Italian National Survey of Digestive Endoscopy Disinfection Procedures

Endoscopy
G B OrsiA Tittobello

Abstract

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 > or = 30 minutes (16.6%). The use-life of the disinfectant was > or = 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 sterilizati...Continue Reading

Citations

Oct 3, 2003·Journal of Chromatography. B, Analytical Technologies in the Biomedical and Life Sciences·Monika EmmrichHeike Martiny
Feb 9, 2008·Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz·O LeissM Exner
Feb 15, 2011·Infectious Disease Clinics of North America·William A Rutala, David J Weber
Apr 11, 2008·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·G SpinziUNKNOWN SIED Lombardia Working Group
Apr 28, 2004·The Journal of Hospital Infection·W A Rutala, D J Weber
Oct 5, 2001·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·D J Weber, W A Rutala
Feb 1, 2007·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·William A Rutala, David J Weber
Aug 27, 1999·Gastrointestinal Endoscopy·R J CheungA J DiMarino
Dec 2, 2000·Journal of Gastroenterology and Hepatology·V Ahuja, R K Tandon
May 2, 2002·Journal of Gastroenterology and Hepatology·Balakrishnan S Ramakrishna

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