BACKGROUND AND AIMS: Nonuniversal use of facial protection during endoscopy may place endoscopists at risk of exposure to blood and body fluids; however, the frequency of exposure is unknown. METHODS: A prospective 6-month study of 4 gastroenterologists using a face shield during endoscopy was undertaken. The face shield was swabbed in a standardized fashion before and at the end of the session. Controls included pre- and post-swabs of face shields placed on the (1) endoscopy suite wall, (2) remote patient intake bay wall, and (3) after deliberate contamination with a colonoscope immediately after colonoscopy. The swabs were cultured for 48 hours, and growth was reported as no growth or by number of colony-forming units (CFUs). The groups were compared for +CFU rate and CFU number. RESULTS: A total of 1100 procedures were performed in 239 endoscopy sessions. The +CFU rate in the pre-endoscopy groups (2%-4.8%, not significant) was significantly lower than the postendoscopist face shield (45.8%, P < .001) and endoscopy suite wall groups (21.4%, P < .001), respectively. Using a cut-off of >15 CFUs as an indicator of definite exposure, the occurrence rate was 5.6 per 100 half days of endoscopy to the endoscopist's face and 3.4 per 100 half days of endoscopy 6 feet away. CONCLUSIONS: This is the first study to quantify the rate of unrecognized exposure to the endoscopist's face to potentially infectious biologic samples during endoscopy (5.6/100 days of endoscopy). This exposure may result in transmission of infectious diseases. As such, we recommend the use of universal facial protection during GI endoscopy. Published by Elsevier Inc.
BACKGROUND AND AIMS: Nonuniversal use of facial protection during endoscopy may place endoscopists at risk of exposure to blood and body fluids; however, the frequency of exposure is unknown. METHODS: A prospective 6-month study of 4 gastroenterologists using a face shield during endoscopy was undertaken. The face shield was swabbed in a standardized fashion before and at the end of the session. Controls included pre- and post-swabs of face shields placed on the (1) endoscopy suite wall, (2) remote patient intake bay wall, and (3) after deliberate contamination with a colonoscope immediately after colonoscopy. The swabs were cultured for 48 hours, and growth was reported as no growth or by number of colony-forming units (CFUs). The groups were compared for +CFU rate and CFU number. RESULTS: A total of 1100 procedures were performed in 239 endoscopy sessions. The +CFU rate in the pre-endoscopy groups (2%-4.8%, not significant) was significantly lower than the postendoscopist face shield (45.8%, P < .001) and endoscopy suite wall groups (21.4%, P < .001), respectively. Using a cut-off of >15 CFUs as an indicator of definite exposure, the occurrence rate was 5.6 per 100 half days of endoscopy to the endoscopist's face and 3.4 per 100 half days of endoscopy 6 feet away. CONCLUSIONS: This is the first study to quantify the rate of unrecognized exposure to the endoscopist's face to potentially infectious biologic samples during endoscopy (5.6/100 days of endoscopy). This exposure may result in transmission of infectious diseases. As such, we recommend the use of universal facial protection during GI endoscopy. Published by Elsevier Inc.
Authors: Tiing Leong Ang; James Weiquan Li; Charles Kien Fong Vu; Gim Hin Ho; Jason Pik Eu Chang; Chern Hao Chong; Tju Siang Chua; David Eng Hui Ong; Benjamin Cherng Hann Yip; Kok Ann Gwee Journal: Singapore Med J Date: 2020-04-03 Impact factor: 1.858
Authors: Dalia Morales-Arraez; Anjara Hernández; Alberto Hernández-Bustabad; Carla Amaral; Cristina Reygosa; David Nicolás-Pérez; Antonio Zebenzui Gimeno-García; Manuel Hernández-Guerra Journal: PLoS One Date: 2022-04-28 Impact factor: 3.752
Authors: Kewin T H Siah; M Masudur Rahman; Andrew M L Ong; Alex Y S Soh; Yeong Yeh Lee; Yinglian Xiao; Sanjeev Sachdeva; Kee Wook Jung; Yen-Po Wang; Tadayuki Oshima; Tanisa Patcharatrakul; Ping-Huei Tseng; Omesh Goyal; Junxiong Pang; Christopher K C Lai; Jung Ho Park; Sanjiv Mahadeva; Yu Kyung Cho; Justin C Y Wu; Uday C Ghoshal; Hiroto Miwa Journal: J Neurogastroenterol Motil Date: 2020-07-30 Impact factor: 4.924
Authors: Ilektra Athiana; Corinne Légeret; Patrick Bontems; Luigi Dall'Oglio; Paola De Angelis; Jorge Amil Dias; Bruno Hauser; Matjaž Homan; Priya Narula; Lorenzo Norsa; Salvatore Oliva; Alexandra Papadopoulou; Claudio Romano; Mike Thomson; Victor Vila-Miravet; Raoul I Furlano Journal: JPGN Rep Date: 2021-05-27
Authors: Philip Wai Yan Chiu; Siew C Ng; Haruhiro Inoue; D Nageshwar Reddy; Enqiang Ling Hu; Joo Young Cho; Lawrence Ky Ho; David G Hewett; Han-Mo Chiu; Rungsun Rerknimitr; Hsiu-Po Wang; Shiaw Hooi Ho; Dong Wan Seo; Khean-Lee Goh; Hisao Tajiri; Seigo Kitano; Francis K L Chan Journal: Gut Date: 2020-04-02 Impact factor: 23.059