A44 ENDOSCOPISTS PERFORMING ADVANCED UPPER GI ENDOSCOPY ARE AT HIGHER RISK OF FACIAL BACTERIAL CONTAMINATION
Notice bibliographique
Résumé
Abstract Background Gastrointestinal (GI) endoscopy has been recognized as putting endoscopists at risk for bacterial exposure. However, whether longer, more advanced procedures such as endoscopic submucosal dissection (ESD) or endoscopic retrograde cholagiopancreatography (ERCP) confer greater risk has not been investigated. Aims This study aimed to investigate the degree of exposure on endoscopists who performed ESD or ERCP and find out if longer time or procedure type are risk factors for exposure. Methods This was a prospective study examining the facemasks of endoscopists who performed ESD or ERCP at a university hospital, with 40 procedures planned for each procedure. The face shield was swabbed in a standardized way before and at the end of the procedure. Swabs were also taken from face shields placed 2 meters away on the endoscopy suite wall, patient recovery room wall, and after direct contamination by the endoscope immediately after the procedure. The swabs were cultured for 48 hours, and growth was reported as no growth or by number of colony-forming units (CFUs). The groups were compared for +CFU rate. Risk of contamination was analyzed by procedure time and type. Results 55 ESDs and ERCPS were performed during the study dates. It was decided to terminate the study early, due to the COVID-19 situation, as facemasks were deemed too important to be used for walls. Excluding one facemask group in which the endoscopist’s facemask was exposed before the procedure, 54 groups of masks were analyzed. There were 33 ESDs and 21 ERCPS performed, with 26 upper GI and 7 lower GI ESDs. A cut-off of 30 CFUs were determined as indication of definite exposure. Interestingly, none of the 7 lower GI ESDs resulted in any exposure, so it was decided to analyze only the 47 orally inserted procedures. There were 9 positive exposures, 6 ESDs (23.1%) and 3 ERCPs (14.3%). Mean procedure time was 30.3 ± 15.2 minutes. Procedure time (Odds ratio 1.014, 0.968-1.061, P=0.564) and type (ERCP compared to ESD, OR 0.556, 0.121-2.553, P=0.556) were not positive risk factors for contamination. The most commonly cultured pathogens were Staphylococcus, Streptococcus, Bacillus, and Moraxella species. Conclusions This study confirmed that advanced procedures such as upper GI ESDs and ERCPs have a high risk of facial exposure. Facemasks and other protective equipment should be used during GI endoscopy. Basic Characteristics of Endoscopy ESD - endoscopic submucosal dissection, ERCP - endoscopic retrograde cholangiopancreatography Funding Agencies None
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,002 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,001 | 0,000 |
| Communication savante | 0,001 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,007 | 0,001 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».