Clin Endosc.  2022 Sep;55(5):691-694. 10.5946/ce.2021.050.

Infectious transmission from Savary dilators is uncommon: retrospective review from a large tertiary academic center

• Memel ZN
• Flynn DJ
• Hernandez-Barco Y
• Visrodia KH
• Casey B
• Krishnan K

• KMID: 2533310
• DOI: http://doi.org/10.5946/ce.2021.050

Reference

1. Wendorf KA, Kay M, Baliga C, et al. Endoscopic retrograde cholangiopancreatography-associated AmpC Escherichia coli outbreak. Infect Control Hosp Epidemiol. 2015; 36:634–642.

2. Kenters N, Huijskens EGW, Meier C, et al. Infectious diseases linked to cross-contamination of flexible endoscopes. Endosc Int Open. 2015; 3:E259–E265.

3. Rutala WA, Weber DJ; the Healthcare Infection Control Practices Advisory Committee (HICPAC). Guideline for disinfection and sterilization in healthcare facilities, 2008 [Internet]. Atlanta (GA): Centers for Disease Control and Prevention;2008. [updated 2019 May 24; cited 2021 Apr 6]. Available from: https://www.cdc.gov/infectioncontrol/guidelines/disinfection/index.html.

4. Alfa MJ, Sepehri S, Olson N, et al. Establishing a clinically relevant bioburden benchmark: a quality indicator for adequate reprocessing and storage of flexible gastrointestinal endoscopes. Am J Infect Control. 2012; 40:233–236.

5. Bisset L, Cossart YE, Selby W, et al. A prospective study of the efficacy of routine decontamination for gastrointestinal endoscopes and the risk factors for failure. Am J Infect Control. 2006; 34:274–280.

6. Centers for Disease Control and Prevention (CDC). A rational approach to disinfection and sterilization [Internet]. Atlanta (GA): CDC;2016. [updated 2016 Sep 18; cited 2021 Apr 6]. Available from: https://www.cdc.gov/infectioncontrol/guidelines/disinfection/rational-approach.html.

7. US Food and Drug Administration (FDA). Reprocessing medical devices in health care settings: validation methods and labeling [Internet]. Silver Spring (MD): FDA;2015. [updated 2018 Mar 6; cited 2021 Apr 6]. Available from: https://www.fda.gov/regulatory-information/search-fda-guidance-documents/reprocessing-medical-devices-health-care-settings-validation-methods-and-labeling/.

8. Beilenhoff U, Neumann CS, Rey JF, et al. ESGE-ESGENA guideline for quality assurance in reprocessing: microbiological surveillance testing in endoscopy. Endoscopy. 2007; 39:175–181.

9. Reprocessing Guideline Task Force, Petersen BT, Cohen J, et al. Multisociety guideline on reprocessing flexible GI endoscopes: 2016 update. Gastrointest Endosc. 2017; 85:282–294.

10. The Association for the Advancement of Medical Instrumentation (AMMI). Standards Spotlight: AAMI TIR99 to provide much-needed guidance for reprocessing dilators and probes [Internet]. Arlington (VA): AMMI;2018. [updated 2018 Oct 1; cited 2021 Apr 6]. Available from: https://www.aami.org/news/article/Standards-Spotlight-AAMI-TIR99-to-Provide-Much-Needed-Guidance-for-Reprocessing-Dilators-and-Probes-71335.