ESGE/ESGENA guideline for process validation and routine testing for reprocessing endoscopes in washer-disinfectors, according to the European Standard prEN ISO 15883 parts 1, 4 and 5

Abstract

Beilenhoff U. et al. ESGE guideline for process validation and routine testing for endoscope reprocessing ¼ Endoscopy 2007; 39: 85 ± 94 This document was downloaded for personal use only. Unauthorized distribution is strictly prohibited.

Hygiene: The Looming Achilles Heel in Endoscopy

“…The European guidelines (ESGE - ESGENA 2000, 2003, 2007, 2008) have been revised and amended several times in recent years [1,8,9,10,11]. The German recommendations of the Robert Koch Institute (Hygiene requirements for the reprocessing of flexible endoscopes and additional endoscopic equipment) were last revised in 2012 [12,13].…”

“…A separate, purpose-equipped reprocessing room is a requirement in all national and international guidelines and is now the standard [1,2,3,4,8,9,10,11,12,13,14,15,16,35]. Strict spatial and procedural separation of contaminated and clean work steps is crucial for occupational safety and prevention of recontamination, with the current trend towards two-room concepts [35].…”

Beyond Traditional Biosafety

“…Numerous quality assurance indicators are used to assess the effectiveness of reusable endoscope processing, including detailed record keeping, leak tests, and sampling to assure disinfectant potency. Though guidance is emerging due to the carbapenem-resistant Enterobacteriaceae (CRE) outbreaks in the winter of 2015, routine microbiological surveillance of reprocessed flexible endoscopes is not currently recommended in the United States (ASGE, 2011;Rutala et al, 2008), though this is common practice in other countries (Beilenhoff et al, 2007a;Beilenhoff et al, 2007b;GESA/GENSA, 2010;PHAC, 2010).…”

Our initial experience in microbiological monitoring for reprocessing gastrointestinal endoscopes

“…W celu zapewnienia najwyższej jakości procesów dezynfekcji oraz całkowitego bezpieczeństwa pacjentów i personelu medycznego wdraża się programy kontroli czystości mikrobiologicznej oraz walidacji procedur dekontaminacji. Na konieczność kontroli mikrobiologicznej endoskopów, automatycznych myjni endoskopowych (AME) oraz wody używanej w endoskopii wskazują wytyczne European Society of Gastroenterology/European Society of Gastroenterology and Endoscopy Nurses and Associates (ESGE/ESGENA) [3,4], Gastroenterological Society of Australia (GENSA) [5], New Zealand Standards Expert Committee [6], French Gastroenterology Society [7], Canadian Society of Gastroenterology and Nurses Association [8], German Working Group on Hospital Hygiene [9] oraz Asian Pacific Society of Digestive Endoscopy [10].…”

“…[4]. W takich samych odstę -pach jak endoskopy powinny być poddawane kontroli mikrobiologicznej AME i woda używana w endoskopii.…”