Reprocessing in digestive endoscopy units in Lombardy: results of a regional survey

Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver
G SpinziSIED Lombardia Working Group

Abstract

Inadequate disinfection of endoscopes and associated instrumentation can result in transmission of infections to patients. The aim of this study is to assess cleaning and disinfection practice in gastrointestinal endoscopy units in public and private institutions in the Lombardy region. We drafted a questionnaire which we e-mailed to all gastrointestinal centers in Lombardy. A total of 79 centers responded (77%). All endoscopy units perform manual cleaning before disinfection. Automated endoscope reprocessors are available in 84.4% of the centers. Glutaraldehyde-based disinfectants are the most common employed (67% of centers). The time of exposure to the disinfectant is of 10 min in only 9.8% of the centers. The majority of endoscopy units modify their disinfection procedures in the case of infectious disease patients. In 59% of centers disposable material is only used once. In 37% of the endoscopy units instruments are dried with propanol. The data collected suggest that cleaning and disinfection practices have improved in recent years, and that there is a good compliance with standard guidelines. There is still room for improvement in equipment, disinfection protocols, and traceability of instruments in order to improve safe...Continue Reading

References

Jul 24, 1997·The New England Journal of Medicine·J P BronowickiB Rhin
Sep 26, 2001·Endoscopy·E BrulletUNKNOWN Board of the Spanish Association for Digestive Endoscopy
Oct 11, 2003·Endoscopy·J-F ReyUNKNOWN ESGE (European Society of Gastrointestinal Endoscopy)
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Jun 9, 2005·Annals of Internal Medicine·Alessia CiancioGiorgio Saracco

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Citations

Jan 29, 2011·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·Xiuli ZhangYunsheng Yang
Feb 13, 2015·Clinical Endoscopy·Jeong Bae ParkUNKNOWN Disinfection Management Committee of the Korean Society of Gastrointestinal Endoscopy
Feb 13, 2015·Clinical Endoscopy·Young-Seok Cho
Sep 18, 2014·World Journal of Gastrointestinal Endoscopy·Günter KampfHeike Martiny

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