Clin Endosc.  2013 May;46(3):274-279. 10.5946/ce.2013.46.3.274.

Steps of Reprocessing and Equipments

• Lee YK
• Park JB

• KMID: 2048933
• DOI: http://doi.org/10.5946/ce.2013.46.3.274

Abstract

With the increasing interest in endoscopy and the rising number of endoscopic examinations in hospitals, the importance of endoscopic reprocessing is also increasing. Cure facilities that are understaffed and ill-equipped are trying to cope with the problems of insufficient cleaning and high infection risks. To prevent endoscopy-associated infection, the endoscope cleaning, and disinfection guidelines prepared by the Korean Society of Gastrointestinal Endoscopy must be followed. In this review, the steps of endoscopic reprocessing and the equipments required in each step are discussed.

Keyword

Reprocessing; Endoscopy; Disinfection

MeSH Terms

Disinfection
Endoscopes
Endoscopy
Endoscopy, Gastrointestinal
Phosphatidylethanolamines
Phosphatidylethanolamines

Reference

1. Chang R. Cleaning and disinfection of gastrointestinal endoscopes. Korean J Gastrointest Endosc. 1996; 15(Suppl):877S–880S.

2. Kim YT. Introduction of proposed guideline for endsocpy disinfection. Korean J Gastrointest Endosc. 2010; 40(Suppl 1):49S.

3. Nelson DB. Infectious disease complications of GI endoscopy: part I, endogenous infections. Gastrointest Endosc. 2003; 57:546–556. PMID: 12665767.

4. Jang JY. Reprocessing of endoscopy. Korean J Gastrointest Endosc. 2011; 43(Suppl 2):170S–173S.

5. Nelson DB. Infectious disease complications of GI endoscopy: part II, exogenous infections. Gastrointest Endosc. 2003; 57:695–711. PMID: 12709700.

6. Kimmery MB, Burnett DA, Carr-Locke DL, et al. Transmission of infection by gastrointestinal endoscopy. Gastrointest Endosc. 1993; 39:885–888.

7. ASGE Quality Assurance In Endoscopy Committee. Petersen BT, Chennat J, et al. Multisociety guideline on reprocessing flexible gastrointestinal endoscopes: 2011. Gastrointest Endosc. 2011; 73:1075–1084. PMID: 21628008.

8. Lim CH, Choi MG, Kim WC, et al. Performance and cost of disposable biopsy forceps in upper gastrointestinal endoscopy: comparison with reusable biopsy forceps. Clin Endosc. 2012; 45:62–66. PMID: 22741133.

9. Kim SY, Lee HS, Hyun JJ, et al. Comparison on the efficacy of disinfectants used in automated endoscope reprocessors: PHMB-DBAC versus orthophthalaldehyde. Clin Endosc. 2011; 44:109–115. PMID: 22741121.

10. Society of Gastroenterology Nurses and Associates, Inc. Standards of infection control in reprocessing of flexible gastrointestinal endoscopes [Internet]. Chicago: Society of Gastroenterology Nurses and Associates;c2007. cited 2010 Nov 25. Available from: http://www.ascquality.org/Library/endoscopereprocessingtoolkit/SGNA%20Standards%20of%20IC%20in%20Reprocessing%20of%20Flexible%20GI%20Endoscopes.pdf.

11. Ishino Y, Ido K, Koiwai H, Sugano K. Pitfalls in endoscope reprocessing: brushing of air and water channels is mandatory for high-level disinfection. Gastrointest Endosc. 2001; 53:165–168. PMID: 11174285.

12. Alvarado CJ, Reichelderfer M. Association for Professionals in Infection Control. APIC guideline for infection prevention and control in flexible endoscopy. Am J Infect Control. 2000; 28:138–155. PMID: 10760223.

13. Rutala WA, Weber DJ. FDA labeling requirements for disinfection of endoscopes: a counterpoint. Infect Control Hosp Epidemiol. 1995; 16:231–235. PMID: 7636171.

14. Marion K, Freney J, James G, Bergeron E, Renaud FN, Costerton JW. Using an efficient biofilm detaching agent: an essential step for the improvement of endoscope reprocessing protocols. J Hosp Infect. 2006; 64:136–142. PMID: 16919846.

15. Nelson DB, Jarvis WR, Rutala WA, et al. Society for Healthcare Epidemiology of America. Multi-society guideline for reprocessing flexible gastrointestinal endoscopes. Infect Control Hosp Epidemiol. 2003; 24:532–537. PMID: 12887243.

16. Jang JY. Types, advantages and limitations of the automated endoscope washer-disinfectors. Korean J Gastrointest Endosc. 2010; 40(Suppl 1):53S–56S.

17. Ido K, Ishino Y, Ota Y, et al. Deficiencies of automatic endoscopic reprocessors: a method to achieve high-grade disinfection of endoscopes. Gastrointest Endosc. 1996; 44:583–586. PMID: 8934166.

18. Phillips G, McEwan H, McKay I, Crowe G, McBeath J. Black pigmented fungi in the water pipe-work supplying endoscope washer disinfectors. J Hosp Infect. 1998; 40:250–251. PMID: 9830597.

19. Tandon RK, Ahuja V. Non-United States guidelines for endoscope reprocessing. Gastrointest Endosc Clin N Am. 2000; 10:295–318. PMID: 10683216.

20. Muscarella LF. Advantages and limitations of automatic flexible endoscope reprocessors. Am J Infect Control. 1996; 24:304–309. PMID: 8870914.

21. American Society for Gastrointestinal Endoscopy. Petersen BT, Adler DG, et al. Automated endoscope reprocessors. Gastrointest Endosc. 2009; 69:771–776. PMID: 19327470.

22. Walter VA, DiMarino AJ Jr. American Society for Gastrointestinal Endoscopy-Society of Gastroenterology Nurses and Associates Endoscope Reprocessing Guidelines. Gastrointest Endosc Clin N Am. 2000; 10:265–273. PMID: 10683213.