ASGE Masterclass: Infection Control (On-Demand) | June 2021-03-Muthusamy_ASGE Enhanced Endoscope Reprocessing Talk

03-Muthusamy_ASGE Enhanced Endoscope Reprocessing Talk

Pdf Summary

This document discusses the complexities and challenges of reprocessing endoscopes and the potential mechanisms for reprocessing failure. It highlights the importance of proper manual cleaning and the risks of inadequate cleaning protocols. The document also emphasizes the low margin for error with high-level disinfection (HLD) and the need for enhanced reprocessing methods.<br /><br />The rise of "superbugs" and the recommendations from the FDA for enhanced reprocessing methods are discussed. These methods include double HLD, ethylene oxide sterilization, liquid chemical sterilization, and microbiologic culturing and quarantine.<br /><br />The document presents data on the current practices and attitudes regarding enhanced reprocessing methods in various healthcare settings. It also discusses potential solutions and improvements, such as remote video auditing, assessing reprocessing adequacy using adenosine triphosphate (ATP) testing, and the use of protective attachments.<br /><br />The findings of the document also include the results of studies comparing single HLD to double HLD and ethylene oxide sterilization. The document provides guidelines on the efficacy of microbial surveillance and recommends routine microbiologic testing of fully reprocessed and dried endoscopes. It also discusses the use of single-use devices and their potential benefits.<br /><br />The document concludes by highlighting the need for rigorous staff training, proper storage and maintenance of devices, and adherence to FDA guidance on enhanced reprocessing methods. It suggests that a combination of different techniques may be utilized, and patient preference will play a role in determining the appropriate solution. Further studies on efficacy and cost-effectiveness are needed to determine the ultimate solution for enhancing endoscope reprocessing.

Keywords

endoscope reprocessing

reprocessing failure

manual cleaning

high-level disinfection

enhanced reprocessing methods

superbugs

ethylene oxide sterilization

microbiologic culturing

remote video auditing

patient preference