Techniques in Gastrointestinal Endoscopy
Volume 13, Issue 4 , Pages 217-223 , October 2011

Ambulatory endoscopy centers: infection-related issues

  • David A. Greenwald, MD

      Affiliations

    • Corresponding Author InformationAddress reprint requests to David A. Greenwald, MD, Division of Gastroenterology and Liver Diseases, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York. 10467

References 

  1. Everhart JE. The Burden of Digestive Disease in the United States. Bethesda, MD: U.S. Department of Health and Human Services; 2008;NIH Publication No. 09-6443
  2. American Society for Gastrointestinal Endoscopy. Multi-society guideline for reprocessing flexible gastrointestinal endoscopes. Gastrointest Endosc. 2011;73:1075–1084
  3. ASGE Standards of Practice CommitteeBanerjee S, Shen B, Nelson DB, et al. Infection control during GI endoscopy. Gastrointest Endosc. 2008;67:781–790
  4. CDC Guidelines. http://www.cdc.gov/hicpac/2007IP/2007isolationPrecautions.htmlAccessed September 2011
  5. OSHA Guidelines. http://www.osha.gov/SLTC/etools/hospital/hazards/bbp/bbp.html#UprecautionsAccessed December 2009
  6. Fischer GE, Schaefer MK, Labus BJ, et al. Acute hepatitis C virus infections attributed to unsafe injection practices at an endoscopy clinic—Nevada, 2007. Morb Mortal Wkly Rep. 2008;57:513–517
  7. Nelson DB. Recent advances in epidemiology and prevention of gastrointestinal endoscopy related infections. Curr Opin Infect Dis. 2005;18:326–330
  8. Rutala WA, Weber DJ. Disinfection and sterilization in health care facilities: what clinicians need to know. Clin Infect Dis. 2004;39:702–709
  9. DiMarino AJ. Noncompliance with FDA and society guidelines for endoscopic reprocessing: implications for patient care. Gastrointest Endosc Clin N Am. 2000;10:283–294
  10. Nelson DB. Infectious disease complications of GI endoscopy: part II, exogenous infections. Gastrointest Endosc. 2003;57:695–711
  11. Kimmey MB, Burnett DA, Carr-Locke DL, et al. Transmission of infection by gastrointestinal endoscopy. Gastrointest Endosc. 1993;36:885–888
  12. Spach DH, Silverstein FE, Stamm WE. Transmission of infection by gastrointestinal endoscopy and bronchoscopy. Ann Intern Med. 1993;118:117–128
  13. Cleaning and disinfection of equipment for gastrointestinal endoscopy (Report of a Working Party of the British Society of Gastroenterology). Gut. 1998;42:585–593
  14. American Society for Gastrointestinal Endoscopy. Infection control during gastrointestinal endoscopy (Guidelines for clinical application). Gastrointest Endosc. 1988;34:37S–40S
  15. Nelson DB, Muscarella LF. Current issues in endoscope reprocessing and infection control during gastrointestinal endoscopy. World J Gastroenterol. 2006;12:3953–3964
  16. Chiarello LA. Preventing patient to patient transmission of blood-borne pathogens in health care settings. Semin Infect Control. 2001;1:43–47
  17. Schembre DB. Infectious complications associated with gastrointestinal endoscopy. Gastrointest Endosc Clin N Am. 2000;10:215–232
  18. Zubarik R, Fleischer DE, Mastropietro C, et al. Prospective analysis of complications 30 days after outpatient colonoscopy. Gastrointest Endosc. 1999;50:322–328
  19. SGNA Guidelines, Standards of Infection Control in Reprocessing of Flexible gastrointestinal Endoscopes, 2008. http://www.sgna.org/Portals/0/Education/Practice%20Guidelines/InfectionControlStandard.pdfAccessed September 2011
  20. American Society for Testing and Materials. Standard Practice for Cleaning and Disinfection of Flexible Fiberoptic and Video Endoscopes Used in the Examination of the Hollow Viscera. West Conshohocken, PA: American Society for Testing and Materials; 2000;F1518–00
  21. Association of Perioperative Registered Nurses. Recommended Practices for Use and Care of Endoscopes: 2002 Standards, Recommended Practices, and Guidelines. In: Denver: Association of Perioperative Registered Nurses; 2002;p. 229–232
  22. Beilenhoff U, Neumann CS, Rey JF, et al. ESGE-ESGENA guideline: cleaning and disinfection in gastrointestinal endoscopy. Endoscopy. 2008;40:939–957
  23. Nelson DB, Jarvis WR, Rutala WA, et al. Multisociety guideline on reprocessing flexible gastrointestinal endoscopes: 2011. Gastrointest Endosc. 2011;73:1075–1084
  24. Rutala WA, Weber DJ. Reprocessing endoscopes: United States perspective. J Hosp Infect. 2004;56(suppl 2):S27–S39
  25. Seoane-Vazquez E, Rodriguez Monguio R, Visaria J, et al. Endoscopy-related infections and toxic reactions: an international comparison. Endoscopy. 2007;39:742–778
  26. Rutala WA, Weber DJ Healthcare Infection Control Practices Advisory Committee (HICPAC). Guideline for Disinfection and Sterilization in Healthcare. Facilities. http://www.cdc.gov/ncidod/dhqp/pdf/guidelines/Disinfection_Nov_2008.pdf2008;Accessed November 5, 2009
