J Korean Biol Nurs Sci.  2016 Nov;18(4):288-295. 10.7586/jkbns.2016.18.4.288.

Adequacy of Reprocessing Gastrointestinal Endoscopes in Korea Hospitals

Affiliations
  • 1Department of Nursing, Asan Medical Center/Department of Clinical Nursing, University of Ulsan Graduate School of Industrial Technology, Ulsan, Korea.
  • 2Department of Nursing, Department of Clinical Nursing, University of Ulsan College of Medicine, Ulsan, Korea. jsjeong@amc.seoul.kr

Abstract

BACKGROUND
This study was conducted in order to survey the current state of cleaning, disinfection, rinsing, drying, and storage of gastrointestinal endoscopes.
METHODS
Eighty hospitals were selected through convenient sampling. Self-reported questionnaire was distributed from September 14 to October 10 in 2015.
RESULTS
The response rate was 67.5% (54/80). In 88.9% of the hospitals, reprocessing was performed in a cleaning space separated from the laboratory and 88.9% used an enzymatic cleaner. Disinfectants used were ortho-phthalaldehyde in 63.0%, and paracetic acid in 33.3%. Eighty seven percent of the hospitals used test strips in order to test the effective concentration of disinfectant and in 61.1%, drying was done through passing air and over 70% alcohol. Microbial culture for the quality control of gastrointestinal endoscopes was performed in 77.8%. In the comparison of the adequacy of gastrointestinal endoscope reprocessing, it was observed that gastrointestinal endoscopes were reprocessed more adequately in larger and tertiary care hospitals.
CONCLUSION
Gastrointestinal endoscopes were reprocessed in similar manners, but there were differences in the detailed process. It is still necessary to segment reprocessing into stages, to prepare standardized guidelines, and to monitor compliance with the guidelines.

Keyword

Gastrointestinal endoscopes; Cleaning; Disinfection; Adequacy

MeSH Terms

Compliance
Disinfectants
Disinfection
Endoscopes, Gastrointestinal*
Korea*
o-Phthalaldehyde
Quality Control
Tertiary Healthcare
Disinfectants
o-Phthalaldehyde
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