Superbugs on Duodenoscopes: the Challenge of Cleaning and Disinfection of Reusable Devices.
J Clin Microbiol. 2015 Oct;53(10):3118-25.
Humphries RM1, McDonnell G2.
1Department of Pathology & Laboratory Medicine, University of California, Los Angeles, California, USA firstname.lastname@example.org.
2STERIS Corporation, Mentor, Ohio, USA.
Inadequate flexible endoscope reprocessing has been associated with infection outbreaks, most recently caused by carbapenem-resistant Enterobacteriaceae.
Lapses in essential device reprocessing steps such as cleaning, disinfection/sterilization, and storage have been reported, but some outbreaks have occurred despite claimed adherence to established guidelines.
Recommended changes in these guidelines include the use of sterilization instead of high-level disinfection or the use of routine microbial culturing to monitor efficacy of reprocessing.
This review describes the current standards for endoscope reprocessing, associated outbreaks, and the complexities associated with both microbiological culture and sterilization approaches to mitigating the risk of infection associated with endoscopy.
Entry filed under: Antimicrobianos, Bacterias, Bacteriemias, Desinfection and Sterilization, Epidemiología, Health Care-Associated Infections, Infecciones nosocomiales, Metodos diagnosticos, Resistencia bacteriana, REVIEWS, Sepsis, Update.