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Risk Stratification and Personal Protective Equipment Use in Pediatric Endoscopy During the Coronavirus Disease 2019 Outbreak: A Single-center Protocol.
J Pediatr Gastroenterol Nutr. 2020 06; 70(6):751-754.JP

Abstract

SARS-CoV-2, the novel coronavirus causing coronavirus disease 2019 (COVID-19), is now a global pandemic. Human-to-human transmission has been documented to occur through respiratory secretions, feces, aerosols, and contaminated environmental surfaces. Pediatric patients present a unique challenge as they may have minimal symptoms and yet transmit disease. Endoscopists face risk for infection with viruses like SARS-CoV-2, as the aerosol generating nature of endoscopy diffuses respiratory disease that can be spread via an airborne and droplet route. We describe our center's methodology for pediatric patient risk stratification to facilitate responsible use of endoscopic resources during this crisis. We also describe our recommendations for use of personal protective equipment by endoscopists, with the goal of ensuring the safety of ourselves, our anesthesiology and endoscopy staff, and our patients.

Authors+Show Affiliations

Division of Gastroenterology, Hepatology, and Nutrition. University of California, Davis Children's Hospital. University of California, Davis Medical Center, Sacramento, CA.Division of Gastroenterology, Hepatology, and Nutrition. University of California, Davis Children's Hospital. University of California, Davis Medical Center, Sacramento, CA.University of California, Davis Children's Hospital. Department of Anesthesiology, University of California, Davis. University of California, Davis Medical Center, Sacramento, CA.Division of Critical Care. University of California, Davis Children's Hospital. University of California, Davis Medical Center, Sacramento, CA.Division of Neonatology, Department of Pediatrics, University of California, Davis. University of California, Davis Children's Hospital. University of California, Davis Medical Center, Sacramento, CA.Division of Infectious Diseases. University of California, Davis Children's Hospital. University of California, Davis Medical Center, Sacramento, CA.Division of Infectious Diseases. University of California, Davis Children's Hospital. University of California, Davis Medical Center, Sacramento, CA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32443023

Citation

Say, Daphne S., et al. "Risk Stratification and Personal Protective Equipment Use in Pediatric Endoscopy During the Coronavirus Disease 2019 Outbreak: a Single-center Protocol." Journal of Pediatric Gastroenterology and Nutrition, vol. 70, no. 6, 2020, pp. 751-754.
Say DS, de Lorimier A, Lammers CR, et al. Risk Stratification and Personal Protective Equipment Use in Pediatric Endoscopy During the Coronavirus Disease 2019 Outbreak: A Single-center Protocol. J Pediatr Gastroenterol Nutr. 2020;70(6):751-754.
Say, D. S., de Lorimier, A., Lammers, C. R., Natale, J., Lakshminrusimha, S., Wiedeman, J., & Partridge, E. (2020). Risk Stratification and Personal Protective Equipment Use in Pediatric Endoscopy During the Coronavirus Disease 2019 Outbreak: A Single-center Protocol. Journal of Pediatric Gastroenterology and Nutrition, 70(6), 751-754. https://doi.org/10.1097/MPG.0000000000002731
Say DS, et al. Risk Stratification and Personal Protective Equipment Use in Pediatric Endoscopy During the Coronavirus Disease 2019 Outbreak: a Single-center Protocol. J Pediatr Gastroenterol Nutr. 2020;70(6):751-754. PubMed PMID: 32443023.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Risk Stratification and Personal Protective Equipment Use in Pediatric Endoscopy During the Coronavirus Disease 2019 Outbreak: A Single-center Protocol. AU - Say,Daphne S, AU - de Lorimier,Arthur, AU - Lammers,Cathleen R, AU - Natale,JoAnne, AU - Lakshminrusimha,Satyan, AU - Wiedeman,Jean, AU - Partridge,Elizabeth, PY - 2020/5/23/entrez PY - 2020/5/23/pubmed PY - 2020/6/6/medline SP - 751 EP - 754 JF - Journal of pediatric gastroenterology and nutrition JO - J Pediatr Gastroenterol Nutr VL - 70 IS - 6 N2 - SARS-CoV-2, the novel coronavirus causing coronavirus disease 2019 (COVID-19), is now a global pandemic. Human-to-human transmission has been documented to occur through respiratory secretions, feces, aerosols, and contaminated environmental surfaces. Pediatric patients present a unique challenge as they may have minimal symptoms and yet transmit disease. Endoscopists face risk for infection with viruses like SARS-CoV-2, as the aerosol generating nature of endoscopy diffuses respiratory disease that can be spread via an airborne and droplet route. We describe our center's methodology for pediatric patient risk stratification to facilitate responsible use of endoscopic resources during this crisis. We also describe our recommendations for use of personal protective equipment by endoscopists, with the goal of ensuring the safety of ourselves, our anesthesiology and endoscopy staff, and our patients. SN - 1536-4801 UR - https://www.unboundmedicine.com/medline/citation/32443023/Risk_Stratification_and_Personal_Protective_Equipment_Use_in_Pediatric_Endoscopy_During_the_Coronavirus_Disease_2019_Outbreak:_A_Single_center_Protocol_ L2 - https://doi.org/10.1097/MPG.0000000000002731 DB - PRIME DP - Unbound Medicine ER -