestinal Endoscopy Personnel on Society Recommendations on Personal Protective Equipment, Case Selection, and Scope Cleaning During Covid-19 Pandemic: An International Survey Study
title_sort perception of gastrointestinal endoscopy personnel on society recommendations on personal protective equipment case selection and scope cleaning during covid 19 pandemic an international survey study
topic covid-19
endoscopy
guidelines
recommendations
survey
url http://www.e-ce.org/upload/pdf/ce-2021-051.pdf
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