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USING ADENOSINETRIPHOSPHATE BIOLUMINESCENCE TO VALIDATE DECONTAMINATION FOR DUODENOSCOPES.

Elizabeth Gillespie, William Sievert, Michael Swan

    Australian Nursing & Midwifery Journal
    |December 18, 2017
    PubMed
    Summary

    Carbapenemase-resistant Enterobacteriaceae outbreaks linked to endoscopy. Adenosine Triphosphate (ATP) bioluminescence testing effectively assessed duodenoscope cleanliness before procedures, ensuring patient safety and procedural quality.

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    Area of Science:

    • Gastroenterology
    • Infectious Disease Control
    • Medical Device Reprocessing

    Background:

    • Carbapenemase-resistant Enterobacteriaceae (CRE) outbreaks have been linked to gastrointestinal endoscopy.
    • Duodenoscopes are complex medical devices requiring stringent cleaning protocols.
    • Ensuring adequate reprocessing of duodenoscopes is critical to prevent patient-to-patient transmission of multidrug-resistant organisms.

    Purpose of the Study:

    • To evaluate Adenosine Triphosphate (ATP) bioluminescence as a rapid method for assessing duodenoscope cleanliness.
    • To compare the efficacy of ATP testing with traditional microbiological monitoring in detecting contamination.
    • To determine if ATP testing can serve as a reliable indicator of safety and quality in Endoscopic Retrograde Cholangiopancreatography (ERCP) procedures.

    Main Methods:

    • Adenosine Triphosphate (ATP) bioluminescence assays were performed on 40 duodenoscopes prior to ERCP procedures.
    • Results from ATP testing were compared with findings from standard microbiological monitoring.
    • Cleanliness was assessed as a marker for potential contamination.

    Main Results:

    • ATP bioluminescence provided a rapid assessment of duodenoscope cleanliness.
    • The study demonstrated a correlation between ATP testing and microbiological monitoring results.
    • ATP testing served as a timely indicator of the effectiveness of cleaning procedures.

    Conclusions:

    • ATP bioluminescence is a valuable tool for assessing duodenoscope cleanliness in real-time.
    • This method can enhance safety and quality control in reprocessing flexible эндоскопы.
    • Implementing ATP testing can help mitigate the risk of CRE transmission associated with gastrointestinal endoscopy.