CLC number: R473.5
On-line Access: 2024-08-27
Received: 2023-10-17
Revision Accepted: 2024-05-08
Crosschecked: 2020-03-31
Cited: 0
Clicked: 6623
Qing Gu, Hua-Fen Wang, Ying Fang, Ye Lu, Zhe Shen, Yan Wang, Xin Wu, Li Cen, Yi-Shu Chen. Analysis of an improved workflow of endoscope reprocessing for bedside endoscopic diagnosis and treatment on COVID-19 patients#[J]. Journal of Zhejiang University Science B, 2020, 21(5): 416-422.
@article{title="Analysis of an improved workflow of endoscope reprocessing for bedside endoscopic diagnosis and treatment on COVID-19 patients#",
author="Qing Gu, Hua-Fen Wang, Ying Fang, Ye Lu, Zhe Shen, Yan Wang, Xin Wu, Li Cen, Yi-Shu Chen",
journal="Journal of Zhejiang University Science B",
volume="21",
number="5",
pages="416-422",
year="2020",
publisher="Zhejiang University Press & Springer",
doi="10.1631/jzus.B2000109"
}
%0 Journal Article
%T Analysis of an improved workflow of endoscope reprocessing for bedside endoscopic diagnosis and treatment on COVID-19 patients#
%A Qing Gu
%A Hua-Fen Wang
%A Ying Fang
%A Ye Lu
%A Zhe Shen
%A Yan Wang
%A Xin Wu
%A Li Cen
%A Yi-Shu Chen
%J Journal of Zhejiang University SCIENCE B
%V 21
%N 5
%P 416-422
%@ 1673-1581
%D 2020
%I Zhejiang University Press & Springer
%DOI 10.1631/jzus.B2000109
TY - JOUR
T1 - Analysis of an improved workflow of endoscope reprocessing for bedside endoscopic diagnosis and treatment on COVID-19 patients#
A1 - Qing Gu
A1 - Hua-Fen Wang
A1 - Ying Fang
A1 - Ye Lu
A1 - Zhe Shen
A1 - Yan Wang
A1 - Xin Wu
A1 - Li Cen
A1 - Yi-Shu Chen
J0 - Journal of Zhejiang University Science B
VL - 21
IS - 5
SP - 416
EP - 422
%@ 1673-1581
Y1 - 2020
PB - Zhejiang University Press & Springer
ER -
DOI - 10.1631/jzus.B2000109
Abstract: Severe cases infected with the coronavirus disease 2019 (COVID-19), named by the World Health Organization (WHO) on Feb. 11, 2020, tend to present a hypercatabolic state because of severe systemic consumption, and are susceptible to stress ulcers and even life-threatening gastrointestinal bleeding. Endoscopic diagnosis and treatment constitute an irreplaceable part in the handling of severe COVID-19 cases. Endoscopes, as reusable precision instruments with complicated structures, require more techniques than other medical devices in cleaning, disinfection, sterilization, and other reprocessing procedures. From 2016 to 2019, health care-acquired infection caused by improper endoscope reprocessing has always been among the top 5 on the list of top 10 health technology hazards issued by the Emergency Care Research Institute. Considering the highly infective nature of COVID-19 and the potential aerosol contamination therefrom, it is of pivotal significance to ensure that endoscopes are strictly reprocessed between uses. In accordance with the national standard “Regulation for Cleaning and disinfection Technique of Flexible Endoscope (WS507-2016),” we improved the workflow of endoscope reprocessing including the selection of chemicals in an effort to ensure quality control throughout the clinical management towards COVID-19 patients. Based on the experience we attained from the 12 severe COVID-19 cases in our hospital who underwent endoscopy 23 times in total, the article provides an improved version of endoscopic reprocessing guidelines for bedside endoscopic diagnosis and treatment on COVID-19 patients for reference.
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