Endoscopy 2007; 39(2): 175-181
DOI: 10.1055/s-2006-945181
Guidelines

© Georg Thieme Verlag KG Stuttgart · New York

ESGE-ESGENA guideline for quality assurance in reprocessing: Microbiological surveillance testing in endoscopy

U.  Beilenhoff1 , C.  S.  Neumann2 , J.  F.  Rey3 , H.  Biering4 , R.  Blum5 , V.  Schmidt6 , and the ESGE Guidelines Committee7
  • 1ESGENA Treasurer, Ulm, Germany
  • 2ESGENA President, Clinical Investigation Unit, City Hospital NHS Trust, Birmingham, UK
  • 3ESGE Guidelines Committee Chairman, Institute A. Tzanck, Saint Laurent du Var, France
  • 4R, D & E Health Care EMEA, Ecolab GmbH & Co OHG, Düsseldorf, Germany
  • 5BU Endoscopy Reprocessing Systems, Olympus Medical Systems Europa Gmbh, Hamburg, Germany
  • 6Microbiology and Hygiene Department, Chemische Fabrik Dr. Weigert GmbH & Co. KG, Hamburg, Germany
Further Information

Publication History

Publication Date:
27 February 2007 (online)

Contents

1. Introduction
2. Risk of infections, and potential problem areas during reprocessing
3. Responsibilities
4. Frequency
5. Sampling for routine tests
5.1. Endoscopes
5.2. Final rinse water in washer-disinfectors
5.3. Water supply
6. Cultures/culturing
6.1. Liquid samples from endoscope channels
6.2. Swabs
6.3. Water samples
6.4. Additional tests
7. Interpretation of results and corrective measures in case of contamination
7.1. Total microbiological count
7.2. Detection of special microorganisms
8. Management of outbreak of infectious agent
9. References
10. Appendix

9. References

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  • 3 Ayliffe G A. Nosocomial infections associated with endoscopy.  In: Mayhall CG (ed). Hospital epidemiology and infection control. Baltimore; Williams & Wilkins 1995: 680-693
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  • 7 Bronowicki J P, Vernard V, Botte C. et al . Patient-to-patient transmission of hepatitis C virus during colonoscopy.  N Engl J Med. 1997;  337 237-240
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  • 10 Leiss O, Beilenhoff U, Bader L. et al . Reprocessing of flexible endoscopes and endoscopic accessories - an international comparison of guidelines.  Z Gastroenterol. 2002;  40 531-542
  • 11 Bader L, Blumenstock G, Birkner B. HYGEA (Hygiene in der Gastroenterologie-Endoskop-Aufbereitung): Studie zur Qualität der Aufbereitung von flexiblen Endoskopen in Klinik und Praxis [HYGEA (Hygiene in gastroenterology - endoscope reprocessing): Study on quality of reprocessing flexible endoscopes in hospitals and in the practice setting].  Z Gastroenterol. 2002;  40 157-170
  • 12 RKI (Robert Koch Institut) . Empfehlungen der Kommission für Krankenhaushygiene und Infektionsprävention beim Robert-Koch-Insitut zu den Anforderungen an die Hygiene bei der Aufbereitung flexibler Endoskope und endoskopischen Zusatzinstrumentariums.  Bundesgesundheitsblatt. 2002;  45 395-411
  • 13 prEN ISO 15 883. 
  • 14 ESGE-ESGENA-Guideline Commitee . ESGE-ESGENA guideline for process validation and for routine tests for reprocessing endoscopes in washer disinfectors, according to prEN ISO 15883, parts 1, 4 and 5.  Endoscopy;. 2007;  39 85-94
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