CLC number: R473.5
On-line Access: 2020-05-19
Received: 2020-03-10
Revision Accepted: 2020-03-22
Crosschecked: 2020-03-31
Cited: 0
Clicked: 6345
Qing Gu, Hua-Fen Wang, Ying Fang, Ye Lu, Zhe Shen, Yan Wang, Xin Wu, Li Cen, Yi-Shu Chen. Analysis of an improved workflow of endoscope reprocessing for bedside endoscopic diagnosis and treatment on COVID-19 patients#[J]. Journal of Zhejiang University Science B, 2020, 21(5): 416-422.
@article{title="Analysis of an improved workflow of endoscope reprocessing for bedside endoscopic diagnosis and treatment on COVID-19 patients#",
author="Qing Gu, Hua-Fen Wang, Ying Fang, Ye Lu, Zhe Shen, Yan Wang, Xin Wu, Li Cen, Yi-Shu Chen",
journal="Journal of Zhejiang University Science B",
volume="21",
number="5",
pages="416-422",
year="2020",
publisher="Zhejiang University Press & Springer",
doi="10.1631/jzus.B2000109"
}
%0 Journal Article
%T Analysis of an improved workflow of endoscope reprocessing for bedside endoscopic diagnosis and treatment on COVID-19 patients#
%A Qing Gu
%A Hua-Fen Wang
%A Ying Fang
%A Ye Lu
%A Zhe Shen
%A Yan Wang
%A Xin Wu
%A Li Cen
%A Yi-Shu Chen
%J Journal of Zhejiang University SCIENCE B
%V 21
%N 5
%P 416-422
%@ 1673-1581
%D 2020
%I Zhejiang University Press & Springer
%DOI 10.1631/jzus.B2000109
TY - JOUR
T1 - Analysis of an improved workflow of endoscope reprocessing for bedside endoscopic diagnosis and treatment on COVID-19 patients#
A1 - Qing Gu
A1 - Hua-Fen Wang
A1 - Ying Fang
A1 - Ye Lu
A1 - Zhe Shen
A1 - Yan Wang
A1 - Xin Wu
A1 - Li Cen
A1 - Yi-Shu Chen
J0 - Journal of Zhejiang University Science B
VL - 21
IS - 5
SP - 416
EP - 422
%@ 1673-1581
Y1 - 2020
PB - Zhejiang University Press & Springer
ER -
DOI - 10.1631/jzus.B2000109
Abstract: Severe cases infected with the coronavirus disease 2019 (COVID-19), named by the World Health Organization (WHO) on Feb. 11, 2020, tend to present a hypercatabolic state because of severe systemic consumption, and are susceptible to stress ulcers and even life-threatening gastrointestinal bleeding. Endoscopic diagnosis and treatment constitute an irreplaceable part in the handling of severe COVID-19 cases. Endoscopes, as reusable precision instruments with complicated structures, require more techniques than other medical devices in cleaning, disinfection, sterilization, and other reprocessing procedures. From 2016 to 2019, health care-acquired infection caused by improper endoscope reprocessing has always been among the top 5 on the list of top 10 health technology hazards issued by the Emergency Care Research Institute. Considering the highly infective nature of COVID-19 and the potential aerosol contamination therefrom, it is of pivotal significance to ensure that endoscopes are strictly reprocessed between uses. In accordance with the national standard “Regulation for Cleaning and disinfection Technique of Flexible Endoscope (WS507-2016),” we improved the workflow of endoscope reprocessing including the selection of chemicals in an effort to ensure quality control throughout the clinical management towards COVID-19 patients. Based on the experience we attained from the 12 severe COVID-19 cases in our hospital who underwent endoscopy 23 times in total, the article provides an improved version of endoscopic reprocessing guidelines for bedside endoscopic diagnosis and treatment on COVID-19 patients for reference.
[1]AQSIQ (General Administration of Quality Supervision, Inspection and Quarantine of the People’s Republic of China), 2012. Hygienic Standard for Disinfection in Hospitals, GB 15982-2012. National Standards of People’s Republic of China (in Chinese).
