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LitCovid-sentences  

PMC:7417285 JSONTXT 16 Projects

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Id Subject Object Predicate Lexical cue
T1 0-106 Sentence denotes Additional measures for bedside endoscope cleaning to prevent contaminated splash during COVID-19 pandemic
T2 108-348 Sentence denotes We read the recent European Society of Gastrointestinal Endoscopy (ESGE) and European Society of Gastroenterology Nurses and Associates (ESGENA) Position Statement on gastrointestinal endoscopy and the COVID-19 pandemic with great interest.
T3 349-451 Sentence denotes The Statement provides guidance to protect against COVID-19 for both patients and endoscopy personnel.
T4 452-721 Sentence denotes We are concerned, however, that the general comment number 3 1 , which states, “Reprocessing of flexible endoscopes and endoscopic accessories should be performed according to published guidelines,” is not appropriate in the setting of COVID-19 contaminated endoscopes.
T5 722-901 Sentence denotes The ESGE and ESGENA guidelines in 2018 2 recommend a precleaning step, which, in the context of COVID-19 contamination, may cause endoscopy personnel to be unnecessarily splashed.
T6 902-1082 Sentence denotes Therefore, during precleaning at the bedside 2 , we recommend first applying virucide to the endoscope control section and insertion tube by using a gauze dampened in 70 % alcohol.
T7 1083-1218 Sentence denotes Second, to remove debris and to prevent biofilm formation in the endoscope channel, we recommend using enzymatic detergent solution 3 .
T8 1219-1363 Sentence denotes The use of enzymatic detergent is preferred because it reduces the amount of organic residue compared with the use of nonenzymatic detergent 4 .
T9 1364-1541 Sentence denotes Notably, we strongly recommend against suction or blowing air, or flushing water into any of the channels as these actions may cause splashing or even aerosolization ( Fig. 1 ).
T10 1542-1622 Sentence denotes Thus, we recommend only suctioning the detergent through the working channel 4 .
T11 1623-1753 Sentence denotes The valves should not be replaced before finishing this process because significant splashing may occur during the valve exchange.
T12 1754-1958 Sentence denotes Third, we recommend immersing the endoscope in a bin containing 0.2 % – 0.35 % paracetic acid, glutaraldehyde, or ortho-phthalaldehyde solution for the duration recommended by the manufacturer ( Fig. 1 ).
T13 1959-1989 Sentence denotes These solutions are virucidal.
T14 1990-2237 Sentence denotes Ultimately, the endoscope can be transferred to the reprocessing room and undergo the standard reprocessing order, starting from leak testing, repeat manual cleaning (this time with flushing, rinsing etc.), and standard high-level disinfection 2 .
T15 2238-2356 Sentence denotes Fig. 1  Endoscope reprocessing with additional measures for bedside endoscope cleaning during the COVID-19 outbreak.
T16 2357-2416 Sentence denotes PUI, person under investigation; OPA, ortho-phthalaldehyde.
T17 2418-2662 Sentence denotes The person who performs the bedside precleaning process should wear an enhanced set of personal protective equipment (PPE) and, in order to make best use of available PPE, that person can be the assistant who is already wearing appropriate PPE.
T18 2663-2756 Sentence denotes In such a situation, the person in the reprocessing room may wear standard PPE ( Fig. 2 ) 1 .
T19 2757-2897 Sentence denotes When the additional safety measures can only be performed in the reprocessing room, the person responsible must wear an enhanced set of PPE.
T20 2898-3242 Sentence denotes Fig. 2  Personal protective equipment (PPE) for the person who performs the bedside precleaning process and the person in the reprocessing room, according to 2020 position statements on COVID-19 from Asian Pacific Society of Digestive Endoscopy, American Society for Gastrointestinal Endoscopy, and Centers for Disease Control and Prevention.
T21 3243-3393 Sentence denotes To win the war against COVID-19, we must prevent all healthcare personnel from becoming infected and further spreading the virus to their communities.
T22 3394-3517 Sentence denotes As the standard protocol may cause splashing or even aerosolization, steps must be taken to mitigate the transmission risk.
T23 3518-3647 Sentence denotes While waiting for the study to prove the benefit of these additional steps, we believe that “to do more” is essential at present.
T24 3649-3729 Sentence denotes Competing interests The authors declare that they have no conflicts of interest.