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논문 기본 정보

자료유형
학술저널
저자정보
Vanessa M Eichel (Center for Infectious Diseases Heidelberg University Hospital Heidelberg Germany) Jonas M Jabs (Institute of Hygiene and Public Health University Hospital Bonn Bonn Germany) Samy Unser (Center for Infectious Diseases Heidelberg University Hospital Heidelberg Germany) Nico T Mutters (Institute of Hygiene and Public Health University Hospital Bonn Bonn Germany) Martin Scherrer (Center for Infectious Diseases Heidelberg University Hospital Heidelberg Germany)
저널정보
대한소화기내시경학회 Clinical Endoscopy Clinical Endoscopy 제54권 제4호
발행연도
2021.1
수록면
526 - 533 (8page)

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Background/Aims: The recommendations on the time interval between pre-cleaning and reprocessing of endoscopes differin international guidelines, with a low level of evidence. The aim of this study was to investigate the influence of postponingreprocessing on the reprocessing quality after pre-cleaning the flexible endoscopes. Methods: We reprocessed 124 standardized test tubes simulating endoscope channels after soiling and contamination anddetermined the reprocessing performance. In addition, we examined contaminated gastroscopes, colonoscopes, and bronchoscopes. The duration of interim storage after pre-cleaning was 16 h for 100 test tubes and up to 24 h for 18 endoscopes. We determined theresidual protein content and germ load as markers for cleaning and disinfection performance. In addition, we determined biofilmformation by photometry of crystal violet staining. Results: All test tubes and flexible endoscopes showed residual protein content and germ load significantly below legally prescribedthreshold values, independent of the interval between pre-cleaning and reprocessing. Conclusions: Our findings indicate that flexible endoscopes could be stored overnight after pre-cleaning without any influence onthe quality of reprocessing. While ensuring patient safety, this could simplify logistical processes and enable cost savings.

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