https://observatorio.fm.usp.br/handle/OPI/39848
DC Field | Value | Language |
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dc.contributor | Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP | |
dc.contributor.author | POMBO, Amanda A. M. | |
dc.contributor.author | LENZ, Luciano | |
dc.contributor.author | PAULO, Gustavo A. | |
dc.contributor.author | SANTOS, Monica A. | |
dc.contributor.author | TAMAE, Patricia K. | |
dc.contributor.author | SANTOS, Alisson L. D. R. | |
dc.contributor.author | REZENDE, Daniel T. | |
dc.contributor.author | MARTINS, Bruno | |
dc.contributor.author | KAWAGUTI, Fabio S. | |
dc.contributor.author | PENNACHI, Caterina M. P. S. | |
dc.contributor.author | GUSMON-OLIVEIRA, Carla C. | |
dc.contributor.author | UEMURA, Ricardo S. | |
dc.contributor.author | GEIGER, Sebastian | |
dc.contributor.author | LIMA, Marcelo S. | |
dc.contributor.author | BABA, Elisa R. | |
dc.contributor.author | FIGUEIREDO, Viviane R. | |
dc.contributor.author | SAFATLE-RIBEIRO, Adriana | |
dc.contributor.author | MALUF-FILHO, Fauze | |
dc.contributor.author | RIBEIRO-JUNIOR, Ulysses | |
dc.date.accessioned | 2021-04-15T19:47:11Z | |
dc.date.available | 2021-04-15T19:47:11Z | |
dc.date.issued | 2021 | |
dc.identifier.citation | CLINICS, v.76, article ID e2280, 8p, 2021 | |
dc.identifier.issn | 1807-5932 | |
dc.identifier.uri | https://observatorio.fm.usp.br/handle/OPI/39848 | |
dc.description.abstract | OBJECTIVES: Strategic planning for coronavirus disease (COVID-19) care has dominated the agenda of medical services, which have been further restricted by the need for minimizing viral transmission. Risk is particularly relevant in relation to endoscopy procedures. This study aimed to describe a contingency plan for a tertiary academic cancer center, define a strategy to prioritize and postpone examinations, and evaluate the infection rate among healthcare workers (HCWs) in the endoscopy unit of the Cancer Institute of the State of Sao Paulo (ICESP). METHODS: We created a strategy to balance the risk of acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and to mitigate the effects of postponing endoscopic procedures in oncological patients. A retrospective analysis of prospectively collected data on all endoscopies between March and June 2020 compared with those during the same period in 2019 was carried out. All HCWs were interviewed to obtain clinical data and SARS-CoV-2 test results. RESULTS: During the COVID-19 outbreak, there was a reduction of 55% in endoscopy cases in total. Colonoscopy was the most affected modality. The total infection rate among all HCWs was 38%. None of the senior digestive endoscopists had COVID-19. However, all bronchoscopists had been infected. One of three fellows had a serological diagnosis of COVID-19. Two-thirds of all nurses were infected, whereas half of all technicians were infected. CONCLUSIONS: In this pandemic scenario, all endoscopy services must prioritize the procedures that will be performed. It was possible to maintain some endoscopic procedures, including those meant to provide nutritional access, tissue diagnosis, and endoscopic resection. Personal protective equipment (PPE) seems effective in preventing transmission of COVID-19 from patients to digestive endoscopists. These measures can be useful in planning, even for pandemics in the future. | eng |
dc.language.iso | eng | |
dc.publisher | HOSPITAL CLINICAS, UNIV SAO PAULO | eng |
dc.relation.ispartof | Clinics | |
dc.rights | openAccess | eng |
dc.subject | COVID-19 | eng |
dc.subject | Cancer | eng |
dc.subject | Endoscopy | eng |
dc.subject | Strategy | eng |
dc.title | Endoscopy infection control strategy during the COVID-19 pandemic: experience from a tertiary cancer center in Brazil | eng |
dc.type | article | eng |
dc.rights.holder | Copyright HOSPITAL CLINICAS, UNIV SAO PAULO | eng |
dc.identifier.doi | 10.6061/clinics/2021/e2280 | |
dc.identifier.pmid | 33681942 | |
dc.subject.wos | Medicine, General & Internal | eng |
dc.type.category | original article | eng |
dc.type.version | publishedVersion | eng |
hcfmusp.author.external | POMBO, Amanda A. M.:Univ Sao Paulo, Hosp Clin HCFMUSP, Fac Med, Unidade Endoscopia,Dept Gastroenterol,Inst Canc I, Sao Paulo, SP, Brazil | |
hcfmusp.author.external | PENNACHI, Caterina M. P. S.:Univ Sao Paulo, Hosp Clin HCFMUSP, Fac Med, Unidade Endoscopia,Dept Gastroenterol,Inst Canc I, Sao Paulo, SP, Brazil | |
hcfmusp.description.articlenumber | e2280 | |
hcfmusp.description.volume | 76 | |
hcfmusp.origem | WOS | |
hcfmusp.origem.id | WOS:000627739900001 | |
hcfmusp.origem.id | 2-s2.0-85102719550 | |
hcfmusp.origem.id | SCIELO:S1807-59322021000100232 | |
hcfmusp.publisher.city | SAO PAULO | eng |
hcfmusp.publisher.country | BRAZIL | eng |
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dc.description.index | MEDLINE | eng |
dc.identifier.eissn | 1980-5322 | |
hcfmusp.citation.scopus | 3 | - |
hcfmusp.scopus.lastupdate | 2024-03-29 | - |
Appears in Collections: | Artigos e Materiais de Revistas Científicas - COVID-19 Artigos e Materiais de Revistas Científicas - FM/MGT Artigos e Materiais de Revistas Científicas - HC/ICESP Artigos e Materiais de Revistas Científicas - HC/ICHC Artigos e Materiais de Revistas Científicas - HC/InCor Artigos e Materiais de Revistas Científicas - LIM/24 Artigos e Materiais de Revistas Científicas - LIM/26 Artigos e Materiais de Revistas Científicas - LIM/37 Artigos e Materiais de Revistas Científicas - ODS/03 |
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art_POMBO_Endoscopy_infection_control_strategy_during_the_COVID19_pandemic_2021.PDF | publishedVersion (English) | 714.19 kB | Adobe PDF | View/Open |
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