Navigation Links
ASGE and SHEA issue updated multisociety guideline on reprocessing flexible gastrointestinal endoscopes
Date:6/1/2011

JUNE 1, 2011 The American Society for Gastrointestinal Endoscopy (ASGE) and the Society for Healthcare Epidemiology of America (SHEA) have updated their 2003 joint guideline for reprocessing gastrointestinal endoscopes to reaffirm reprocessing methods and take into account evolved technology and disinfection systems.

The initial guideline, published in 2003, was drafted in collaboration with multiple physician and nursing organizations, infection prevention and control organizations, federal and state agencies, and industry leaders to develop evidence-based guidelines for reprocessing gastrointestinal (GI) endoscopes. ASGE, SHEA and nine other collaborating organizations have updated the previous guideline with additional discussion of new or evolving reprocessing issues and updated literature citations. The updated guideline, "Multisociety guideline on reprocessing flexible gastrointestinal endoscopes: 2011," is published in the June issues of GIE: Gastrointestinal Endoscopy, the monthly peer-reviewed scientific journal of the ASGE, and of Infection Control and Hospital Epidemiology, the scientific journal of SHEA.

To date, all published occurrences of pathogen transmission related to GI endoscopy have been associated with failure to follow established cleaning and disinfection/sterilization guidelines or use of defective equipment. Despite strong data regarding the safety of endoscope reprocessing, clinicians' concerns about the potential for pathogen transmission during endoscopy have raised questions about the best methods for disinfection or sterilization of these devices between patient uses. Since the 2003 guideline, high-level disinfectants, automated reprocessing machines, endoscopes and endoscopic accessories have all evolved; however, the efficacy of decontamination and high-level disinfection is unchanged and the principles guiding both remain valid.

"Endoscopy is a safe and effective procedure. Despite the large number and variety of GI endoscopic procedures performed, documented instances of infectious complications remain rare, with an estimated frequency of 1 in 1.8 million procedures," said Bret T. Petersen, MD, FASGE, chairman, ASGE Quality Assurance in Endoscopy Committee. "Since the 2003 guideline was published, additional outbreaks of infection related to suboptimal infection prevention practices during endoscopy or lapses in endoscope reprocessing have been well publicized. Given the ongoing, but rare, occurrences of endoscopy-associated infections attributed to lapses in infection prevention, an update of the multisociety guideline was warranted."

Flexible GI endoscopes should first be completely cleaned and then subjected to at least high-level disinfection. This standard has been recommended by federal agencies such as the FDA and CDC; professional organizations such as ASGE, SHEA, the American College of Gastroenterology, the American Gastroenterology Association, the Society of Gastroenterology Nurses and Associates (SGNA), the Association of periOperative Registered Nurses (AORN), and the Association for Professionals in Infection Control and Epidemiology. These organizations have developed guidance documents that detail the sequence and specifics of each element of appropriate endoscope reprocessing. There are no published studies of confirmed transmission of infection when these guidelines have been followed.

"These guidelines ensure that all clinicians are following the most up to date evidence-based methods to help keep patients safe," said Keith Woeltje, MD, PhD, FSHEA, chair of SHEA's Guidelines Committee. "The rare occurrence of transmission via endoscope speaks to the efficacy of reprocessing methods and shows the impact this guidance has in practice."

Specific additions or changes published in the "Multisociety guideline on reprocessing flexible gastrointestinal endoscopes: 2011" include:

  • Review of expanded details related to critical reprocessing steps (including cleaning and drying)
  • Review of reprocessing issues for various endoscope attachments such as flushing catheters
  • Distinction between risks related to endoscope reprocessing and those related to periprocedural practices, including medication administration
  • Discussion of related issues for which data are absent or insufficient to guide practice, including:
    • Endoscope shelf life or "hang time" (the interval of storage after which endoscopes should be reprocessed before use)
    • The role of microbiological surveillance testing of endoscopes after reprocessing
    • Questions regarding endoscope durability and longevity from the standpoint of infection prevention

To read all of the recommendations in the guideline, see the June issues of GIE: Gastrointestinal Endoscopy and Infection Control and Hospital Epidemiology.

