Recent Update on Microbiological Monitoring of Gastrointestinal Endoscopes after High-Level Disinfection.
- Author:
Suk Pyo SHIN
1
;
Won Hee KIM
Author Information
- Publication Type:Review
- Keywords: Endoscopes, gastrointestinal; Reprocessing; Monitoring
- MeSH: Adenosine Triphosphate; Cross Infection; Disinfection*; Endoscopes; Endoscopes, Gastrointestinal*; Polymerase Chain Reaction
- From:Clinical Endoscopy 2015;48(5):369-373
- CountryRepublic of Korea
- Language:English
- Abstract: Endoscopy-related infections are important contributors to nosocomial infections. Endoscope reprocessing according to standard guidelines ensures high-level disinfection and prevents endoscopy-related infections. Microbiological surveillance may help in monitoring the effectiveness of gastrointestinal endoscope disinfection. The process involves microbial cultures and non-culture methods such as bioburden assays, adenosine triphosphate (ATP) bioluminescence, and quantitative polymerase chain reactions (PCRs). Surveillance culturing to monitor endoscopes after reprocessing has been recommended by a majority of organizations. Bioburden assays, ATP bioluminescence, and quantitative PCRs provide rapid and reliable measures. Each institution will have to try to establish its own surveillance guidelines.
