Clin Endosc.  2015 Jan;48(1):39-47. 10.5946/ce.2015.48.1.39.

Survey of Endoscope Reprocessing in Korea

Affiliations
  • 1Department of Internal Medicine, Dongguk University College of Medicine, Gyeongju, Korea. drlimyj@gmail.com
  • 2Department of Internal Medicine, Institute of Digestive Disease and Nutrition, Korea University College of Medicine, Seoul, Korea.
  • 3Department of Internal Medicine, Kyung Hee University School of Medicine, Seoul, Korea.
  • 4Department of Internal Medicine, KEPCO Medical Center, Seoul, Korea.
  • 5Department of Internal Medicine, Soonchunhyang University College of Medicine, Bucheon, Korea.
  • 6Department of Internal Medicine, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea.

Abstract

BACKGROUND/AIMS
There is a growing emphasis on quality management in endoscope reprocessing. Previous surveys conducted in 2002 and 2004 were not practitioner-oriented. Therefore, this survey is significant for being the first to target actual participants in endoscope reprocessing in Korea.
METHODS
This survey comprised 33 self-filled questions, and was personally delivered to nurses and nursing auxiliaries in the endoscopy departments of eight hospitals belonging to the society. The anonymous responses were collected after 1 week either by post or in person by committee members.
RESULTS
The survey included 100 participants. In the questionnaire addressing compliance rates with the reprocessing guideline, the majority (98.9%) had a high compliance rate compared to 27% of respondents in 2002 and 50% in 2004. The lowest rate of compliance with a reprocessing procedure was reported for transporting the contaminated endoscope in a sealed container. Automated endoscope reprocessors were available in all hospitals. Regarding reprocessing time, more than half of the subjects replied that reprocessing took more than 15 minutes (63.2%).
CONCLUSIONS
The quality management of endoscope reprocessing has improved as since the previous survey. A national survey expanded to include primary clinics is required to determine the true current status of endoscope reprocessing.

Keyword

Reprocessing; Endoscopy; Data collection

MeSH Terms

Anonyms and Pseudonyms
Committee Membership
Compliance
Endoscopes*
Endoscopy
Humans
Korea
Nurses' Aides
Surveys and Questionnaires

Cited by  4 articles

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.

Feedback Survey of the Effect, Burden, and Cost of the National Endoscopic Quality Assessment Program during the Past 5 Years in Korea
Yu Kyung Cho, Jeong Seop Moon, Dong Su Han, Yong Chan Lee, Yeol Kim, Bo Young Park, Il-Kwun Chung, Jin-Oh Kim, Jong Pil Im, Jae Myung Cha, Hyun Gun Kim, Sang Kil Lee, Hang Lak Lee, Jae Young Jang, Eun Sun Kim, Yunho Jung, Chang Mo Moon
Clin Endosc. 2016;49(6):542-547.    doi: 10.5946/ce.2015.113.

Current Status of Endoscope Reprocessing in Korea
Young-Seok Cho
Clin Endosc. 2015;48(1):1-3.    doi: 10.5946/ce.2015.48.1.1.

Role of Clinical Endoscopy in Emphasizing Endoscope Disinfection
Ji Kon Ryu, Eun Young Kim, Kwang An Kwon, Il Ju Choi, Ki Baik Hahm
Clin Endosc. 2015;48(5):351-355.    doi: 10.5946/ce.2015.48.5.351.


