COVID-19 screening before gastrointestinal procedures

Abstract Background In March 2020, the World Health Organization declared coronavirus 2019 (COVID-19) a global pandemic. We aimed to assess the ability of COVID-19 screening to detect preprocedural infection at the gastrointestinal units. One hundred and three patients indicated for gastrointestinal...

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Main Authors: Ahmed Eliwa, Osman Mohamed Osman, Ahmed Helal, Abdelgawad Saied Mohamed, Mohammed ElFayoumie, Ramadan Eldamarawy, Sadek Mostafa, Ashraf Elsharkawy, Khaled S. Makboul, Salwa I. Elshennawy, Mahmoud Abdelhady, Ashraf Elbahrawy
Format: Article
Language:English
Published: SpringerOpen 2022-02-01
Series:Egyptian Liver Journal
Subjects:
Online Access:https://doi.org/10.1186/s43066-022-00177-0
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author Ahmed Eliwa
Osman Mohamed Osman
Ahmed Helal
Abdelgawad Saied Mohamed
Mohammed ElFayoumie
Ramadan Eldamarawy
Sadek Mostafa
Ashraf Elsharkawy
Khaled S. Makboul
Salwa I. Elshennawy
Mahmoud Abdelhady
Ashraf Elbahrawy
author_facet Ahmed Eliwa
Osman Mohamed Osman
Ahmed Helal
Abdelgawad Saied Mohamed
Mohammed ElFayoumie
Ramadan Eldamarawy
Sadek Mostafa
Ashraf Elsharkawy
Khaled S. Makboul
Salwa I. Elshennawy
Mahmoud Abdelhady
Ashraf Elbahrawy
author_sort Ahmed Eliwa
collection DOAJ
description Abstract Background In March 2020, the World Health Organization declared coronavirus 2019 (COVID-19) a global pandemic. We aimed to assess the ability of COVID-19 screening to detect preprocedural infection at the gastrointestinal units. One hundred and three patients indicated for gastrointestinal tract interventional procedures were included. All patients surveyed for COVID-19-related symptoms and COVID-19 rapid IgM/IgG antibodies. Symptomatic and COVID-19 antibody-positive patients further tested for COVID-19 reverse transcriptase by polymerase chain reaction (RT-PCR). All patients contacted, 14 days after the procedure and asked about the possible development of COVID-19. All health care workers (HCWs) (n=18) were screened weekly for COVID-19-related symptoms. Results The mean age was 46.11 ± 17.16 years of them 58.25% were males. 2.9% patients had COVID-19-related symptoms and 97.1% were asymptomatic. All symptomatic patients tested positive for COVID-19 IgM antibody and RT-PCR. Among asymptomatic patients 23% had positive COVID-19 antibodies, of them 56.5%patients had positive RT-PCR. One HCW developed COVID-19 during the study. None of the included patients developed new onset of COVID-19 infection, two weeks after the procedure. Conclusion COVID-19 antibody test may be a reasonable preprocedural screening method for low-income countries and COVID-19 RT-PCR screening for symptomatic patients and those with positive COVID-19 antibody test.
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spelling doaj.art-4a08f5829bd849c4ab5a77a71dae29e92022-12-21T17:26:29ZengSpringerOpenEgyptian Liver Journal2090-62262022-02-011211810.1186/s43066-022-00177-0COVID-19 screening before gastrointestinal proceduresAhmed Eliwa0Osman Mohamed Osman1Ahmed Helal2Abdelgawad Saied Mohamed3Mohammed ElFayoumie4Ramadan Eldamarawy5Sadek Mostafa6Ashraf Elsharkawy7Khaled S. Makboul8Salwa I. Elshennawy9Mahmoud Abdelhady10Ashraf Elbahrawy11Department of Internal Medicine, Al-Azhar UniversityDepartment of Internal Medicine, Al-Azhar UniversityDepartment of Internal Medicine, Al-Azhar UniversityDepartment of Internal Medicine, Al-Azhar UniversityDepartment of Internal Medicine, Al-Azhar UniversityDepartment of Internal Medicine, Al-Azhar UniversityDepartment of Internal Medicine, Al-Azhar UniversityDepartment of Internal Medicine, Al-Azhar UniversityDepartment of Internal Medicine, Al-Azhar UniversityDepartment of Clinical Pathology, Faculty of Medicine (for girls), Al-Azhar UniversityDepartment of Surgery, Al-Azhar UniversityDepartment of Internal Medicine, Al-Azhar UniversityAbstract Background In March 2020, the World Health Organization declared coronavirus 2019 (COVID-19) a global pandemic. We aimed to assess the ability of COVID-19 screening to detect preprocedural infection at the gastrointestinal units. One hundred and three patients indicated for gastrointestinal tract interventional procedures were included. All patients surveyed for COVID-19-related symptoms and COVID-19 rapid IgM/IgG antibodies. Symptomatic and COVID-19 antibody-positive patients further tested for COVID-19 reverse transcriptase by polymerase chain reaction (RT-PCR). All patients contacted, 14 days after the procedure and asked about the possible development of COVID-19. All health care workers (HCWs) (n=18) were screened weekly for COVID-19-related symptoms. Results The mean age was 46.11 ± 17.16 years of them 58.25% were males. 2.9% patients had COVID-19-related symptoms and 97.1% were asymptomatic. All symptomatic patients tested positive for COVID-19 IgM antibody and RT-PCR. Among asymptomatic patients 23% had positive COVID-19 antibodies, of them 56.5%patients had positive RT-PCR. One HCW developed COVID-19 during the study. None of the included patients developed new onset of COVID-19 infection, two weeks after the procedure. Conclusion COVID-19 antibody test may be a reasonable preprocedural screening method for low-income countries and COVID-19 RT-PCR screening for symptomatic patients and those with positive COVID-19 antibody test.https://doi.org/10.1186/s43066-022-00177-0COVID-19EndoscopyGITCOVID-19 antibodyRT-PCRPandemic
spellingShingle Ahmed Eliwa
Osman Mohamed Osman
Ahmed Helal
Abdelgawad Saied Mohamed
Mohammed ElFayoumie
Ramadan Eldamarawy
Sadek Mostafa
Ashraf Elsharkawy
Khaled S. Makboul
Salwa I. Elshennawy
Mahmoud Abdelhady
Ashraf Elbahrawy
COVID-19 screening before gastrointestinal procedures
Egyptian Liver Journal
COVID-19
Endoscopy
GIT
COVID-19 antibody
RT-PCR
Pandemic
title COVID-19 screening before gastrointestinal procedures
title_full COVID-19 screening before gastrointestinal procedures
title_fullStr COVID-19 screening before gastrointestinal procedures
title_full_unstemmed COVID-19 screening before gastrointestinal procedures
title_short COVID-19 screening before gastrointestinal procedures
title_sort covid 19 screening before gastrointestinal procedures
topic COVID-19
Endoscopy
GIT
COVID-19 antibody
RT-PCR
Pandemic
url https://doi.org/10.1186/s43066-022-00177-0
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