[2]Bakanidze L, Imnadze P, Perkins D, 2010. Biosafety and biosecurity as essential pillars of international health security and cross-cutting elements of biological nonproliferation. BMC Public Health, 10(Suppl 1):S12.
[3]CSDE (Chinese Society of Digestive Endoscopology), 2020a. Guiding principles on gastrointestinal endoscopic diagnosis and treatment during the prevention and control of COVID-19 by the Chinese Society of Digestive Endoscopology. http://www.csde.org.cn/news/detail.aspx?article_id=2883 [Accessed on Apr. 3, 2020] (in Chinese).
[4]CSDE, 2020b. Recommendations for endoscope cleaning, disinfection and sterilization in gastrointestinal endoscopy center during the prevention and control of COVID-19 by the Chinese Society of Digestive Endoscopology. http://www.csde.org.cn/news/detail.aspx?article_id=2884 [Accessed on Apr. 3, 2020] (in Chinese).
[5]Emergency Care Research Institute, 2018. Top 10 Health Technology Hazards for 2019. https://www.ecri.org/Resources/Whitepapers_and_reports/Haz_19.pdf [Accessed on Apr. 3, 2020].
[6]Fang Y, 2011. Practical Endoscopic Cleaning and Disinfection Techniques. Zhejiang University Press, Hangzhou, China (in Chinese).
[7]Gu Q, Xu M, Sheng TT, et al., 2018. The cleaning effect of peroxyacetic acid sterilizing powder on organics on endoscopes. Nurs Rehabil J, 17(2):69-70 (in Chinese).
[8]Gu Q, Lin YM, Cen L, et al., 2019. Endoscopic ultrasonography is useful in the diagnosis and treatment of rectal neuroendocrine neoplasms: a case series. J Zhejiang Univ-Sci B (Biomed & Biotechnol), 20(10):861-864.
[9]Huang CL, Wang YM, Li XW, et al., 2020. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet, 395(10223):497-506.
[10]Lou SM, Zhang M, Wu ZR, et al., 2019. Combined gastroscopic and choledochoscopic transabdominal nasobiliary drainage. J Zhejiang Univ-Sci B (Biomed & Biotechnol), 20(11):940-944.
[11]NHC (National Health Commission of the People’s Republic of China), 2020a. Guideline for diagnosis and treatment of COVID-19 (the sixth trial version). http://www.nhc.gov.cn/yzygj/s7653p/202002/8334a8326dd94d329df351d7da8aefc2.shtml [Accessed on Apr. 3, 2020] (in Chinese).
[12]NHC, 2020b. Guidelines for the prevention and control of COVID-19 in health care facilities (the first version). http://www.nhc.gov.cn/yzygj/s7659/202001/b91fdab7c304431eb082d67847d27e14.shtml [Accessed on Apr. 3, 2020] (in Chinese).
[13]NHFPC (National Health and Family Planning Commission of the People’s Republic of China), 2017a. Regulation for Cleaning and Disinfection Technique of Flexible Endoscope, WS 507-2016. National Standards of People’s Republic of China (in Chinese).
[14]NHFPC, 2017b. Regulation for Prevention and Control of Healthcare Associated Infection of Airborne Transmission Disease in Healthcare Facilities, WS/T 511-2016. National Standards of People’s Republic of China (in Chinese).
[15]WHO (World Health Organization), 2020. Clinical management of severe acute respiratory infection when COVID-19 is suspected. Interim guidance. https://www.who.int/ publications-detail/clinical-management-of-severe-acute-respiratory-infection-when-novel-coronavirus-(ncov)-infection-is-suspected [Accessed on Apr. 3, 2020].
[16]Wu JT, Leung K, Leung GM, 2020. Nowcasting and forecasting the potential domestic and international spread of the 2019-nCoV outbreak originating in Wuhan, China: a modelling study. Lancet, 395(10225):689-697.
[17]Xia TT, Shi S, Yang JY, et al., 2019. The latest developments of flexible endoscopes reprocessing in China and other countries. Chin J Nosocomiol, 29(8):1272-1277 (in Chinese).
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