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Preparedness and Response to the COVID-19 Emergency: Experience from the Teaching Hospital of Pisa, Italy
Open AccessArticle

COVID-19 Emergency Management: From the Reorganization of the Endoscopy Service to the Verification of the Reprocessing Efficacy

1
Department of Translational Research, N.T.M.S., University of Pisa, 56126 Pisa, Italy
2
Virology Division, University Hospital of Pisa, 56126 Pisa, Italy
3
Endoscopy Service Division, University Hospital of Pisa, 56126 Pisa, Italy
4
Thoracic Endoscopy Division, University Hospital of Pisa, 56126 Pisa, Italy
5
Medical Direction, University Hospital of Pisa, 56126 Pisa, Italy
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(21), 8142; https://doi.org/10.3390/ijerph17218142
Received: 25 September 2020 / Revised: 26 October 2020 / Accepted: 2 November 2020 / Published: 4 November 2020
(This article belongs to the Special Issue New and Re-emerging Pathogens)
Microbiological surveillance carried out in order to verify the effectiveness of endoscope reprocessing does not include the research of viruses, although endoscopes may be associated with the transmission of viral infections. This paper reports the experience of the University Hospital of Pisa in managing the risk from severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) during an endoscopy. A review of the reprocessing procedure was conducted to assess whether improvement actions were needed. To verify the reprocessing efficacy, a virological analysis was conducted both before and after the procedure. Five bronchoscopes and 11 digestive endoscopes (6 gastroscopes and 5 colonoscopes) were sampled. The liquid samples were subjected to concentration through the use of the Macrosep Advance Centrifugal Devices (PALL Life Sciences, Port Washington, NY, USA) and subsequently analyzed using the cobas® SARS-CoV-2 Test (Roche Diagnostics, Basel, Switzerland), together with eSwab 490 CE COPAN swabs (COPAN, Brescia, Italy), which were used to sample surfaces. In accordance with the first ordinance regarding the coronavirus disease 2019 (COVID-19) emergency issued by the Tuscany Region in March 2020, a procedure dedicated to the management of the COVID-19 emergency in endoscopic practices was prepared, including the reprocessing of endoscopes. The virological analysis carried out on samples collected from endoscopes after reprocessing gave negative results, as well as on samples collected on the endoscopy column surfaces and the two washer-disinfectors that were dedicated to COVID-19 patients. The improvement in endoscope reprocessing implemented during the COVID-19 emergency was effective in ensuring the absence of SARS-CoV-2, thus reducing the risk of infections after an endoscopy on COVID-19 patients. View Full-Text
Keywords: SARS-CoV-2; endoscopy; reprocessing; virological investigation; COVID-19 SARS-CoV-2; endoscopy; reprocessing; virological investigation; COVID-19
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MDPI and ACS Style

Casini, B.; Tuvo, B.; Maggi, F.; Del Magro, G.; Ribechini, A.; Costa, A.L.; Totaro, M.; Baggiani, A.; Gemignani, G.; Privitera, G. COVID-19 Emergency Management: From the Reorganization of the Endoscopy Service to the Verification of the Reprocessing Efficacy. Int. J. Environ. Res. Public Health 2020, 17, 8142. https://doi.org/10.3390/ijerph17218142

AMA Style

Casini B, Tuvo B, Maggi F, Del Magro G, Ribechini A, Costa AL, Totaro M, Baggiani A, Gemignani G, Privitera G. COVID-19 Emergency Management: From the Reorganization of the Endoscopy Service to the Verification of the Reprocessing Efficacy. International Journal of Environmental Research and Public Health. 2020; 17(21):8142. https://doi.org/10.3390/ijerph17218142

Chicago/Turabian Style

Casini, Beatrice; Tuvo, Benedetta; Maggi, Fabrizio; Del Magro, Giuliana; Ribechini, Alessandro; Costa, Anna L.; Totaro, Michele; Baggiani, Angelo; Gemignani, Giulia; Privitera, Gaetano. 2020. "COVID-19 Emergency Management: From the Reorganization of the Endoscopy Service to the Verification of the Reprocessing Efficacy" Int. J. Environ. Res. Public Health 17, no. 21: 8142. https://doi.org/10.3390/ijerph17218142

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