Background and aims: The present study was aimed to assess the risk of SARS-CoV-2 infection and associated factors among HCWs in endoscopy centers in Italy .
Methods: All members of the Italian Society of Digestive Endoscopy (SIED) were invited to participate to a questionnaire-based survey during the first months of the COVID-19 outbreak in Italy . Results : 314/1306 (24 %) SIED members accounting for 201/502 (40 %) endoscopic centers completed the survey . Personal Protection Equipment (PPE) were available in most centers, but filtering face-piece masks (FFP2 or FFP3) and negative pressure room were not in 10.9 and 75.1% . Training courses on PPE use were provided in 57.2% of centers only; there was at least one positive HCW in 17.4% of centers globally , 107/3308 (3.2 %) HCWs were diagnosed with COVID-19 with similar rates of physicians (2.9 %), nurses (3.5 %) and other health operators (3.5 %). Involvement in a COVID-19 care team (OR : 4.96) and the lack of training courses for PPE, (OR : 2.65) were associated with increased risk .
Conclusions: The risk of COVID-19 among endoscopy HCWs was not negligible and was associated with work in a COVID-19 care team and lack of education on proper PPE use . These data deserve attention during the subsequent waves.