A Multi-site Field Study Evaluating the Effectiveness of Manual Cleaning of Flexible Endoscopes with an ATP Detection System

New Delhi Metallo-β-Lactamase–Producing Carbapenem-ResistantEscherichia coliAssociated With Exposure to Duodenoscopes

“…28,29 In addition to cultures, the use of adenosine triphosphate bioluminescence assays after manual cleaning has been used to detect the presence of persistent organic material following duodenoscope cleaning. 30,31 Although nonculture methods using adenosine triphosphate might be faster than culture, more work is needed to validate these methods before they can be widely recommended.…”

Impact of Training Education Program on Improving of Nurses Performance Regarding Infection Control in Endoscopy Unit

“…The Emergency Care Research Institute, listed that, inadequate reprocessing of endoscopes as one of its "Top 10 Technology Health Hazards," asserted that reprocessing guidelines should be continuously reviewed and technicians should be better trained [2]. Bommarito reported that about 15% of endoscopes in Untied States (US) hospitals failed to achieve an accepted standard of cleanliness after liquid reprocessing (the prevailing disinfection process used between patient procedures in his study, duodenoscopes were the dirtiest at a 30% contamination rate, and colonoscopes were the cleanest at a 3% contamination rate [3].Peery et al stated that more than 18.6 million gastrointestinal endoscopies were performed at least every year in the US alone [4]. While The Gastrointestinal Endoscopy Center at Zagazig University Hospital offers a highly specialized medical service for many clients suffering from different GIT problems.…”

A 21st century nosocomial issue with endoscopes

“…A mid 2013 study reported that about 15% of endoscopes in US hospitals failed to achieve an accepted standard of cleanliness after liquid reprocessing (the prevailing disinfection process used between patient procedures). 3 In this study, duodenoscopes were the dirtiest at a 30% contamination rate, and colonoscopes were the cleanest at a 3% contamination rate. 3 All in all, reprocessing is time consuming, labor intensive, expensive and, most importantly, susceptible to failure.…”

“…3 In this study, duodenoscopes were the dirtiest at a 30% contamination rate, and colonoscopes were the cleanest at a 3% contamination rate. 3 All in all, reprocessing is time consuming, labor intensive, expensive and, most importantly, susceptible to failure. Among the most problematic features of an endoscope are the luminal channels, which often become contaminated by endoscope accessories.…”