Multisocieties position paper: Microbiological surveillance on flexible endoscopes

Area of Science:

• Infectious Diseases
• Medical Device Reprocessing
• Public Health

Background:

• Endoscopes, especially duodenoscopes, can transmit lethal infections.
• International societies recommend microbial surveillance for endoscopes and reprocessing equipment.
• Healthcare facilities require standardized protocols for infection control.

Purpose of the Study:

• To establish unified guidelines for microbial surveillance of endoscopes in Italy.
• To address the risk of infection transmission during endoscope reprocessing.
• To provide practical recommendations for healthcare professionals involved in endoscope handling.

Main Methods:

• A concerted document was prepared by 8 Italian scientific societies.
• Guidelines considered institutional advisories and Italian healthcare facility contexts.
• Detailed protocols for microbial surveillance were developed, including testing procedures and frequency.

Main Results:

• Specific recommendations were formulated for microbial surveillance of endoscopes and associated devices.
• The document outlines what, how, and when to perform microbial surveillance.
• Procedures for managing contamination events are suggested.

Conclusions:

• Standardized microbial surveillance is crucial for reducing infection risks associated with endoscope use.
• The guidelines provide a framework for Italian healthcare facilities to enhance patient safety.
• Adherence to these recommendations can improve the safety of endoscopic procedures.