Inadequate disinfection of endoscopes and associated instrumentation can result in transmission of bacterial infections to patients.
The aim of this study was to investigate the disinfection procedures carried out in the Italian centers of digestive endoscopy.
An anonymous postal questionnaire on the methods of cleaning and disinfecting endoscopy equipment in Italy was sent to 781 digestive endoscopy centers ; 386 units (49.4%) replied.
Automatic washers were available in 47.6% of units.
Nearly all the respondets (99.2%) cleaned the instruments before disinfection, using detergent, germicidal or enzymatic cleaner, but only 69.7% carried out brushing.
Most centers (89.2%) used a glutaraldehyde-based disinfectant (51% used 2% glutaraldehyde ; 26.9% used 0.4% glutaraldehyde with 1.41% phenol and 0.26% sodium phenate ; 5.9% used either ; 5.4% did not specify glutaraldehyde formulation).
The contact time of the disinfectant was<10 minutes (1.8%), between 10 and 19 minutes (47.4%), between 20 and 29 minutes (31.9%) and = 30 minutes (16.6%). The use-life of the disinfectant was = 14 days in 27.3% of the centers with automatic washers and 30.8% in all centers.
Only 25.4% of the centers carried out some form of sterilization for biopsy forceps.
The majority (83.4%) modified their disinfection procedures in the case of infectious disease patients. (...)
Mots-clés Pascal : Endoscopie, Maintenance, Equipement, Désinfection, Protocole thérapeutique, Désinfectant, Evaluation performance, Homme, Italie, Europe, Equipement biomédical
Mots-clés Pascal anglais : Endoscopy, Maintenance, Equipment, Disinfection, Therapeutic protocol, Disinfecting agent, Performance evaluation, Human, Italy, Europe, Biomedical equipment
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0032986
Code Inist : 002B24E08. Création : 17/04/1998.