The 2011 update was initially drafted by the Quality Assurance in Endoscopy Committee of ASGE and the Guideline Committee of the Society for Healthcare Epidemiology of America. Thereafter, significant input from the endorsing organizations was incorporated and distributed for consensus. The updated guideline has received the endorsement of the following organizations, which are committed to assisting the FDA, equivalent international agencies and manufacturers in addressing critical infection control issues in GI device reprocessing:

  • American Society for Gastrointestinal Endoscopy
  • Society for Healthcare Epidemiology
  • American College of Gastroenterology
  • American Gastroenterological Association
  • American Society of Colon and Rectal Surgeons
  • Accreditation Association for Ambulatory Health Care
  • Association of periOperative Registered Nurses
  • Association of Professionals in Infection Control and Epidemiology
  • The Joint Commission
  • Society of American Gastrointestinal and Endoscopic Surgeons
  • Society of Gastroenterology Nurses and Associates


'/>"/>

Contact: Anne Brownsey
abrownsey@asge.org
630-570-5635
American Society for Gastrointestinal Endoscopy
Source:Eurekalert

Related medicine news :

1. Majority of Americans Approve of President Obamas Handling of Afghanistan and National Security But Disapprove of Handling of Economic Issues, Per Franklin & Marshall College Poll With Hearst Television
2. American Red Cross Issues One-Month Progress Report for Haiti Earthquake
3. New study suggests stem cells sabotage their own DNA to produce new tissues
4. Scientists Discover Molecular Pathway for Organ Tissue Regeneration and Repair
5. One in Two Children Has Chronic Health Issues
6. ATS, ERS issue official standards for the quantitative assessment of lung structure
7. The Ensign Group Reports Fourth Quarter 2009 Adjusted Earnings of $0.43 Per Share; Issues 2010 Guidance
8. FDA Issues Warning on Key Asthma Drugs
9. MDS Announces Substantial Issuer Bid
10. Inadequate access to opioid-based pain relief is a human rights issue for cancer patients
11. Special issue of NeuroRehabilitation focuses on hypoxic-ischemic brain injuries
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:5/26/2017)... ... May 26, 2017 , ... Leading ... 2017 on May 30th and 31st at The Four Seasons Hotel Boston. ... in the life sciences, offering exclusive access to key decision makers who influence ...
(Date:5/26/2017)... ... May 26, 2017 , ... Amir Qureshi, MD is the first physician ... spinal cord stimulation system. The Nuvectra™ Algovita SCS System has been FDA approved as ... the first in Arkansas to introduce the most powerful SCS system and the only ...
(Date:5/26/2017)... ... ... A new analysis of community health data reveals that four out of the ... the average cost of healthcare rising and the U.S. senior population expected to double ... of where they live. An annual 2017 report looked at a variety of community ...
(Date:5/26/2017)... ... 26, 2017 , ... via seating is proud to partner ... chair specifically designed for clinical areas. Genie Copper Mesh is a crossover chair ... to provide customers with a game changing chair that is affordably priced,” Chas ...
(Date:5/26/2017)... ... May 26, 2017 , ... After raising nearly $30,000 on Kickstarter ... to be available at a discounted crowdfunding price on Indiegogo . , “Along ... I also wanted to bring a fidget toy to the market that was made ...
Breaking Medicine News(10 mins):
(Date:5/10/2017)... , May 10, 2017 Radiology has become ... its costs have also spiraled to the number one ... to radiology than ever before as the most complete ... a patient with lower back pain an MRI may ... reason for pain, resulting in entirely different treatment protocols.  ...
(Date:5/9/2017)...  Semler Scientific, Inc. (OTCQB: SMLR), an emerging ... the clinical effectiveness and efficiency of healthcare providers, ... ended March 31, 2017. "We ... identify when preventive care options are appropriate, which ... attacks or strokes occur," said Doug Murphy-Chutorian ...
(Date:5/6/2017)...  Hill-Rom Holdings, Inc. (NYSE: HRC), has begun a ... to its Welch Allyn campus. The ... more than 100 new jobs to Central ... a significant presence for more than 100 years. Hill-Rom,s ... large portion of which will be R&D and engineering ...
Breaking Medicine Technology: