Resumption of activity in gastroenterology departments. Recommendations by SEPD, AEEH, GETECCU and AEG

ISSN: 2444-3824

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Clinical practice guidelines

DOI: 10.1016/j.gastre.2020.04.001

Resumption of activity in gastroenterology departments. Recommendations by SEPD, AEEH, GETECCU and AEG

Restablecimiento de la actividad en los servicios de Digestivo. Recomendaciones de la SEPD, AEEH, GETECCU y AEG

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Javier Crespoa,

Corresponding author

javiercrespo1991@gmail.com

Corresponding author.

, Raúl Andradeb, Fernando Alberca de las Parrasc, Francesc Balaguerd, Manuel Barreiro-de Acostae, Luís Bujandaf, Ana Gutiérrezg, Francisco Jorquerah, Julio Iglesias-Garcíai, Andrés Sánchez-Yagüej, José Luis Callejak

a President of SEPD, Head, Gastroenterology Department, Hospital Universitario Marqués de Valdecilla. Instituto de Investigación Valdecilla (IDIVAL). Medicine School. Universidad de Cantabria, Santander, Spain

b Presidente of AEEH, Head, Gastroenterology Department, Hospital Universitario Virgen de la Victoria, Málaga, Spain

c Head, Gastroenterology Department, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain

d Secretary of the Asociación Española de Gastroenterología (AEG), Department of Gastroenterology, Hospital Clínic, Barcelona, Spain

e President of GETECCU, IBD Unit, Gastroenterology Department, Hospital Clínico Universitario de Santiago, Santiago de Compostela, A Coruña, Spain

f President of the Asociación Española de Gastroenterología (AEG), Instituto Biodonostia, CIBERehd, Universidad del País Vasco (UPV/EHU) , San Sebastián, Guipúzcoa, Spain

g Vicenpresident of GETECCU, Gastroenterology Department, Hospital General Universitario de Alicante. Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd). Instituto de Salud Carlos III, Alicante, Spain

h Head, Gastroenterology Department, Complejo Asistencial Universitario de León. IBIOMED. Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd). Instituto de Salud Carlos III, León, Spain

i Head, Endoscopy Section, Gastroenterology Department, Hospital Clínico Universitario de Santiago, Santiago de Compostela, A Coruña, Spain

j Area Specialist, Gastroenterology Department, Hospital Costa del Sol, Marbella, Head, Gastroenterology Department, Hospital Vithas Xanit Internacional, Benalmádena, Málaga, Spain

k Vicepresident of AEEH, Head, Gastroenterology and Hepatology Department, Hospital Universitario Puerta de Hierro Majadahonda. Instituto de Investigación Biomédica IDIPHIM. Universidad Autónoma de Madrid, Majadahonda, Madrid, Spain

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Tables (6)

Table 1. Theoretical stratification of the risk for poor outcomes based on the recommendations issued by the British Society of Gastroenterologt (BSG).18

Table 2. Urgent, undelayable indications during the SARS-CoV-2 pandemic.

Table 3. Indications during the phases of resumption of activities in endoscopy units.

Table 4. Intervals between endoscopic procedures according to EFICAD.

Table 5. Stratification of the risk for SARS-CoV-2 transmission according to type of patient scheduled for GI endoscopy.

Table 6. Recommendations for resumption of activities in hepatology units.

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Abstract

The set of measures proposed by SEPD, AEEH, GETECCU and AEG are aimed to help departments in their resumption of usual activity. We have prepared a number of practical recommendations regarding patient management and the stepwise resumption of healthcare activity. These recommendations are based on the sparse, changing evidence available, and will be updated in the future according to daily needs and the availability of expendable materials to suit them; in each department they will be implemented depending upon the cumulative incidence of SARS-CoV-2 infection in each region, and the burden the pandemic has represented for each hospital. The general objectives of these recommendations include:

• To protect our patients against the risks of infection with SARS-CoV-2 and to provide them with high-quality care.

• To protect all healthcare professionals against the risks of infection with SARS-CoV-2.

• To resume normal functioning of our departments in a setting of ongoing risk for infection with SARS-CoV-2.

Keywords:

SARS-CoV2

Gastroenterology departments

Recommendations

Resumption

Resumen

El artículo recoge el conjunto de medidas propuestas por la SEPD, la AEEH, GETECCU y la AEG que pretenden servir de ayuda a los servicios en su reincorporación a la actividad habitual. Hemos confeccionado una serie de recomendaciones prácticas respecto al manejo y a la reintroducción progresiva de la actividad asistencial. Estas recomendaciones están guiadas por la escasa y cambiante evidencia disponible y serán objeto de futuras actualizaciones, en base a las necesidades diarias y la disponibilidad del material fungible para adecuarse a las mismas; y se podrán implementar en cada servicio en función de la incidencia acumulada de SARS-CoV-2 en cada región y de la carga que la epidemia ha ocasionado en cada uno de los hospitales. Los objetivos generales de estas recomendaciones son:

• Proteger a nuestros pacientes de los riesgos de la infección por SARS-CoV-2 y prestarles una atención de calidad.

• Proteger a todos los profesionales sanitarios de los riesgos de la infección por SARS-CoV-2.

• Recuperar el normal funcionamiento de nuestros servicios en un entorno de riesgo continuado de infección por SARS-CoV-2.

Palabras clave:

SARS-CoV-2

Servicios de Digestivo

Recomendaciones

Restablecimiento

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