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The effectiveness of immersion disinfection for flexible fiberoptic laryngoscopes
Neil Bhattacharyya1, Lynne J Kepnes
1Division of Otolaryngology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA. neiloy@massmed.org
Objective:
We sought to determine whether high-level disinfection renders fiberoptic laryngoscopes free of nonviral infectious microorganisms.
Methods:
Six flexible fiberoptic laryngoscopes in heavy use were subjected to surveillance cultures at the beginning, middle, and end of the clinical workday after high-level disinfection to determine if microorganisms could be recovered. Control cultures were obtained by direct contamination of the endoscope with saliva. The rate of microorganism recovery from the endoscopes after high-level disinfection was determined and compared with control specimens.
Results:
Among a total of 48 cultures submitted from in use but disinfected fiberoptic laryngoscopes, 1 positive culture (positive rate, 2.1%) for mold species was recovered. No positive bacterial cultures occurred. Eleven of 11 (100%) control cultures were positive for bacterial species (P < 0.001). The confidence interval for the risk of microorganism contamination of a disinfected laryngoscope ranged from 0.11% to 11.6%.
Conclusion:
High-level disinfection provides a reasonably effective method of reducing bacterial and fungal contamination of flexible fiberoptic laryngoscopes. Appropriate surveillance technique should be used in each clinical setting with flexible fiberoptic scopes to ensure adequate disinfection effectiveness.
Insights
High-level disinfection effectively reduces nonviral microorganisms on flexible fiberoptic laryngoscopes, with only rare mold contamination found. Surveillance ensures disinfection effectiveness in clinical settings.
Area of Science:
- Microbiology
- Infectious Diseases
- Medical Device Reprocessing
Background:
- Flexible fiberoptic laryngoscopes are critical for airway examination.
- Proper disinfection is essential to prevent healthcare-associated infections.
Purpose of the Study:
- To evaluate the effectiveness of high-level disinfection in eliminating nonviral microorganisms from used flexible fiberoptic laryngoscopes.
Main Methods:
- Surveillance cultures were taken from six frequently used laryngoscopes post-disinfection.
- Control cultures were created by direct saliva contamination.
- Microorganism recovery rates were compared between disinfected and control scopes.
Main Results:
- Only one mold species (2.1%) was recovered from disinfected laryngoscopes.
- No bacterial contamination was detected on disinfected scopes.
- All control cultures (100%) showed bacterial growth, confirming contamination potential.
Conclusions:
- High-level disinfection is a highly effective method for reducing bacterial and fungal contamination on flexible fiberoptic laryngoscopes.
- Regular surveillance is recommended to ensure ongoing disinfection efficacy.
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