Aims:The aim of the study was microbiological evaluation of the efficacy of cleaning and disinfection of endoscopes carried out with the use of endoscope washer-disinfector EndoCleaner and evaluation of the endoscope storage cabinet providing a controlled environment. Methods and Results: The efficacy evaluation of endoscope cleaning and disinfection using the endoscope washer-disinfector EndoClener (AORT) was carried out in accordance with the PN-EN ISO 15883 standard, and the validity of endoscope storage cabinet (TRIBO LLC) was evaluated in accordance with the PN-EN 16442 standard. The micro-organism tested used in the study were as follows: Pseudomonas aeruginosa ATCC â 15442 TM , Enterococcus faecium ATCC â 12952 TM , Clostridium sporogenes ATCC â 19404 TM (spores), Candida albicans ATCC â 90028 TM and Aspergillus brasiliensis DSM â 1988 TM (surrogate for Asperigllus niger ATCC â 16404 TM ). It was demonstrated that the endoscope reprocessing carried out in the washer-disinfector EndoCleaner guaranteed the elimination of the micro-organism tested, and the tested endoscope storage cabinet met the microbiological criteria defined by the Polish standard PN-EN 16442 in the scope of tests. Conclusion: The obtained results showed that usage of washer-disinfector EndoCleaner and endoscope storage cabinet ensures the microbiological safety of using endoscopes. Significance and Impact of Study: The increase in the frequency of procedures applying endoscopes contributes to the increased risk of transmission of potentially pathogenic micro-organisms remaining after insufficient cleaning and disinfection of these devices. Research allows assessing the effectiveness of antimicrobial cleaning and disinfection of endoscopes and the safety of storing this equipment in an endoscope cabinet. A particularly innovative aspect is equipping the cabinet with a module generating the phenomenon of radiant catalytic ionization, which is a unique solution on the market. This is one of the very few works involving the assessment of each stage, that is contamination, washing and disinfection, drying and storage of endoscopes.
IntroductionEndoscopes, as simple speculum, were constructed in the 1960s. Since then, they have been expanded and equipped with additional elements, that is cameras, suckers and pliers, therefore they have evolved into multi-channel, complex medical devices. However, as the modification and technological improvement in endoscopes occurred, difficulties in cleaning and disinfecting them initiated (Aumeran et al. 2010).