Clin Endosc.  2015 Sep;48(5):369-373. 10.5946/ce.2015.48.5.369.

Recent Update on Microbiological Monitoring of Gastrointestinal Endoscopes after High-Level Disinfection

Affiliations
  • 1Digestive Disease Center, CHA Bundang Medical Center, CHA University, Seongnam, Korea. arimd@naver.com

Abstract

Endoscopy-related infections are important contributors to nosocomial infections. Endoscope reprocessing according to standard guidelines ensures high-level disinfection and prevents endoscopy-related infections. Microbiological surveillance may help in monitoring the effectiveness of gastrointestinal endoscope disinfection. The process involves microbial cultures and non-culture methods such as bioburden assays, adenosine triphosphate (ATP) bioluminescence, and quantitative polymerase chain reactions (PCRs). Surveillance culturing to monitor endoscopes after reprocessing has been recommended by a majority of organizations. Bioburden assays, ATP bioluminescence, and quantitative PCRs provide rapid and reliable measures. Each institution will have to try to establish its own surveillance guidelines.

Keyword

Endoscopes, gastrointestinal; Reprocessing; Monitoring

MeSH Terms

Adenosine Triphosphate
Cross Infection
Disinfection*
Endoscopes
Endoscopes, Gastrointestinal*
Polymerase Chain Reaction
Adenosine Triphosphate

Cited by  2 articles

Does the Reprocessing of Endoscopes Have to Take Place Immediately after Pre-Cleaning? A First Evaluation
Vanessa M Eichel, Jonas M Jabs, Samy Unser, Nico T Mutters, Martin Scherrer
Clin Endosc. 2021;54(4):526-533.    doi: 10.5946/ce.2020.238.

Education and Training Guidelines for the Board of the Korean Society of Gastrointestinal Endoscopy
Hee Seok Moon, Eun Kwang Choi, Ji Hyun Seo, Jeong Seop Moon, Ho June Song, Kyoung Oh Kim, Jong Jin Hyun, Sung Kwan Shin, Beom Jae Lee, Sang Heon Lee
Clin Endosc. 2017;50(4):345-356.    doi: 10.5946/ce.2017.106.


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