1. Duodenoscope as a Vector for Transmission.
- Author
-
Higa JT and Ross AS
- Subjects
- Biofilms, Disinfection methods, Disinfection standards, Drug Resistance, Multiple, Bacterial, Duodenoscopy instrumentation, Endosonography adverse effects, Endosonography instrumentation, Equipment Contamination prevention & control, Equipment Design adverse effects, Fomites microbiology, Humans, Cross Infection etiology, Cross Infection microbiology, Cross Infection prevention & control, Duodenoscopes adverse effects, Duodenoscopy adverse effects, Infection Control methods, Infection Control standards
- Abstract
Elevator-based endoscope-related infections from patient cross-contamination is a multifactorial problem related to device design, maintenance, and function, with additional risk incurred from a high-level disinfection process that lacks quality controls. This article reviews the historical context for these outbreaks, technical aspects of scope design contributing to this risk, and innovations in endoscope technology that have the potential to overcome these shortcomings. Also reviewed are interim solutions and the data that support use of some of these interventions. Still needed are a validated manufacturer-recommended schedule for routine duodenoscope and echoendoscope maintenance with reprocessing protocols that can be implemented in endoscopy units., Competing Interests: Disclosure J.T. Higa: none. Dr A.S. Ross reports consulting fees and research funding from Boston Scientific Corporation., (Copyright © 2020 Elsevier Inc. All rights reserved.)
- Published
- 2020
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