Summary of recommendations for periprocedural, intraprocedural and postprocedural recommendations including general advice
Articles grouped by country: | China*†‡ | USA§¶ | UK**†† | Spain‡‡ | Singapore |
Periprocedural and intraprocedural practices | PPE recommendations: For all patients: Mask: N95 or PAPR Clothing: Impermeable clothing wear, shoe covers, work caps, goggles and latex gloves for all procedures.
Infection control measures:
| PPE recommendations: Low-risk patients: Mask: Surgical masks. Clothing: Work cap, goggles, glove, disposable gowns and gloves *Lower endoscopy in patients with intermediate-risk is downgraded to low risk High-risk patients: Mask: FFP2 or FFP3 Clothing: Impermeable clothing, work cap, goggles and/or face shield, double glove, impermeable clothing *Upper endoscopy=high risk. Infection control measures:
| PPE recommendations: Low-risk patients: Mask: Recommendation unclear Clothing: Standard infection control procedures with PPE; disposable gloves and gowns. *Lower endoscopy in COVID-19 patients considered low risk, surgical face mask recommended. High-risk patients: Masks: FFP3 Clothing: PPE with face shield or goggles if upper endoscopy. Consider advanced PPE if out-of-hours or emergency cases. Infection control measures:
| PPE recommendations: For all patients: Mask: Unspecified mask Clothing: Gowns, gloves and protective goggles. Infection control measures:
| PPE recommendations: Low-risk patients: Mask: N95 Clothing: Face shield and standard PPE High-risk patients: Mask: PAPR Clothing: Advanced PPE including goggles, work caps, shoe covers, with required for all staff. Infection control measures:
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Postprocedural practices | Decontamination practices:
PPE for transfer:
Post-sedation management:
| Decontamination practices:
PPE for transfer:
Post-sedation management:
| Decontamination practices:
PPE for transfer:
Postsedation management:
| – | Decontamination practices:
PPE for transfer staff:
Postsedation management:
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General advice |
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Articles grouped by the country of publication; recommendations may not necessarily reflect national guidance if any.
*Subspecialty group of Gastroenterology, the Society of Paediatrics, Chinese Medical Association. (Prevention and control program on 2019 novel coronavirus infection in children’s digestive endoscopy centre). Zhonghua Er Ke Za Zhi 2020;58, 175–178.
†Luo et al (Standardised diagnosis and treatment of colorectal cancer during the outbreak of novel coronavirus pneumonia in Renji hospital). Zhonghua Wei Chang Wai Ke Za Zhi 23, 2020; E003.
‡Gou et al (Treatment of pancreatic diseases and prevention of infection during outbreak of 2019 coronavirus disease). Zhonghua Wai Ke Za Zhi 2020;58, E006.
§Pochapin et al American College of Gastroenterology COVID-19 and recommendations for gastroenterologists. 2020.
¶Repici et al Coronavirus (COVID-19) outbreak: what the department of endoscopy should know. Gastrointestinal Endoscopy 2020.
**British Society of Gastroenterology and British Association for the Study of the Liver. COVID-19: Advice for healthcare professionals in Gastroenterology and Hepatology. 2020.
††Public Health England. COVID-19: Guidance for infection prevention and control in healthcare settings (V.1.0). 2020.
‡‡Sociedad Española de Patología Digestiva (SEPD) (Updated SEPD recommendations on infection by the SARS-CoV-2 coronavirus).
FFP2, filtering facepiece rating 2; FFP3, filtering facepiece rating 3; PAPR, powered air-purifying respirator; PPE, personal protective equipment.