GI Unit Leadership: Optimizing Endoscopy Operations through Leadership (On-demand) | February 2025-ASGE_multisociety endoscope reprocessing guideline

ASGE_multisociety endoscope reprocessing guideline

Pdf Summary

The "Multisociety Guideline on Reprocessing Flexible GI Endoscopes and Accessories" addresses the complex and meticulous process required for cleaning and reprocessing gastrointestinal (GI) endoscopes to prevent the transmission of infections. Key points from the guideline include:<br /><br />1. **Importance and Risks:** GI endoscopy is crucial for diagnosing and treating digestive diseases. However, risks exist due to the potential for exogenous infections from contaminated endoscopes, despite established reprocessing guidelines.<br /><br />2. **Reprocessing Procedures:** The guideline emphasizes adhering to a detailed reprocessing protocol:<br />   - **Precleaning:** Immediate cleaning post-procedure is critical to prevent biofilm and reduce infection risks.<br />   - **Manual Cleaning:** Requires the disassembly of components, thorough cleaning with model-specific tools, and adherence to manufacturers' recommendations.<br />   - **Disinfection:** High-level disinfection (HLD) should preferably be conducted using automated endoscope reprocessors (AERs).<br />   - **Drying:** Effective drying is paramount as residual moisture can lead to microorganism growth.<br /><br />3. **Spaulding Classification System:** This system is used to classify the level of disinfection required for medical devices based on their risk of infection. Endoscopes are generally classified as semi-critical, necessitating at least HLD, though concerns exist especially with duodenoscopes.<br /><br />4. **Staff Competency and Training:** It's essential that staff are trained and evaluated regularly on reprocessing competencies to ensure adherence to safety protocols.<br /><br />5. **Endoscope Storage and Maintenance:** Proper storage in secure, clean environments is necessary, and policies for regular maintenance and traceability (especially for loaned endoscopes) should be in place.<br /><br />6. **Infection Control Leadership:** Endoscopy units should have a designated infection control leader to ensure compliance with guidelines and address any outbreaks effectively.<br /><br />7. **Current and Emerging Concerns:** The persistent concerns about infection transmission highlight the need for ongoing evaluation and improvement of reprocessing practices. The guideline also points to the potential future incorporation of single-use devices or components to reduce infection risks.<br /><br />Overall, this guideline aims to standardize endoscope reprocessing procedures to improve patient safety, reduce infection rates, and guide endoscopy units in establishing effective infection control programs.

Keywords

GI endoscopes

infection prevention

reprocessing guidelines

manual cleaning

high-level disinfection

Spaulding classification

staff training

endoscope storage

infection control

single-use devices