Optimizing the Decontamination and Reprocessing of Endoscopic Equipment

Collins, J. V.

doi:10.1016/j.tige.2021.08.002

Cited by 6 publications

(3 citation statements)

References 14 publications

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“…Additionally, with the rise in disposable medical equipment, disposable endoscopes can also be considered to mitigate infection transmission risk and may provide an alternative to sterilization of reusable devices. Disposable endoscopes have advantages such as low acquisition cost and no reprocessing cost 34–36 . However, this method significantly increases the burden of generated medical waste 37 …”

Section: Discussionmentioning

confidence: 99%

“…Disposable endoscopes have advantages such as low acquisition cost and no reprocessing cost. [34][35][36] However, this method significantly increases the burden of generated medical waste. 37 The goal of this study was to test if the cleaning of flexible endoscopes in an otolaryngology clinic, as instructed, was effective at eradicating microorganisms.…”

Section: F I G U R Ementioning

confidence: 99%

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Assessing nonsexual transmission of the human papillomavirus (HPV): Do our current cleaning methods work?

Tucker

Milici

Alam

et al. 2022

Journal of Medical Virology

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Human papillomavirus (HPV) is thought to be sexually transmitted; however, there have been a few studies investigating a possible iatrogenic source of infection.Therefore, it is important to assess the cleaning methods of reusable medical devices. This study assessed whether cleaning methods of flexible endoscopes in an otolaryngology clinic are effective against HPV. There were 24 patients with a history of head and neck cancer in the study; however, two outliers were excluded.Nine patients were confirmed to have HPV-associated cancer. PCR was used to measure and quantify the viral genomes of samples collected before and after cleaning. After cleaning, few HPV+ samples had endoscopes with less DNA than before cleaning. Additionally, for several patients with non-HPV-associated head and neck cancer, PCR showed more DNA after cleaning than before cleaning, suggesting residual HPV DNA within the cleaning solution. There was no significant difference (p > 0.05) between pre-and post-cleaning in both cohorts. Current cleaning methods of reusable endoscopes may not be effective in completely removing viral DNA.

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Section: Discussionmentioning

confidence: 99%

Section: F I G U R Ementioning

confidence: 99%

Assessing nonsexual transmission of the human papillomavirus (HPV): Do our current cleaning methods work?

Tucker

Milici

Alam

et al. 2022

Journal of Medical Virology

View full text Add to dashboard Cite

show abstract

“…In this specific context, the use of disposable elevator caps might be a more sustainable alternative to disposable complete duodenoscopes95–98 and is recommended for further evaluation by national bodies 99. A reduction in transmissible infections after ERCP may therefore be achieved by innovations to endoscope design, optimising decontamination and reprocessing100 as well as adoption of quality assurance measures 77. A biofilm is an inevitable byproduct of an endoscope coming in contact with biological fluids in the digestive tract and important for transmission of infections.…”

Section: Methodsmentioning

confidence: 99%