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@IBDMD

I've created a thread that summarizes the statements from the #IOIBD global expert panel about management of #IBD during #COVID19. This is because the meeting summary of _appropriateness_ statements is being a bit misunderstood.
doi.org/10.1053/j.gast…
Read on ⬇️⬇️
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First, a disclaimer! The statements by this expert panel are not meant to replace conversations between a patient and their healthcare providers, nor are they set in stone. As we learn more, there will be modifications provided.
▶️IOIBD is holding weekly calls about #COVID19.
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A RAND panel is a formal assessment of specific given statements when decision making is complex and data are limited.
The #IOIBD panel included 66 #IBD experts from 26 countries who voted on the "appropriateness" of specific statements using a 9 point scale. Example ⬇️
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Sara El Ouali MD

@SaraElOualiMD

Thread: #COVID19 and #IBD Facts and Factoids from March 26 @CleClinicMD lBD LIVE @MRegueiroMD @DCharabaty @EdwardLoftus2 @ibddoctor @ryanungaro @IBDMD @silvio_silvio75 @AntoninoSpin 1/

@CDCgov

Exponential increase in cases in US and in the 🌍 since our last IBD live.
Recent @CDCgov prelim US data as of 03/16: 45% of hospitalizations, 53% of ICU admissions and 80% deaths among patients >65yo 2/

As prev. discussed, studies show SARS-CoV-2 can be found in the stool of patients with #COVID19. This more recent study shows stool tests stay + for a mean or 11 days after resp samples have become neg. 1 stayed + up to 47 days after symptom onset! 3/

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David T. Rubin, MD

@IBDMD

Update 15 March #COVID19 and #IBD. Due to the active communication of colleagues around the globe, we are now aware of several worldwide cases of #COVID19 in patients who have IBD, including one child.
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Reports that the #IBD adults are in Italy, Austria and US (NJ), the child is in Madrid, Spain.
The child has #Crohns receives Humira + 6MP. She presented with fever and cough, was not hospitalized, and is doing well.
I do not have more details on the adults yet. #COVID19
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It was expected that we would see #COVID19 affect our patients with #IBD, as it is affecting the general population too, and it is great that we have systems in place to capture and to learn from these cases in real time. The international collaboration is extraordinary.
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David T. Rubin, MD

@IBDMD

Brief update on #COVID19 for inflammatory bowel disease (#IBD) patients as of 9 March 2020.
See the updated #IOIBD COVID19 recommendations on the ioibd.org website.
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The #IOIBD site now includes this statement: "It is prudent that IBD patients on immunosuppressants and/or biologics limit unnecessary travel and large gatherings." (and spells out these therapies) However, please know that we still recommend staying on treatment. Read on. 🔽
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In a global email exchange among #IBD experts over the last few days, the consistent recommendation is to stay on therapy for IBD, recognizing that IBD relapse or needing steroids is higher risk for the patient. There are similar recommendations from rheumatology experts.
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