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

08_ASGE Quality_Collins_Infection Control Nuts and Bolts

Pdf Summary

This document discusses infection control measures in the field of endoscopy. It highlights the problem of endoscope-associated infections (EAI), which are often unrecognized due to low frequency and a long lag time between colonization and infection. The document identifies various factors that contribute to EAI, such as inadequate surveillance of outpatient procedures, improper handling of equipment, and contamination via hands of caregivers. The document also emphasizes the importance of following standards and guidelines set by organizations like The Joint Commission (TJC), which include performing disinfection and sterilization of medical equipment, implementing infection prevention and control activities, and using personal protective equipment.<br /><br />The process of endoscope reprocessing is outlined, and deficiencies in reprocessing practices are identified, such as incomplete brushing, inadequate drying, and skipping important steps like air purging and flushing with alcohol. The document highlights occupational concerns related to infection control, including discomfort from personal protective equipment, occupational injuries, and interference with job performance.<br /><br />Furthermore, the document emphasizes the significance of hand hygiene, environmental hygiene, medication practices, and creating a culture of safety in the GI unit. It mentions specific initiatives, such as having an infection prevention plan, using appropriate personal protective equipment, ensuring adequate staff and time for reprocessing procedures, and regularly educating staff and maintaining equipment.<br /><br />The document concludes with practice pearls, presenting multiple-choice questions related to infection control in endoscopy. Finally, it provides a list of references for further reading.

Keywords

infection control measures

endoscopy

endoscope-associated infections

EAI

surveillance of outpatient procedures

improper handling of equipment

contamination via hands of caregivers

disinfection and sterilization

personal protective equipment

reprocessing practices