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ASGE issues updated infection control guidelines for gastrointestinal endoscopy
Date:5/13/2008

which an endoscopy-related infection might occur are discussed in the document, as are measures to prevent such infection, including endoscope reprocessing, antibiotic prophylaxis, and protection of endoscopy personnel.

The single best protection against patient-to-patient transmission of microorganisms by an endoscopy is stringent reprocessing of endoscopes after use, with careful adherence to the Multi-Society Guidelines for Reprocessing Flexible Gastrointestinal Endoscopes issued in 2003. The guidelines define and discuss key concepts in endoscope reprocessing.

Endoscopy personnel may facilitate transmission of infection from patient to patient if they fail to carefully adhere to general infection control principles. In particular, appropriate aseptic techniques and safe injection practices should be followed. Improper reuse of syringes and the use of contaminated multiple dose drug vials have been linked to the transmission of hepatitis B and C between consecutive patients treated at health care facilities. Such practices should be avoided, and single use drug vials are recommended. Similarly, use of gloves by health care workers was shown to decrease the incidence of Clostridium difficile associated diarrhea and the point prevalence of asymptomatic C difficile carriage in inpatients.

INFECTION CONTROL GUIDELINES SUMMARY

  • Transmission of infection as a result of GI endoscopes is extremely rare, and recently reported cases are invariably attributable to lapses in currently accepted endoscope reprocessing protocols or to defective equipment.

  • Endoscopes should undergo high-level disinfection as recommended by governmental agencies and all pertinent professional organizations for the reprocessing of GI endoscopes.

  • Extensive training of staff involved in endoscopic reprocessing is mandatory for quality assurance and for effective infection control.

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

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