Limits...
Infectious diseases linked to cross-contamination of flexible endoscopes.

Kenters N, Huijskens EG, Meier C, Voss A - Endosc Int Open (2015)

Bottom Line: Flexible endoscopes can get highly contaminated with microorganisms, secretions and blood during use.The narrow lumens and multiple internal channels make the cleaning of flexible endoscopes a complex and difficult task.This article presents an overview of publications about case reports and outbreaks related to contamination of flexible endoscopes.

View Article: PubMed Central - PubMed

Affiliation: Albert Schweitzer Hospital, Department of Infection Prevention and Control, Dordrecht, Netherlands.

ABSTRACT
Flexible endoscopes are widely used to examine, diagnose, and treat medical disorders. While the risk of endoscopy-related transmission of infection is estimated to be very low, more health care-associated infections are related to contaminated endoscopes than to any other medical device. Flexible endoscopes can get highly contaminated with microorganisms, secretions and blood during use. The narrow lumens and multiple internal channels make the cleaning of flexible endoscopes a complex and difficult task. Despite the availability of international, national and local endoscope reprocessing guidelines, contamination and transmission of microorganisms continue to occur. These transmissions are mostly related to the use of defective equipment, endoscope reprocessing failures, and noncompliance with recommended guidelines. This article presents an overview of publications about case reports and outbreaks related to contamination of flexible endoscopes.

No MeSH data available.


Related in: MedlinePlus

Head ERCP scope with forceps elevator.
© Copyright Policy
Related In: Results  -  Collection


getmorefigures.php?uid=PMC4554517&req=5

FI172-1: Head ERCP scope with forceps elevator.

Mentions: In addition, given the recent CRE outbreaks, attention needs to be given to strict adherence to instructions for brushing the area around, near, and behind the forceps elevator, which is located at the distal end of the duodenoscope. That part is difficult to clean because of its design, which consists of a small tube that includes a small mobile metal piece called the elevator (Fig. 1). The “extra” manual step of brushing is needed to prevent possible transmissions of CRE and of other multidrug-resistant organisms during flexible endoscopy. When confronted with an outbreak of CRE due to contaminated flexible endoscopes, the use of ethylene oxide (EtO) sterilization for reprocessing is worth considering 6.


Infectious diseases linked to cross-contamination of flexible endoscopes.

Kenters N, Huijskens EG, Meier C, Voss A - Endosc Int Open (2015)

Head ERCP scope with forceps elevator.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4554517&req=5

FI172-1: Head ERCP scope with forceps elevator.
Mentions: In addition, given the recent CRE outbreaks, attention needs to be given to strict adherence to instructions for brushing the area around, near, and behind the forceps elevator, which is located at the distal end of the duodenoscope. That part is difficult to clean because of its design, which consists of a small tube that includes a small mobile metal piece called the elevator (Fig. 1). The “extra” manual step of brushing is needed to prevent possible transmissions of CRE and of other multidrug-resistant organisms during flexible endoscopy. When confronted with an outbreak of CRE due to contaminated flexible endoscopes, the use of ethylene oxide (EtO) sterilization for reprocessing is worth considering 6.

Bottom Line: Flexible endoscopes can get highly contaminated with microorganisms, secretions and blood during use.The narrow lumens and multiple internal channels make the cleaning of flexible endoscopes a complex and difficult task.This article presents an overview of publications about case reports and outbreaks related to contamination of flexible endoscopes.

View Article: PubMed Central - PubMed

Affiliation: Albert Schweitzer Hospital, Department of Infection Prevention and Control, Dordrecht, Netherlands.

ABSTRACT
Flexible endoscopes are widely used to examine, diagnose, and treat medical disorders. While the risk of endoscopy-related transmission of infection is estimated to be very low, more health care-associated infections are related to contaminated endoscopes than to any other medical device. Flexible endoscopes can get highly contaminated with microorganisms, secretions and blood during use. The narrow lumens and multiple internal channels make the cleaning of flexible endoscopes a complex and difficult task. Despite the availability of international, national and local endoscope reprocessing guidelines, contamination and transmission of microorganisms continue to occur. These transmissions are mostly related to the use of defective equipment, endoscope reprocessing failures, and noncompliance with recommended guidelines. This article presents an overview of publications about case reports and outbreaks related to contamination of flexible endoscopes.

No MeSH data available.


Related in: MedlinePlus