  27. Banerjee S, Shen B, Nelson DB, et al. Infection control during GI endoscopy. Gastrointest Endosc. 2008;67:781–790
  28. Society of Gastroenterology Nurses and Associates. Standards of infection control in reprocessing of flexible gastrointestinal endoscopes. Gastroenterol Nurs. 2006;29:142–148
  29. Chu NS, Favero M. The microbial flora of the gastrointestinal tract and the cleaning of flexible endoscopes. Gastrointest Endosc Clin N Am. 2000;20:233–244
  30. Chaufour X, Deva AK, Vickery K, et al. Evaluation of disinfection and sterilization of reusable angioscopes with the duck hepatitis B model. J Vasc Surg. 1999;30:277–282
  31. Vesley D, Melson J, Stanley P. Microbial bioburden in endoscope reprocessing and an in-use evaluation of the high-level disinfection capabilities of Cidex PA. Gastroenterol Nurs. 1999;22:63–68
  32. Alfa MJ, Degagne P, Olson N. Worst-case soiling levels for patient-used flexible endoscopes before and after cleaning. Am J Infect Control. 1999;27:392–401
  33. Miner N, Harris V, Ebron T, et al. Sporicidal activity of disinfectants as one possible cause for bacteria in patient-ready endoscopes. Gastroenterol Nurs. 2007;30:285–290
  34. Cheung RJ, Ortiz D, DiMarino AJ. GI endoscopic reprocessing practices in the United States. Gastrointest Endosc. 1999;50:362–368
  35. DiMarino AJ. The prevention of infection following gastrointestinal endoscopy: the importance of prophylaxis and reprocessing. In:  DiMarino AJ,  Benjamin SB editor. Gastrointestinal Disease: an Endoscopic Approach. vol 1:Boston: Blackwell Science; 1997;p. 93–104
  36. Rutala WA, Weber DJ. Disinfection of endoscopes: review of new chemical sterilants used for high-level disinfection. Infect Control Hosp Epidemiol. 1999;20:69–76
  37. Society of Gastroenterology Nurses and Associates, Inc.. Guideline for the use of high-level disinfectants and sterilants for reprocessing of flexible gastrointestinal endoscopes. Gastroenterol Nurs. 2000;23:180–187
  38. Rutula WA, Weber DJ. FDA labeling requirements for disinfection of endoscopes: A counterpoint. Infect Control Hosp Epidemiol. 1995;16:231–235
  39. Alvarado C. Reconciliation of FDA and societal guidelines for endoscope reprocessing. Gastrointest Endosc Clin N Am. 2000;20:275–282
  40. American Society for Gastrointestinal Endoscopy. ASGE technology status evaluation report: Automatic endoscope reprocessors (February 1999. American Society for Gastrointestinal Endoscopy). Gastrointest Endosc. 1999;50:925–927
  41. Mucarella LF. Automatic flexible endoscope reprocessors. Gastrointest Endosc Clin N Am. 2000;10:45–57
  42. Fraser VJ, Zuckerman G, Clouse RE, et al. A prospective randomized trial comparing manual and automated endoscope disinfection methods. Infect Control Hosp Epidemiol. 1993;14:383–389
  43. Muscarella LF. Advantages and limitations of automatic flexible endoscope reprocessors. Am J Infect Control. 1996;24:304–309
  44. Farina A, Fievet MH, Plassart F, et al. Residual glutaraldehyde levels in fiberoptic endoscopes: Measurement and implications for patient toxicity. J Hosp Infect. 1999;42:293–297
  45. Bilotta JJ, Waye JD. Hydrogen peroxide enteritis: the “snow white” sign. Gastrointest Endosc. 1989;35:428–430
  46. Muscarella LF. Application of environmental sampling to flexible endoscope reprocessing: the importance of monitoring the rinse water. Infect Control Hosp Epidemiol. 2002;23:285–289
  47. Muscarella LF. Inconsistencies in endoscope-reprocessing and infection-control guidelines: the importance of endoscope drying. Am J Gastroenterol. 2006;101:2147–2154
  48. Osborne S, Reynolds S, George N, et al. Challenging endoscopy reprocessing guidelines: a prospective study investigating the safe shelf life of flexible endoscopes in a tertiary gastroenterology unit. Endoscopy. 2007;39:825–830
  49. Rejchrt S, Cermák P, Pavlatová L, et al. Bacteriologic testing of endoscopes after high-level disinfection. Gastrointest Endosc. 2004;60:76–78
  50. Vergis AS, Thomson D, Pieroni P, et al. Reprocessing flexible gastrointestinal endoscopes after a period of disuse: is it necessary?. Endoscopy. 2007;39:737–739
  51. SGNA Practice Committee. Reprocessing of water bottles used during endoscopy. J SGNA. 2006;29:396–397

 The author reports no direct financial interests that might pose a conflict of interest in connection with the submitted manuscript.

PII: S1096-2883(11)00124-0

doi: 10.1016/j.tgie.2011.08.001

Techniques in Gastrointestinal Endoscopy
Volume 13, Issue 4 , Pages 217-223 , October 2011

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