Routine SARS-CoV-2 RT-PCR testing before digestive endoscopy during the peak of the pandemic - a single tertiary center experience

Background and Aims. COVID-19 pandemic has impacted on all endoscopy centers in the Czech Republic, that belongs to the most affected countries in the world. The aim of our study was to analyze all procedures following routine RT-PCR testing in our tertiary center during the peak of the pandemic. Me...

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Autores principales:	Karolina Novakova, Premysl Falt, Vit Navratil, Matej Halek, Marek Vetesnik, Peter Slodicka, Pavel Sauer, Milan Kolar, Roman Havlik, Jana Zapletalova, Ondrej Urban
Formato:	article
Lenguaje:	EN
Publicado:	Palacký University Olomouc, Faculty of Medicine and Dentistry 2021
Materias:	digestive endoscopy coronavirus disease 2019 (covid-19) severe acute respiratory syndrome coronavirus 2 (sars-cov-2) reverse transcription polymerase chain reaction (rt-pcr) Medicine R
Acceso en línea:	https://doaj.org/article/27c9affc79984a2fa061ce2a297fe70e
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spelling	oai:doaj.org-article:27c9affc79984a2fa061ce2a297fe70e2021-11-29T09:17:21ZRoutine SARS-CoV-2 RT-PCR testing before digestive endoscopy during the peak of the pandemic - a single tertiary center experience1213-81181804-7521https://doaj.org/article/27c9affc79984a2fa061ce2a297fe70e2021-11-01T00:00:00Zhttps://biomed.papers.upol.cz/artkey/bio-202104-0005_routine-sars-cov-2-rt-pcr-testing-before-digestive-endoscopy-during-the-peak-of-the-pandemic-a-single-tertiar.phphttps://doaj.org/toc/1213-8118https://doaj.org/toc/1804-7521Background and Aims. COVID-19 pandemic has impacted on all endoscopy centers in the Czech Republic, that belongs to the most affected countries in the world. The aim of our study was to analyze all procedures following routine RT-PCR testing in our tertiary center during the peak of the pandemic. Methods. We retrospectively analyzed all procedures performed from October 2020 to January 2021 after a new RT-PCR center had been set up. Main outcomes were type of scheduled procedure, indication, rate of therapeutic interventions and rate of new relevant and malignant findings. Comparison to the same period before the pandemic and SARS-CoV-2 infection in endoscopy staff are also reported. Results. A total of 1,953 procedures were performed. 624 patients were referred with a negative RT-PCR test and the remaining 1,346 patients were tested in the new center. 1,293 negative tests led to 1,329 procedures. A new relevant finding was reported in 589 (44.3%), including new malignancy in 56 (4.2%). 53 patients tested positive (3.9%). There was a reduction by 9% in the number of all procedures compared to the same period before the pandemic and an increase in the number of screening colonoscopies and ERCP procedures. In the study period, 9 of 54 staff members contracted SARS-CoV-2 infection. Conclusions. Routine RT-PCR testing of patients scheduled for elective endoscopy during the peak of COVID-19 pandemic enabled us to essentially maintain our unit productivity, including activities such as screening colonoscopy, endoscopic resection and pancreatobiliary endoscopy.Karolina NovakovaPremysl FaltVit NavratilMatej HalekMarek VetesnikPeter SlodickaPavel SauerMilan KolarRoman HavlikJana ZapletalovaOndrej UrbanPalacký University Olomouc, Faculty of Medicine and Dentistryarticledigestive endoscopycoronavirus disease 2019 (covid-19)severe acute respiratory syndrome coronavirus 2 (sars-cov-2)reverse transcription polymerase chain reaction (rt-pcr)MedicineRENBiomedical Papers, Vol 165, Iss 4, Pp 380-385 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	digestive endoscopy coronavirus disease 2019 (covid-19) severe acute respiratory syndrome coronavirus 2 (sars-cov-2) reverse transcription polymerase chain reaction (rt-pcr) Medicine R
spellingShingle	digestive endoscopy coronavirus disease 2019 (covid-19) severe acute respiratory syndrome coronavirus 2 (sars-cov-2) reverse transcription polymerase chain reaction (rt-pcr) Medicine R Karolina Novakova Premysl Falt Vit Navratil Matej Halek Marek Vetesnik Peter Slodicka Pavel Sauer Milan Kolar Roman Havlik Jana Zapletalova Ondrej Urban Routine SARS-CoV-2 RT-PCR testing before digestive endoscopy during the peak of the pandemic - a single tertiary center experience
description	Background and Aims. COVID-19 pandemic has impacted on all endoscopy centers in the Czech Republic, that belongs to the most affected countries in the world. The aim of our study was to analyze all procedures following routine RT-PCR testing in our tertiary center during the peak of the pandemic. Methods. We retrospectively analyzed all procedures performed from October 2020 to January 2021 after a new RT-PCR center had been set up. Main outcomes were type of scheduled procedure, indication, rate of therapeutic interventions and rate of new relevant and malignant findings. Comparison to the same period before the pandemic and SARS-CoV-2 infection in endoscopy staff are also reported. Results. A total of 1,953 procedures were performed. 624 patients were referred with a negative RT-PCR test and the remaining 1,346 patients were tested in the new center. 1,293 negative tests led to 1,329 procedures. A new relevant finding was reported in 589 (44.3%), including new malignancy in 56 (4.2%). 53 patients tested positive (3.9%). There was a reduction by 9% in the number of all procedures compared to the same period before the pandemic and an increase in the number of screening colonoscopies and ERCP procedures. In the study period, 9 of 54 staff members contracted SARS-CoV-2 infection. Conclusions. Routine RT-PCR testing of patients scheduled for elective endoscopy during the peak of COVID-19 pandemic enabled us to essentially maintain our unit productivity, including activities such as screening colonoscopy, endoscopic resection and pancreatobiliary endoscopy.
format	article
author	Karolina Novakova Premysl Falt Vit Navratil Matej Halek Marek Vetesnik Peter Slodicka Pavel Sauer Milan Kolar Roman Havlik Jana Zapletalova Ondrej Urban
author_facet	Karolina Novakova Premysl Falt Vit Navratil Matej Halek Marek Vetesnik Peter Slodicka Pavel Sauer Milan Kolar Roman Havlik Jana Zapletalova Ondrej Urban
author_sort	Karolina Novakova
title	Routine SARS-CoV-2 RT-PCR testing before digestive endoscopy during the peak of the pandemic - a single tertiary center experience
title_short	Routine SARS-CoV-2 RT-PCR testing before digestive endoscopy during the peak of the pandemic - a single tertiary center experience
title_full	Routine SARS-CoV-2 RT-PCR testing before digestive endoscopy during the peak of the pandemic - a single tertiary center experience
title_fullStr	Routine SARS-CoV-2 RT-PCR testing before digestive endoscopy during the peak of the pandemic - a single tertiary center experience
title_full_unstemmed	Routine SARS-CoV-2 RT-PCR testing before digestive endoscopy during the peak of the pandemic - a single tertiary center experience
title_sort	routine sars-cov-2 rt-pcr testing before digestive endoscopy during the peak of the pandemic - a single tertiary center experience
publisher	Palacký University Olomouc, Faculty of Medicine and Dentistry
publishDate	2021
url	https://doaj.org/article/27c9affc79984a2fa061ce2a297fe70e
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Routine SARS-CoV-2 RT-PCR testing before digestive endoscopy during the peak of the pandemic - a single tertiary center experience

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