Barriers for resuming endoscopy service in the context of COVID-19 pandemic: A multicenter survey from Egypt

Table 1 Intra-procedural precautions applied by different Centers during the coronavirus disease 2019 pandemic in Egypt, n (%)

Governorates	Usage of PPE				Action taken by centers
	For all cases	For suspected cases	For confirmed cases only	Vary accordingly	Delay of turnover for cleaning	Increased time/case
Cairo and Giza	5 (16.7)	13 (43.3)	12 (40)	8 (26.7)	27 (90)	21 (70)
Upper Egypt	10 (29.4)	7 (20.6)	13 (38.2)	7 (20.6)	32 (94.1)	27 (79.4)
Lower Egypt	13 (36.1)	10 (27.8)	10 (27.8)	8 (22.2)	32 (88.9)	29 (80.6)
Delta	7 (53.8)	4 (30.8)	3 (23.1)	3 (23.1)	13 (100)	13 (100)

PPE: Personal protective equipment.

Table 2 Regression analysis for factors that determine decision making as regard resuming endoscopy service

Factor	Univariate		Multivariate
	P value	OR	P value	OR	95%CI
Status of pandemic	0.03	1.5	0.029	0.15	0.20-0.9
Shortage of PPE	0.04	4.2	0.42	2.24	0.31-16.1
Staff recovery	0.05	1.4	< 0.001	1.8	5.1-6.7
Having a COVID designed unit	0.04	4.2	0.01	0.5	0.11-0.82
Having separate endoscopy room	0.04	1.01	0.02	0.16	0.03-0.7
Patient classified before procedure	0.03	1.7	0.007	0.7	1.1-1.18

OR: Odd’s ratio; COVID: Coronavirus disease; PPE: Personal protective equipment.