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

Beilenhoff, Ulrike; Neumann, Christiane; Biering, Holger; Blum, Reinhard; Schmidt, Verona; Rey, J. F.

doi:10.1055/s-2006-945191

Cited by 33 publications

(28 citation statements)

References 2 publications

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“…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].…”

Section: Standards and Recommendationsmentioning

confidence: 99%

“…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].…”

Section: Ensuring Reprocessing Quality and Infection Preventionmentioning

confidence: 99%

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Hygiene: The Looming Achilles Heel in Endoscopy

Jung¹,

Beilenhoff²

2016

Visc Med

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Background: Since the late 1970s there have been sporadic reports of nosocomial infections linked to endoscopic procedures. Infections by multidrug-resistant organisms (MDRO) have an increasing impact on healthcare systems worldwide. Since 2010 outbreaks involving MDRO have been reported as a result of endoscopic retrograde cholangiopancreatography (ERCP) from the USA, France, Germany and the Netherlands. Methods: This article evaluates the recent outbreaks and developments and demonstrates a structural approach to how to prevent future infections. Current national and international guidelines were used as a basis for discussions. Results: In some cases insufficient cleaning or drying supported the outbreak. In the majority of cases, outbreaks occurred despite the apparently appropriate reprocessing protocols being in use. Microlesions were identified on a number of endoscopes, which supported the growth of bacteria and represented a vehicle for the transmission of infectious material. National official bodies responded with warnings. Manufacturers informed their customers accordingly. Separate, purpose-designed reprocessing rooms and a sufficient number of competent staff provide the structural quality for a safe reprocessing. The process quality includes a thorough cleaning of all endoscope channels and crucial instrument components, followed by an automated and validated reprocessing procedure. Strict adherence to manufacturers' recommendations is essential. The outcome quality should be evaluated by regular audits, validation of reprocessing procedures and microbiological surveillance. If outbreaks occur, a close co-operation with official bodies and manufacturers is essential. Conclusion: Health care professionals and manufacturers should be aware of their responsibility to ensure patient safety. A structural approach is key in prevention of endoscopy-associated infections.

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Section: Standards and Recommendationsmentioning

confidence: 99%

Section: Ensuring Reprocessing Quality and Infection Preventionmentioning

confidence: 99%

Hygiene: The Looming Achilles Heel in Endoscopy

Jung¹,

Beilenhoff²

2016

Visc Med

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“…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).…”

Section: Preventing Process Failurementioning

confidence: 99%

Beyond Traditional Biosafety

Wade¹,

Higgins²,

Arcement³

et al. 2015

Appl Biosaf.

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“…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].…”

Section: Wstępunclassified

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

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Our initial experience in microbiological monitoring for reprocessing gastrointestinal endoscopes

Kula¹,

Rybak²,

Szymankiewicz³

et al. 2010

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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.

Cited by 33 publications

References 2 publications

Hygiene: The Looming Achilles Heel in Endoscopy

Hygiene: The Looming Achilles Heel in Endoscopy

Beyond Traditional Biosafety

Our initial experience in microbiological monitoring for reprocessing gastrointestinal endoscopes

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