GI endoscopic reprocessing practices in the United States.
Patient infection from contaminated gastrointestinal (GI) endoscopes can generally be attributed to failure to follow appropriate reprocessing guidelines.
Recently, the Food and Drug Administration recommended a 45-minute exposure of GI endoscopes to 2.4% glutaraldehyde solutions heated to 25° C. Simultaneously, the American Society for Gastrointestinal Endoscopy (ASGE), the American Gastroenterological Association, and the Soclety of Gastroenterology Nurses and Associates endorsed a reprocessing guideline that emphasized manual precleaning and recommended a 20-minute exposure to a 2.4% glutaraldehyde solution at room temperature.
Since then, little information has become available regarding actual reprocessing practices in the United States.
A previously developed questionnaire regarding endoscopic disinfection practices was mailed to randomly selected members of the ASGE.
The survey was sent to 730 members and 294 responded (40.3%). Appropriate manual cleaning (suctioning detergent through the accessory channel and brushing the channel and valves) is performed by 90.7% of respondents ; 69.9% then use automated reprocessors for disinfection or sterilization.
Glutaraldehyde Is the most widely used chemical disinfectant ; 85.3% use glutaraldehyde as one of their primary disinfectants.
The most commonly used disinfection time with 2.4% glutaraldehyde is 20 minutes (83.9%) followed by 45 minutes (11.4%). Only 23.8% of users of 2. (...)
Mots-clés Pascal : Endoscopie, Retraitement, Endoscope, Désinfection, Technique, Critère sélection, Exploration, Homme, Etats Unis, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Endoscopy, Reprocessing, Endoscope, Disinfection, Technique, Selection criterion, Exploration, Human, United States, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0471981
Code Inist : 002B24E08. Création : 22/03/2000.