Tu1009 CONTAMINATION RATE OF REUSABLE PATIENT-READY DUODENOSCOPES USED FOR ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP): A SYSTEMATIC REVIEW AND METAANALYSIS

Larsen, S.; Russell, Rasmus Vinther; Mærkedahl, Anders; Travis, Helena Strømstad; Ockert, Lotte; Ehlers, Lars Holger

doi:10.1016/s0016-5085(20)33184-x

Cited by 1 publication

(2 citation statements)

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“…While enhanced surveillance and reprocessing methods were proposed, their superiority over standard HLD could not be consistently demonstrated. 4,29,30 Moreover, the adoption of enhanced surveillance and reprocessing methods raises the operational expenses with significant negative financial impact on the organizations. 31 In a recent study, the adoption of double HLD, culture, and quarantine and ethylene oxide sterilization increased the operational costs by 47%, 160%, and 270%, respectively.…”

Section: Single-use Duodenoscopes and Endoscopesmentioning

confidence: 99%

“…Reusable devices can be prone to failure in sterilization or cleaning processes, posing a risk to subsequent patients. While enhanced surveillance and reprocessing methods were proposed, their superiority over standard HLD could not be consistently demonstrated 4,29,30 . Moreover, the adoption of enhanced surveillance and reprocessing methods raises the operational expenses with significant negative financial impact on the organizations 31 .…”

Section: Single‐use Duodenoscopes and Endoscopesmentioning

confidence: 99%

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Single‐use accessories and endoscopes in the era of sustainability and climate change—A balancing act

Nabi,

Tang,

Sundaram

et al. 2023

J of Gastro and Hepatol

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Gastrointestinal (GI) endoscopy is among the highest waste generator in healthcare facilities. The major reasons include production of large‐volume non‐renewable waste, use of single‐use devices, and reprocessing or decontamination processes. Single‐use endoscopic accessories have gradually replaced reusable devices over last two decades contributing to the rising impact of GI endoscopy on ecosystem. Several reports of infection outbreaks with reusable duodenoscopes raised concerns regarding the efficacy and adherence to standard disinfection protocols. Even the enhanced reprocessing techniques like double high‐level disinfection have not been found to be the perfect ways for decontamination of duodenoscopes and therefore, paved the way for the development of single‐use duodenoscopes. However, the use of single‐use endoscopes is likely to amplify the net waste generated and carbon footprint of any endoscopy unit. Moreover, single‐use devices challenge one of the major pillars of sustainability, that is, “reuse.” In the era of climate change, a balanced approach is required taking into consideration patient safety as well as financial and environmental implications. The possible solutions to provide optimum care while addressing the impact on climate include selective use of disposable duodenoscopes and careful selection of accessories during a case. Other options include use of disposable endcaps and development of effective high‐level disinfection techniques. The collaboration between the healthcare professionals and the manufacturers is paramount for the development of environmental friendly devices with low carbon footprint.

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Section: Single-use Duodenoscopes and Endoscopesmentioning

confidence: 99%

Section: Single‐use Duodenoscopes and Endoscopesmentioning

confidence: 99%