Endoscopy‐related infections

Schembre, Drew; Bjorkman, David J.

doi:10.1111/j.1365-2036.1993.tb00108.x

Cited by 22 publications

(11 citation statements)

References 91 publications

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“…Le risque de bactériémie après SVO varie de 4 à 56 % avec une moyenne de 20 % [7]. Deux études contrôlées utilisant le céfuroxime ou le céfotaxime ont montré une diminution significative du taux de bactériémie mais la réduction du taux d'infection clinique n'apparaît pas clairement [2].…”

Section: La Sclérose Des Varices Oesophagiennes (Svo)unclassified

“…Elles sont associées à un risque de bactériémie proche de 45 %, voire 100 % dans une étude [3,7]. Il n'est pas démontré clairement que la désinfection de la cavité oropharyngée ou du matériel de dilatation (bougies) puisse diminuer le risque d'infection [2,3].…”

Section: La Dilatation Endoscopique Et La Mise En Place De Prothèses unclassified

“…-son coût non négligeable (lié au nombre d'endoscopies réalisées) ; -le risque de sélection de micro-organismes résis-tants [2][3][4][5][6][7][8] ;…”

Section: Introductionunclassified

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Antibioprophylaxie en endoscopie digestive

Héresbach¹,

Barthet²,

Michelet³

et al. 2008

Acta Endosc

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Section: La Sclérose Des Varices Oesophagiennes (Svo)unclassified

Section: La Dilatation Endoscopique Et La Mise En Place De Prothèses unclassified

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Antibioprophylaxie en endoscopie digestive

Héresbach¹,

Barthet²,

Michelet³

et al. 2008

Acta Endosc

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“…Diese invasiven Methoden sind jedoch mit dem Risiko verbunden, Infektionen weiter zu verbreiten (Coghill et al 1989, Schembre et al 1993, Spach et al 1993, Leiss et al 1995und 2003, Bronovicki et al 1997, was vor allem für gastroenterologische Untersuchungen gilt. Vor diesem Hintergrund wurden von den humanmedizinischen Fachgesellschaften verschiedener Länder Leit-und Richtlinien zur Aufbereitung von flexiblen Endoskopen erarbeitet (Leiss et al 2002).…”

Section: Introductionunclassified

Influence of different cleaning, disinfection and drying methods on endoscope hygiene in equine medicine

Barton¹,

Roschanski²,

Merle³

et al. 2017

PHK

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Influence of different cleaning, disinfection and drying methods on endoscope hygiene in equine medicineIn times of increasing numbers of infections caused by multiresistant bacteria like MRSA (Methicillin-resistenter Staphylococcus aureus) or ESBL (Extended-Spectrum Beta-Lactamasen) producing bacteria, sufficient, but feasible cleaning and disinfection of veterinary endoscopes is of great importance. In the here described study, two cleaning-and disinfection methods (manual vs. automatized) as well as two different drying techniques (air-drying vs. pressurized air) were compared. Therefore, in 4 groups of 40 endoscopic examinations were investigated by sampling of working channel, endoscope tip and shaft at 3 time-points. Microbiologic swab results were evaluated for total bacteria numbers, successful cleaning and disinfection was defined as total bacteria of 0 or at least 4 log reduction. Overall, the percentage of successful cleaning, disinfection and drying over the different groups varied from 74 to 82 %. A significant influence of the method of drying and the examined organ system was found for the working channel, while no significant factors were found for tip and shaft. Disinfection was most successful after examinations of the lower airways (P = 0.003), while odds ratios for the gastrointestinal tract and upper airways were 0.073 and 0.115, respectively. There was also a trend towards a positive effect of pressurized air drying, but this remained insignificant (P = 0.095). Overall, modern methods of disinfection and drying were found to be superior for the localizations working channel and endoscope tip (P > 0.05), but not for the shaft. In conclusion, careful cleaning and disinfection is essential in particular after endoscopic examinations of the upper airways and the gastrointestinal tract. Pressurized air drying seems preferable.

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“…With the more widespread use of �exible endoscopy 30 years ago, nosocomial infections associated with oesophago-gastroduodenoscopy, colonoscopy, endoscopic retrograde cholangiopancreaticography (ERCP), or bronchoscopy were observed and described in the literature [1][2][3][4][5][6][7][8][9]. A survey in the 70ies yielded an estimated risk of 1 per 10,000 endoscopic examinations (oesophagogastroduodenoscopies und colonoscopies) [10].…”

Section: Introductionmentioning

confidence: 99%

How to Improve Reprocessing of Flexible Endoscopes Nationwide? Data from the German Colorectal Cancer Screening Program

2013

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Background and Aims.International studies revealed prevalences of around 50% of microbiological contaminations in reprocessed �exible endoscopes. In Germany a system was installed where the quali�cation for refund for colonoscopies was made conditional on successfully passing twice annually a microbiological surveillance test of reprocessed endoscopes. is study is an implementation and outcome evaluation as well as a general discussion of the quality assessment assurance in colonoscopy in Germany. Methods. German data from 2003-2008 were analysed: number of endoscopic units performing therapeutic and/or screening colonoscopies; results of all microbiological surveillance tests of reprocessing quality; number of failed surveillance tests and retests; number of quali�cations for refund from the public health system cancelled due to repeated failure of microbiological surveillance tests. Results. Aer the introduction of the quality assessment assurance, the percentage of failed microbiological surveillance tests dropped signi�cantly and steadily from close to 17% to below 5%. Conclusions. is study evidences (1st) the successful implementation of the quality assessment assurance in Germany and (2nd) a substantial improvement in the quality of reprocessing �exible endoscopes achieved by these measures.

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Endoscopy‐related infections

Cited by 22 publications

References 91 publications

Antibioprophylaxie en endoscopie digestive

Antibioprophylaxie en endoscopie digestive

Influence of different cleaning, disinfection and drying methods on endoscope hygiene in equine medicine

How to Improve Reprocessing of Flexible Endoscopes Nationwide? Data from the German Colorectal Cancer Screening Program

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