Safe storage time for reprocessed flexible endoscopes: a systematic review

Schmelzer, Marilee; Daniels, Glenda; Hough, Helen

doi:10.11124/jbisrir-2015-2307

Cited by 7 publications

(8 citation statements)

References 4 publications

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“…2 Results of a systematic review showed that the average time for flexible endoscope storage ranged from 2 to 56 days. 12 Microbial growth was seen in 2% of endoscopes that were stored for at least three days and in 4% of endoscopes that were stored for at least seven days. The reviewers recommended that storage of reprocessed flexible endoscopes (ie, gastroscopes, colonoscopes, and duodenoscopes) not exceed seven days.…”

Section: Storagementioning

confidence: 99%

“…The reviewers recommended that storage of reprocessed flexible endoscopes (ie, gastroscopes, colonoscopes, and duodenoscopes) not exceed seven days. 12 The interdisciplinary team should determine the maximum storage time; in addition, they should establish a process that allows personnel to easily recognize when an endoscope has exceeded its maximum storage time and reprocess it before use. 2 Flexible endoscope storage cabinets should be cleaned with an Environmental Protection Agency-registered dis infectant regularly and when soil is visible.…”

Section: Storagementioning

confidence: 99%

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Guidelines in Practice: Processing Flexible Endoscopes

Speth

2023

AORN Journal

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Flexible endoscopes allow surgeons and proceduralists to view patients’ internal organs through small incisions or natural orifices. These devices may be difficult to clean and dry adequately, and the formation of biofilm can further complicate effective cleaning. The updated AORN “Guideline for processing flexible endoscopes” provides perioperative personnel with evidence‐based best practice recommendations on a variety of concepts associated with this topic. This article provides an overview of the guideline and discusses recommendations for point‐of‐use treatment, transport, cleaning (including verification and drying), and storage of flexible endoscopes. It also includes a scenario that illustrates the importance of adequately drying and storing flexible endoscopes. When processing flexible endoscopes, personnel should adhere to the endoscope and processing equipment manufacturers’ instructions for use. Perioperative nurses should review the guideline in its entirety and implement recommendations in practice settings where flexible endoscopes are used.

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Section: Storagementioning

confidence: 99%

Section: Storagementioning

confidence: 99%

Guidelines in Practice: Processing Flexible Endoscopes

Speth

2023

AORN Journal

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“…Die breite Spanne an Studiendesigns führt zu sehr unterschiedlichen Ergebnissen und Empfehlungen zu Lagerungszeiten. In einem systematischen Review von Schmelzer et al [10] zum Beispiel bemängeln die Autoren in den gesammelten Studien zu kleine Stichproben mit zu wenigen Endoskopen.…”

Section: Zielunclassified

Lagerungszeiten von flexiblen Endoskopen – Mut zur Lücke

Fietze

2019

Endo-Praxis

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ZusammenfassungEin einwandfrei aufbereitetes Endoskop kann bei unsachgemäßer Lagerung erneut kontaminiert und durch die Übertragung von pathogenen Erregern beim nachfolgenden Patienten zu einer Infektionsgefahr werden.In der Literatur gibt es unterschiedliche Angaben zu Lagerungszeiten und Lagerungsbedingungen. Deshalb verglichen wir einschlägige Studien und Empfehlungen mit unseren klinikinternen Ergebnissen von mikrobiologischen Kontrollen an flexiblen Endoskopen. Unser Ziel war es, den Endoskopanwendern in einem schweizerischen Universitätsspital durch Abgabe einer hausinternen Empfehlung eine fundierte Arbeitsgrundlage zu akzeptablen Lagerungszeiten und Lagerungsbedingungen von flexiblen Endoskopen zu geben. „Akzeptabel“ bedeutet hier: angemessen hinsichtlich Patientensicherheit, ökonomisch und ökologisch vertretbar und praktikabel im Klinikalltag.

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“…A practical benefit of the use of forced-air drying cabinets is the extended time that instruments can be used for a procedure without the need for reprocessing. Schmelzer et al 58 summarized the proportion of contaminated endoscopes, defined as the presence of any pathogen and >10 CFU/mL in seven studies that sampled all channels for length of time and type of storage. Drawing from these data, it is considered safe to use an endoscopic instrument for a period of 7 days without the need for pre-procedure reprocessing.…”

Section: Instrument Reprocessing and Environmental Managementmentioning

confidence: 99%

Australian infection control in endoscopy consensus statements on carbapenemase‐producing Enterobacteriaceae

Devereaux

Athan

Brown³

et al. 2018

J of Gastro and Hepatol

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Outbreaks of carbapenemase‐producing Enterobacteriaceae clinical infections related to endoscopic transmission are well documented. The high morbidity and mortality associated with these infections emphasizes the need to reassess endoscopic reprocessing protocols. The Gastroenterological Society of Australia established a multi‐society committee to formulate evidence‐based consensus statements on the prevention and management of endoscopic transmission of carbapenemase‐producing Enterobacteriaceae. A literature search was undertaken utilizing the MEDLINE database. Further references were sourced from published paper bibliographies. Nine statements were formulated. Using the Delphi methodology, the statements were initially reviewed electronically by the committee members and subsequently at a face‐to‐face meeting in Melbourne, Australia. After further discussion, four additional sub‐statements were added resulting in a total of 13 statements. Each statement was assessed for level of evidence, recommendation grade and the voting on recommendation was recorded. For a statement to be accepted, five out of six committee members had to “accept completely” or “accept with some reservation.” All 13 statements achieved consensus agreement. Eleven statements achieved 100% “accepted completely.” Two statements were 83% “accepted completely” and 17% “accepted with some reservation.” Of particular significance, automated flexible endoscope reprocessors were mandated for high‐level disinfection, and the use of forced‐air drying cabinets was mandated for endoscope storage. These evidence‐based statements encourage preventative strategies with the aim of ensuring the highest possible standards in flexible endoscope reprocessing thereby optimizing patient safety. They must be considered in addition to the broader published guidelines on infection control in endoscopy.

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Safe storage time for reprocessed flexible endoscopes: a systematic review

Abstract: Endoscopes can be stored for seven days if they have been effectively reprocessed and appropriately stored. Ongoing surveillance cultures are necessary to verify reprocessing effectiveness.

Cited by 7 publications

References 4 publications

Guidelines in Practice: Processing Flexible Endoscopes

Guidelines in Practice: Processing Flexible Endoscopes

Lagerungszeiten von flexiblen Endoskopen – Mut zur Lücke

Australian infection control in endoscopy consensus statements on carbapenemase‐producing Enterobacteriaceae

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