Endoscopy 2021; 53(S 01): S13
DOI: 10.1055/s-0041-1724283
Abstracts | ESGE Days
ESGE Days 2021 Oral presentations
Thursday, 25 March 2021 12:00 – 12:45 Infection Risk and Endoscopy Training in the Era of COVID-19 Room 6

A Control Telephone Call 14 Days after Endoscopy May not be Necessary: Anecdotical Detection of Sars-Cov-2 Infection Following an Endoscopic Procedure

M Bustamante-Balén
1   La Fe University Hospital, Gastrointestinal Endoscopy Unit, Valencia, Spain
,
L Gorriz
1   La Fe University Hospital, Gastrointestinal Endoscopy Unit, Valencia, Spain
,
M Botella
1   La Fe University Hospital, Gastrointestinal Endoscopy Unit, Valencia, Spain
,
VL Zuñiga Garcia
1   La Fe University Hospital, Gastrointestinal Endoscopy Unit, Valencia, Spain
,
N Alonso
1   La Fe University Hospital, Gastrointestinal Endoscopy Unit, Valencia, Spain
,
L Argüello
1   La Fe University Hospital, Gastrointestinal Endoscopy Unit, Valencia, Spain
,
C Sanchez
1   La Fe University Hospital, Gastrointestinal Endoscopy Unit, Valencia, Spain
,
M García Campos
1   La Fe University Hospital, Gastrointestinal Endoscopy Unit, Valencia, Spain
,
V Pons-Beltrán
1   La Fe University Hospital, Gastrointestinal Endoscopy Unit, Valencia, Spain
› Author Affiliations
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    Aims Some guidelines suggest to contact patients 14 days after the endoscopic procedure to evaluate their clinical situation, aiming to identify nosocomial SARS-CoV-2 infection. Our aim was to assess the clinical usefulness of this recommendation in an endoscopy unit during the first wave and the recovery phase of the COVID-19 pandemic.

    Methods From March 2020 to July 2020 (first wave and recovery phase), every patient undergoing an endoscopic examination in our unit was contacted by phone 14 days after the procedure to check about the presence of COVID-19-related symptoms and to inquire about any new SARS-CoV-2 infection diagnosis using a predesigned questionnaire. Most of the patients had a preprocedure nasopharyngal swab testing for SARS-CoV-2 (PCR), and all procedures were performed using a full PPE.

    Results ​​​​424 inpatients (A) and 1187 outpatients (B) were included. Their main characteristics are summarized in [table 1]. Overall, 211 patients (13.1 %) had symptoms that could be related to COVID-19. However, only two cases of SARS-CoV-2 positive PCR were detected (0,12 %), one in each group. The +PCR in group A was during the first wave and the +PCR in group B was during the recovery phase. Positive group A patient was detected during her admission because complications of a multiple myeloma. Positive group B patient was detected because typical COVID-19 symptoms. No infection in healthcare workers related to these procedures was detected.

    Tab. 1

    Patient´s characteristics

    Inpatients (n = 424)

    Outpatients (n = 1187)

    p

    First wave

    150 (35.4 %)

    425 (35.8 %)

    NS

    Upper GI examination

    284 (67.0 %)

    549 (46.25)

    Any possible COVID-19 symptom

    67 (15.8 %)

    144 (12.1 %)

    NS

    SARS-CoV-2 PCR positive

    1 (0.2 %)

    1 (0.08)

    NS

    Conclusions 1) The rate of SARS-CoV-2 infection in patients undergoing an endoscopic examination is exceedingly low even during the acceleration phase; 2) The practical relevance of a control telephone call 14 days post-procedure is questionable.

    Citation: Bustamante-Balén M, Gorriz L, Botella M et al. OP23 A CONTROL TELEPHONE CALL 14 DAYS AFTER ENDOSCOPY MAY NOT BE NECESSARY: ANECDOTICAL DETECTION OF SARS-COV-2 INFECTION FOLLOWING AN ENDOSCOPIC PROCEDURE. Endoscopy 2021; 53: S13.


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    Publication History

    Article published online:
    19 March 2021

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