Recent advances in epidemiology and prevention of gastrointestinal endoscopy related infections.
Curr Opin Infect Dis
; 18(4): 326-30, 2005 Aug.
Article
em En
| MEDLINE
| ID: mdl-15985829
ABSTRACT
PURPOSE OF REVIEW This article reviews recent publications relevant to endoscope reprocessing and the potential for transmission of infection during gastrointestinal endoscopy. RECENT FINDINGS:
There have been a number of established reprocessing failures of gastrointestinal endoscopes at various healthcare facilities across the US resulting in patient notifications. These episodes have been associated with user errors and reprocessing equipment failures, highlighting the need for increased compliance with established guidelines. Surveillance cultures may be useful to monitor the outcome of reprocessing, although their use is controversial. New technology to allow point-of-use monitoring is promising. Biofilm accumulation may be an issue when reprocessing gastrointestinal endoscopes. Although peracetic acid has been promoted as superior to aldehyde-type liquid chemical germicides with regard to soil fixation, it may only be a modest improvement. Electrolyzed acid water is an emerging liquid chemical germicide that may be equivalent to currently accepted disinfectants. There appears to be no benefit to an additional reprocessing cycle before use for endoscopes that have been appropriately cleaned, disinfected, and stored.SUMMARY:
With the recent media attention on gastrointestinal endoscope reprocessing failures, despite the absence of documented transmission of infection, increased compliance with existing guidelines and new initiatives to enhance endoscope reprocessing are increasingly important to maintain public confidence.
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Bases de dados:
MEDLINE
Assunto principal:
Desinfecção
/
Infecção Hospitalar
/
Endoscopia Gastrointestinal
/
Reutilização de Equipamento
/
Endoscópios Gastrointestinais
Tipo de estudo:
Screening_studies
Limite:
Humans
Idioma:
En
Revista:
Curr Opin Infect Dis
Assunto da revista:
DOENCAS TRANSMISSIVEIS
Ano de publicação:
2005
Tipo de documento:
Article
País de afiliação:
Estados Unidos