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Advances in Endoscope Reprocessing Technology and Its Impact on Pathogen Transmission.
1Cathleen Shellnutt, MSN, APRN, AGCNS-BC, CGRN, is Complex GI Advanced Practice Nurse, The Medical Center of Plano, Texas.
Summary
Flexible endoscope reprocessing has seen technological advancements since 2008, yet patient infections persist. Further improvements are needed to fully prevent pathogen transmission during endoscope reprocessing.
Area of Science:
- Healthcare-associated infections
- Medical device reprocessing
- Infection control
Background:
- Flexible endoscopes can transmit pathogens, often due to reprocessing errors.
- A 2008 report prompted manufacturers to enhance automated endoscope reprocessors (AERs).
- Evaluating AER advancements is crucial for patient safety.
Purpose of the Study:
- To assess technological progress in AERs post-2008.
- To determine if AER advancements have reduced pathogen transmission.
- To identify effective strategies for preventing endoscope-related infections.
Main Methods:
- Literature review and synthesis using the Iowa Model of Evidence-Based Practice.
- Search for studies on flexible endoscope-related infections from 2008-2015.
- Evaluation of AER capabilities and features.
Main Results:
- Ten documents reported 353 patient infections linked to contaminated endoscopes (2008-2015).
- Three AERs with enhanced features, including automated flushing, were identified.
- Despite advancements, infections indicate ongoing challenges in reprocessing.
Conclusions:
- Pathogen transmission via flexible endoscopes remains a significant concern.
- Current AER technology shows promise but has not eliminated infection risks.
- Continued innovation and adherence to protocols are essential for safe endoscope reprocessing.
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