Endoscope Reprocessing: Problem and trends. Difficulty of cleaning and disinfecting endoscopes Due...
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Transcript of Endoscope Reprocessing: Problem and trends. Difficulty of cleaning and disinfecting endoscopes Due...
Endoscope Reprocessing: Problem and trends
Difficulty of cleaning and disinfecting endoscopes
• Due to the endoscope material the endoscope is build with :
no heat sterilization
• Due to the hospital practice and habits
• Due to the endoscope design
BIOFILM AND
ENDOSCOPESInternal surface of a brand new endoscope biopsy channel (Teflon )
4µm
BIOFILM AND
ENDOSCOPESInternal surface of an endoscope biopsy channel after 300 exams (Teflon)
20µm
BIOFILM AND
ENDOSCOPESInternal surface of an endoscope biopsy channel after 300 exams (Teflon)
4µm
BIOFILM AND
ENDOSCOPESInternal surface of an endoscope biopsy channel after 600 exams (Teflon)
4µm
Where do we come from ?
• Cleaning only the distal part of the endoscope
because endoscopes were not waterproof
because the contamination risk was ignored
• The only thing the doctors cared about was :
the reprocessing time between two patients
not to damage their endoscopes
New awareness of the contamination risk
Changes in the types of germs
Changes in the legal responsibility
Changes in the types of patients
Hepatitis, Aids, multi resistant mycobacteria, SARS, Creutzfeld Jacob (mad cow)….
Elderly people, Immunodepressed patients….
The doctor and the hospital can be sued
New awareness of the chemical risk
Skin, eyes and respiratory toxicity: allergy, asthma
For the nurse
For the patient
For the environment
Colitis due to improper rinse of the endoscope
Non biodegradable disinfectant kills the bacteria used in sewage plants
New risk management for the hospital
More endoscopes
Writing and implementation of protocols
Respect of protocols
Evaluation, improvement of these protocols
Need for :
In one word : Quality and safety for the patient
Traceability
New risk management in general
New Chemistry
New Guidelines & Regulatory
New Technologies
Need for :