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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

K. Novakova, P. Falt, V. Navratil, M. Halek, M. Vetesnik, P. Slodicka, P. Sauer, M. Kolar, R. Havlik, J. Zapletalova, O. Urban

. 2021 ; 165 (4) : 380-385. [pub] 20211115

Language English Country Czech Republic

Document type Journal Article

Persistent link   https://www.medvik.cz/link/bmc22007883

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.

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Literatura

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$a Nováková, Karolína $7 xx0256336 $u Department of Internal Medicine II - Gastroenterology and Hepatology, University Hospital Olomouc, Czech Republic
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$a Routine SARS-CoV-2 RT-PCR testing before digestive endoscopy during the peak of the pandemic - a single tertiary center experience / $c K. Novakova, P. Falt, V. Navratil, M. Halek, M. Vetesnik, P. Slodicka, P. Sauer, M. Kolar, R. Havlik, J. Zapletalova, O. Urban
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$a 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.
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$a Falt, Přemysl, $d 1981- $7 xx0149631 $u Department of Internal Medicine II - Gastroenterology and Hepatology, University Hospital Olomouc, Czech Republic
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$a Navrátil, Vít $7 xx0231005 $u Department of Internal Medicine II - Gastroenterology and Hepatology, University Hospital Olomouc, Czech Republic
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$a Hálek, Matěj $7 xx0271147 $u Department of Internal Medicine II - Gastroenterology and Hepatology, University Hospital Olomouc, Czech Republic
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$a Vetešník, Marek $7 xx0271148 $u Department of Internal Medicine II - Gastroenterology and Hepatology, University Hospital Olomouc, Czech Republic
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$a Slodička, Peter $7 xx0239594 $u Department of Internal Medicine II - Gastroenterology and Hepatology, University Hospital Olomouc, Czech Republic
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$a Sauer, Pavel $7 xx0078987 $u Department of Microbiology, University Hospital Olomouc, Czech Republic
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$a Kolář, Milan, $d 1964- $7 jn20010310083 $u Department of Microbiology, University Hospital Olomouc, Czech Republic
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$a Havlík, Roman, $d 1965- $7 nlk20030127571 $u Department of Surgery I, University Hospital Olomouc, Czech Republic
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$a Zapletalová, Jana $7 xx0111614 $u Department of Medical Biophysics, Faculty of Medicine and Dentristy, Palacky University Olomouc, Czech Republic
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$a Urban, Ondřej, $d 1965- $7 stk2008428564 $u Department of Internal Medicine II - Gastroenterology and Hepatology, University Hospital Olomouc, Czech Republic
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