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  1. GI endoscopic reprocessing practices in the United States.

    Article - En anglais


    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

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0471981

    Code Inist : 002B24E08. Création : 22/03/2000.