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.