Recommendations of the Spanish Association of Neurogastroenterology and Motility (ASENEM) to restart the activity of gastrintestinal motility laboratories after the state of alarm called due to the Covid-19 pandemic
Gastroenterol Hepatol. 2020 Oct;43(8):485-496.
doi: 10.1016/j.gastrohep.2020.05.011.
Epub 2020 Jun 18.
[Article in
English,
Spanish]
Affiliations
- 1 Sección de Trastornos Funcionales y Motores Digestivos, Servicio de Aparato Digestivo, Hospital Universitario Miguel Servet, Instituto de Investigación Sanitaria de Aragón (IIS Aragón), Zaragoza, España. Electronic address: jalcedo@telefonica.net.
- 2 Unidad de Trastornos Motores y Funcionales Digestivos, Servicio de Aparato Digestivo, Hospital Universitario Germans Trias i Pujol, Barcelona, España; Universidad Autónoma de Barcelona, Barcelona, España; Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd), Barcelona, España.
- 3 Unidad de Motilidad, Servicio de Aparato Digestivo, Instituto de Investigación Sanitaria, Hospital Clínico San Carlos (IdISSC), Universidad Complutense de Madrid, Madrid, España.
- 4 Unidad de Motilidad Digestiva, Servicio de Medicina Digestiva, Hospital Clínico Universitario, Valencia, España.
- 5 Unidad de Pruebas Funcionales Digestivas, Servicio de Aparato Digestivo, Hospital General Vall d́Hebron, Barcelona, España; Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd), Barcelona, España.
- 6 Unidad de Exploraciones Funcionales Digestivas, Hospital Universitario Torrecárdenas, Almería, España.
- 7 Unidad de Pruebas Funcionales Digestivas, Servicio de Aparato Digestivo, Hospital General Vall d́Hebron, Barcelona, España; Universidad Autónoma de Barcelona, Barcelona, España; Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd), Barcelona, España.
Abstract
The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) was responsible for the outbreak of the 2019 coronavirus disease (COVID-19), which is now considered as a pandemic. The prevention strategies adopted have included social distancing measures and the modification, reduction or interruption of a large proportion of routine healthcare activity. This has had a significant impact on the care provided in Gastrointestinal Motility Units. Having passed the peak, in terms of mortality and infections, a gradual reduction in transmission figures has been observed in Spain and other European countries. The risk of reactivation, however, remains high, so it is necessary to have a plan in place that allows healthcare centres to safely resume, for their patients and professionals, instrumental examinations linked to the management of motor pathology. Based on the available scientific evidence and the consensus of a panel of experts, the Spanish Association of Neurogastroenterology and Motility (ASENEM) has drawn up a series of practical recommendations, which have been adapted to the risks inherent in each activity. These include individual protection proposals, as well as organisational and structural measures, which are conceived to allow for the gradual resumption of examinations while minimising the possibility of contagion.
Keywords:
Breath-test; COVID-19 pandemic; Desinfección; Desinfection; Digestive motility disorders; EPI; Manometry; Manometría; PCR; PPE; Pandemia COVID-19; Reinicio de actividad; Resumption of activity; SARS-CoV-2; Test de aliento; Trastornos de la motilidad digestiva; pH-impedance; pH-impedancia.
Copyright © 2020 Elsevier España, S.L.U. All rights reserved.
MeSH terms
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Betacoronavirus*
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COVID-19
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COVID-19 Testing
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Clinical Laboratory Techniques
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Continuity of Patient Care
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Coronavirus Infections* / diagnosis
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Coronavirus Infections* / epidemiology
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Coronavirus Infections* / prevention & control
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Coronavirus Infections* / transmission
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Evidence-Based Medicine
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Gastrointestinal Motility*
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Health Facility Closure
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Humans
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Infection Control / methods
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Infection Control / organization & administration*
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Laboratories*
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Pandemics* / prevention & control
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Patient Isolation
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Pneumonia, Viral* / diagnosis
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Pneumonia, Viral* / epidemiology
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Pneumonia, Viral* / prevention & control
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Pneumonia, Viral* / transmission
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Risk Assessment
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Risk Management
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SARS-CoV-2
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Spain / epidemiology