Reference

1. Spach DH, Silverstein FE, Stamm WE. Transmission of infection by gastrointestinal endoscopy and bronchoscopy. Ann Intern Med. 1993; 118:117–128. PMID: 8416308.
Article
2. Lisgaris MV. The occurrence and prevention of infections associated with gastrointestinal endoscopy. Curr Infect Dis Rep. 2003; 5:108–113. PMID: 12641995.
Article
3. Wu H, Shen B. Health care-associated transmission of hepatitis B and C viruses in endoscopy units. Clin Liver Dis. 2010; 14:61–68. PMID: 20123440.
Article
4. Alvarado CJ, Stolz SM, Maki DG. Nosocomial infections from contaminated endoscopes: a flawed automated endoscope washer. An investigation using molecular epidemiology. Am J Med. 1991; 91(3B):272S–280S. PMID: 1928177.
Article
5. Nelson DB. Infectious disease complications of GI endoscopy: part II, exogenous infections. Gastrointest Endosc. 2003; 57:695–711. PMID: 12709700.
Article
6. Nelson DB, Muscarella LF. Current issues in endoscope reprocessing and infection control during gastrointestinal endoscopy. World J Gastroenterol. 2006; 12:3953–3964. PMID: 16810740.
Article
7. Hong KH, Lim YJ. Recent update of gastrointestinal endoscope reprocessing. Clin Endosc. 2013; 46:267–273. PMID: 23767038.
Article
8. 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.
Article
9. Systchenko R, Marchetti B, Canard JN, et al. Guidelines of the French Society of Digestive Endoscopy: recommendations for setting up cleaning and disinfection procedures in gastrointestinal endoscopy. Endoscopy. 2000; 32:807–818. PMID: 11068843.
Article
10. Wilkinson M, Simmons N, Bramble M, et al. Report of the Working Party of the Endoscopy Committee of the British Society of Gastroenterology on the reuse of endoscopic accessories. Gut. 1998; 42:304–306. PMID: 9536960.
Article
11. Heeg P. Reprocessing endoscopes: national recommendations with a special emphasis on cleaning: the German perspective. J Hosp Infect. 2004; 56(Suppl 2):S23–S26. PMID: 15110119.
12. Moses FM, Lee JS. Current GI endoscope disinfection and QA practices. Dig Dis Sci. 2004; 49:1791–1797. PMID: 15628705.
Article
13. Soares JB, Goncalves R, Banhudo A, Pedrosa J. Reprocessing practice in digestive endoscopy units of district hospitals: results of a Portuguese National Survey. Eur J Gastroenterol Hepatol. 2011; 23:1064–1068. PMID: 21862930.
14. Heudorf U, Exner M. German guidelines for reprocessing endoscopes and endoscopic accessories: guideline compliance in Frankfurt/Main, Germany. J Hosp Infect. 2006; 64:69–75. PMID: 16820248.
Article
15. Frăţilă O, Tanţău M. Cleaning and disinfection in gastrointestinal endoscopy: current status in Romania. J Gastrointestin Liver Dis. 2006; 15:89–93. PMID: 16680240.
16. Brullet E, Ramirez-Armengol JA, Campo R. Board of the Spanish Association for Digestive Endoscopy. Cleaning and disinfection practices in digestive endoscopy in spain: results of a national survey. Endoscopy. 2001; 33:864–868. PMID: 11571683.
Article
17. Zhang X, Kong J, Tang P, et al. Current status of cleaning and disinfection for gastrointestinal endoscopy in China: a survey of 122 endoscopy units. Dig Liver Dis. 2011; 43:305–308. PMID: 21269894.
Article
18. Seol SY, Moon JS, Kae SH, et al. Result report of endoscopic reprocessing survey: 2002 and 2004. Korean J Gastrointest Endosc. 2005; 30(Suppl 1):109S–118S.
19. Spinzi G, Fasoli R, Centenaro R, Minoli G. SIED Lombardia Working Group. Reprocessing in digestive endoscopy units in Lombardy: results of a regional survey. Dig Liver Dis. 2008; 40:890–896. PMID: 18400569.
Article
20. ASGE Technology Committee. Desilets D, Kaul V, et al. Automated endoscope reprocessors. Gastrointest Endosc. 2010; 72:675–680. PMID: 20883843.
Article
21. Bader L, Blumenstock G, Birkner B, et al. HYGEA (Hygiene in gastroenterology: endoscope reprocessing): study on quality of reprocessing flexible endoscopes in hospitals and in the practice setting. Z Gastroenterol. 2002; 40:157–170. PMID: 11901449.
22. Miyajima K, Tabuchi T, Kumagai S. Occupational health of endoscope sterilization workers in medical institutions in Osaka Prefecture. Sangyo Eiseigaku Zasshi. 2006; 48:169–175. PMID: 17062996.
Article
23. Park S, Jang JY, Koo JS, et al. A review of current disinfectants for gastrointestinal endoscopic reprocessing. Clin Endosc. 2013; 46:337–341. PMID: 23964330.
Article
24. Axon AT, Banks J, Cockel R, Deverill CE, Newmann C. Disinfection in upper-digestive-tract endoscopy in Britain. Lancet. 1981; 1:1093–1094. PMID: 6112457.
Article
25. Cowan RE, Manning AP, Ayliffe GA, et al. Aldehyde disinfectants and health in endoscopy units. British Society of Gastroenterology Endoscopy Committee. Gut. 1993; 34:1641–1645. PMID: 8244157.
Full Text Links
  • CE
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr