Subscribe to RSS
Please copy the URL and add it into your RSS Feed Reader.
https://www.thieme-connect.de/rss/thieme/en/10.1055-s-00000012.xml
Endoscopy 2007; 39(2): 175-181
DOI: 10.1055/s-2006-945181
DOI: 10.1055/s-2006-945181
Guidelines
© Georg Thieme Verlag KG Stuttgart · New York
ESGE-ESGENA guideline for quality assurance in reprocessing: Microbiological surveillance testing in endoscopy
Further Information
Publication History
Publication Date:
27 February 2007 (online)
Contents
1. Introduction
2. Risk of infections, and potential problem areas during reprocessing
3. Responsibilities
4. Frequency
5. Sampling for routine tests
5.1. Endoscopes
5.2. Final rinse water in washer-disinfectors
5.3. Water supply
6. Cultures/culturing
6.1. Liquid samples from endoscope channels
6.2. Swabs
6.3. Water samples
6.4. Additional tests
7. Interpretation of results and corrective measures in case of contamination
7.1. Total microbiological count
7.2. Detection of special microorganisms
8. Management of outbreak of infectious agent
9. References
10. Appendix
9. References
- 1 ESGE-ESGENA Guideline Committee . Guidelines on cleaning and disinfection in gastrointestinal endoscopy - update 1999. Endoscopy. 2000; 32 77-83
- 2 Spach D H, Silverstein F E, Stamm W E. Transmission of infection by gastrointestinal endoscopy. Ann Intern Med. 1993; 118 117-128
-
3 Ayliffe G A.
Nosocomial infections associated with endoscopy. In: Mayhall CG (ed). Hospital epidemiology and infection control. Baltimore; Williams & Wilkins 1995: 680-693 - 4 Cowen A E. The clinical risks of infections associated with endoscopy. Can J Gastroenterol. 2001; 15 321-331
- 5 Langenberg W, Rauws E A, Oudbier J H, Tytgat G N. Patient to patient transmission of Campylobacter pylori by fiberoptic gastroduodenoscopy and biopsy. J Infect Dis. 1990; 161 507-511
- 6 Moayyedi P, Lynch D, Axon A. Pseudomonas and endoscopy. Endoscopy. 1994; 26 554-558
- 7 Bronowicki J P, Vernard V, Botte C. et al . Patient-to-patient transmission of hepatitis C virus during colonoscopy. N Engl J Med. 1997; 337 237-240
- 8 Birnie G G, Quigley E M, Clements G B. et al . Endoscopic transmission of hepatitis B virus. Gut. 1983; 24 171-174
- 9 Rey J F, Kruse A. Cleaning and disinfection in Europe according to the endoscopic societies’ guidelines. Endoscopy. 2003; 35 878-881
- 10 Leiss O, Beilenhoff U, Bader L. et al . Reprocessing of flexible endoscopes and endoscopic accessories - an international comparison of guidelines. Z Gastroenterol. 2002; 40 531-542
- 11 Bader L, Blumenstock G, Birkner B. HYGEA (Hygiene in der Gastroenterologie-Endoskop-Aufbereitung): Studie zur Qualität der Aufbereitung von flexiblen Endoskopen in Klinik und Praxis [HYGEA (Hygiene in gastroenterology - endoscope reprocessing): Study on quality of reprocessing flexible endoscopes in hospitals and in the practice setting]. Z Gastroenterol. 2002; 40 157-170
- 12 RKI (Robert Koch Institut) . Empfehlungen der Kommission für Krankenhaushygiene und Infektionsprävention beim Robert-Koch-Insitut zu den Anforderungen an die Hygiene bei der Aufbereitung flexibler Endoskope und endoskopischen Zusatzinstrumentariums. Bundesgesundheitsblatt. 2002; 45 395-411
-
13 prEN ISO 15 883.
- 14 ESGE-ESGENA-Guideline Commitee . ESGE-ESGENA guideline for process validation and for routine tests for reprocessing endoscopes in washer disinfectors, according to prEN ISO 15883, parts 1, 4 and 5. Endoscopy;. 2007; 39 85-94