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. 2020 Jul;92(1):192-197.
doi: 10.1016/j.gie.2020.03.019. Epub 2020 Mar 14.

Coronavirus (COVID-19) outbreak: what the department of endoscopy should know

Alessandro Repici  1 , Roberta Maselli  2 , Matteo Colombo  3 , Roberto Gabbiadini  3 , Marco Spadaccini  3 , Andrea Anderloni  2 , Silvia Carrara  2 , Alessandro Fugazza  2 , Milena Di Leo  3 , Piera Alessia Galtieri  2 , Gaia Pellegatta  2 , Elisa Chiara Ferrara  2 , Elena Azzolini  4 , Michele Lagioia  4
Affiliations

Coronavirus (COVID-19) outbreak: what the department of endoscopy should know

Alessandro Repici et al. Gastrointest Endosc. 2020 Jul.

Abstract

Italy recorded its first case of confirmed acute respiratory illness because of coronavirus on February 18, 2020, soon after the initial reports in China. Since that time, Italy and nations throughout the world have adopted very stringent and severe measures to protect populations from spread of infection. Despite these measures, the number of infected people is growing exponentially, with a significant number of patients developing acute respiratory insufficiency. Endoscopy departments face significant risk for diffusion of respiratory diseases that can be spread via an airborne route, including aspiration of oral and fecal material via endoscopes. The purpose of this article is to discuss the measures, with specific focus on personal protection equipment and dress code modalities, implemented in our hospital to prevent further dissemination of COVID-19 infection.

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Figures

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Graphical abstract
Figure 1
Figure 1
Risk assessment by country.
Figure 2
Figure 2
A, Low-risk dressing equipment. B, High-risk dressing equipment. PPE, Personal protective equipment; FFP, filtering face-piece (FFP2/3 are equivalent to N95 mask).
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