To assess the efficacy of safety measures adopted during endoscopy in the Corona Virus Disease-19 era for health care professionals—A single-centre tertiary care hospital experience

Ramchandani, Mohan; Rughwani, Hardik; Tevethia, Harsh Vardhan; Lakhtakia, Sundeep; Kalapala, Rakesh; Singh, Aniruddha Pratap; Inavolu, Pradev; Asif, Shujaath; Haja, Azimudin; Jagtap, Nitin; Nabi, Zaheer; Gujjarlapudi, Deepika; Sadhana, Y. V.; Kottapalli, Pragathi; Reddy, Naveen Chander; Sekaran, Anuradha; Darishetty, Santosh; Reddy, D. Nageshwar

BACKGROUND AND OBJECTIVES: During Corona Virus Disease-19 (COVID-19) pandemic, it has been estimated that approximately 10% of health care professionals (HCPs) have been diagnosed contacting COVID-19. Aerosol-generating procedures have led to change in safety practices among HCPs. We thus evaluated the efficacy of the endoscopic safety measures among HCPs posted in the endoscopy unit. METHODS: In this retrospective analysis, all endoscopic procedures performed over a period of 4 months, from 1 April to 31 July 2020 were included. We noted indications and number of COVID-positive procedures as well as comprehensive screening of HCPs posted in our endoscopy unit. The aim of the study was to evaluate the incidence and outcome of COVID-19 among HCPs. RESULTS: Three thousand four hundred and sixty procedures were included in the analysis. Indications were divided as urgent (n = 190, 5.49%), semi-urgent (n = 553, 16%) and non-urgent group (n = 2717, 78.52%). Thirty-four procedures (0.98%) were done on diagnosed COVID-19 patients. The most common indications were gastrointestinal bleed (n = 12/34, 35.30%) followed by biliary sepsis (n = 9/34, 26.5%). Among the HCPs, the incidence of symptomatic COVID-19 was 6.58% (n = 5/76). All HCPs recovered with excellent outcomes. A comprehensive screening showed 7.90% (n = 6/76) HCPs having Immunoglobulin G (IgG) antibody in their sera. CONCLUSION: Addition of safety measures in endoscopy leads to low risk of transmission among HCPs. [Image: see text]