ESGE-ESGENA

2008 Guideline update on cleaning and disinfection in gastrointestinal endoscopy

Endoscopic procedures, which are well established in the diagnosis and therapy of gastrointestinal diseases, not only carry procedural risks but also the risk of endoscopy associated infections.

Ulrike Beilenhoff, President of the European Society of Gastroenterology and...
Ulrike Beilenhoff, President of the European Society of Gastroenterology and Endoscopy Nurses and Associates (ESGENA)
These include:
l    Endogenous infections
l    Exogenous infections caused by inadequately reprocessed equipment from one patient to another
l    Risk of infection to staff working in endoscopy
Appropriate reprocessing of flexible endoscopes and endoscopic accessories is an essential part of safety and quality assurance in gastrointestinal endoscopy.
Since the late 1970s there have been sporadic reports of nosocomial infections linked to endoscopic procedures. These include bacterial infections caused for example by Salmonella spp, Helicobacter pylori and Pseudomonas spp, as well as viruses such as Hepatitis B and C . The majority of documented cases were due to non-compliance with national and international reprocessing guidelines.
Since 1994, the ESGE-ESGENA* Guideline Committee has developed a number of guidelines focused on hygiene and infection control in Endoscopy (see www.esge.com or www.esgena.org).
This year, the Committee has updated the current guideline on reprocessing of flexible endoscopes and accessories. It addresses several important aspects of safety in gastrointestinal endoscopy. In addition to general statements, the guideline provides detailed technical protocols for the daily work of medical staff as there are multiple local variations in the application of general guidelines. The consensus guideline has been prepared by endoscopists, microbiologists, hygienists, endoscopy nurses, and representatives of the biomedical industry.
In 2007, two guidelines were published that also address the necessity of hygiene control in GI Endoscopy:
l    ESGE-ESGENA Guideline for process validation and routine testing for endoscope reprocessing in washer-disinfectors, according to the European Standard EN ISO 15883 parts 1, 4 and 5
l    ESGE-ESGENA Guideline for quality assurance in reprocessing: Microbiological surveillance testing in endoscopy
These two guidelines must be taken into account when establishing local quality management of hygiene and infection control in Endoscopy.
The ESGE-ESGENA guidelines can be adapted locally to comply with national laws and regulations.

Source: Ulrike Beilenhoff/ESGENA
* ESGE - European Society of Gastrointestinal Endoscopy

01.07.2008

More on the subject:

Related articles

Photo

News • Infection control

Study highlights transmission risk of resistant bacteria in hospital sinks

A new study identifies hospital sinks as a source of bacterial outbreaks, highlighting the vulnerability for contamination. The researchers also point out the difficulties in stopping such outbreaks.

Photo

News • Follow the evidence

Optimising preventive measures to stop surgical infections

Why are we doing what we are doing to stop surgical infections? A new research review in the run-up to the ECCMID congress 2024 will look at improving preventive measures.

Photo

News • Medical technology review

Artificial intelligence: huge potential in infection control

PPE compliance, air and environment monitoring, antibiotic treatment decision support: AI has great potential to help prevent infectious disease outbreaks, a review at the upcoming ECCMID points out.

Related products

Subscribe to Newsletter