ESGE–ESGENA guideline: Cleaning and disinfection in gastrointestinal endoscopy

Abstract

Contents ! 1. Introduction 2. Definition of terms 3. Endoscopy−related infections 4. Principles of infection control 5. Chain of infection 6. Health and safety of endoscopy personnel 7. General requirements 7.1. Classification of endoscopic equipment 7.2. Aims of the reprocessing procedure 7.3. Staff requirements 7.4. Reprocessing room 7.5. The reprocessing procedure 7.6. Manual versus automated reprocessing 8. Process chemicals 8.1. Detergents 8.1.1. Detergents with enzymatic boosters 8.1.2. Detergents with alkaline boosters 8.1.3. Detergents with enzymatic and alkaline boosters 8.1.4. Detergents containing antimicrobial active substances 8.

Is peracetic acid suitable for the cleaning step of reprocessing flexible endoscopes?

“…No recommendation RKI Hygiene requirements for reprocessing of medical devices [236] 2012 Not recommended SGNA Standards of Infection Control in Reprocessing of Flexible Gastrointestinal Endoscopes [237] 2013 No recommendation WGO/OMED WGO/OMED Practice Guideline Endoscope Disinfection [238] 2005 Recommended WGO/WEO Endoscope disinfection -a resource-sensitive approach [239] 2011 No recommendation 1 These guidelines were updated in 2008 by guidelines [231] ; 2 These guidelines were updated in 2012 by guidelines [236] . AORN: Association of periOperative acid might be underestimated [212] .…”

“…Best Practice Guidelines For Cleaning, Disinfection and Sterilization of Critical and Semicritical Medical Devices [227] 2011 No recommendation BSG BSG Guidelines for Decontamination of Equipment for Gastrointestinal Endoscopy [228] 2008 No recommendation CDC Guidelines for Disinfection and Sterilization in Healthcare Facilities, 2008 [229] [231] 2008 No recommendation HPS Endoscope Reprocessing: Guidance on the Requirements for Decontamination Equipment, Facilities and Management [232] 2007 No recommendation JGETS Guidelines for cleaning and disinfecting endoscopes -Second edition [233] 2004…”

Our initial experience in microbiological monitoring for reprocessing gastrointestinal endoscopes

“…badań endoskopowych rocznie. Wszystkie endoskopy są poddawane wstępne-mu czyszczeniu i szczotkowaniu z użyciem detergentu, a następnie procesom dekontaminacji, zgodnie z przyjętymi standardami [1,11]. Proces odbywa się w AME ETD 2 plus i ETD 3 firmy Olympus z zastosowaniem aldehydu glutarowego.…”

Quality Control in Endoscopy Unit: Safety Considerations for the Patient

“…For accessories, it is even more important with legal and technical concerns. With single use equipment, the safety is linked to one time use accessory, for reusable device, we should follow standard for cleaning and disinfection (Beilenhoff et al, 2008). Of course in many countries, single use accessories are reused, it becomes a legal issue if forbidden by law or a civil concern in case of inadequate reprocessing.…”