Improving Quality and Safety in the Endoscopy Unit (On-Demand) | August 2023-08_ASGE Quality_Collins

08_ASGE Quality_Collins_Infection Control Nuts and Bolts

Pdf Summary

This document provides an overview of infection control in endoscopy procedures. It highlights the problem of endoscope-associated infections (EAIs), which often go unrecognized due to their low frequency and long lag time between colonization and infection. The document emphasizes the importance of adequate surveillance and the risk of contamination through various sources such as tubing, check valves, water bottles, and contaminated equipment.<br /><br />The document also mentions the standards set by The Joint Commission (TJC) related to infection prevention and control activities, including performing disinfection and sterilization of medical equipment, devices, and supplies. It emphasizes the use of personal protective equipment (PPE) and standard precautions to reduce the risk of infection.<br /><br />The process of endoscope reprocessing is discussed, highlighting the steps involved such as pre-cleaning, manual cleaning, high-level disinfection, and storage. Deficiencies in reprocessing are identified, including incomplete brushing, inadequate drying of channels, and skipped steps in the process.<br /><br />Occupational concerns related to infection control are addressed, including the need for proper hand hygiene and the maintenance of a clean environment. The document mentions the importance of safe medication administration practices and the creation of a culture of safety in the GI unit.<br /><br />Guidelines for infection control in endoscopy procedures provided by the ASGE and SGNA in 2018 are highlighted, emphasizing the need for quality assurance, regular education, traceability of equipment, and routine maintenance.<br /><br />The document provides recommendations for what to do if an infection is suspected, emphasizing the rarity of infections and the importance of adherence to cleaning standards.<br /><br />The summary ends with a section containing five multiple-choice questions related to infection control in endoscopy procedures.

Keywords

infection control

endoscopy procedures

endoscope-associated infections

surveillance

contamination

disinfection

sterilization

personal protective equipment

endoscope reprocessing

occupational concerns