Infection Control During GI Endoscopy
Publication Date: May 1, 2018
Recommendations
Transmission of infection as a result of GI endoscopes is extremely rare, and most reported cases are attributable to lapses in currently accepted endoscope reprocessing protocols or to defective equipment. ()
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Endoscopes should undergo HLD as recommended by governmental agencies and all pertinent professional organizations for the reprocessing of GI endoscopes. ()
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Attention should be focused on preventing transmission of highly resistant organisms by duodenoscopes, in particular, on ensuring cleaning and HLD of the elevator mechanism and elevator wire channel. (IB)
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Extensive training of staff involved in endoscope reprocessing is mandatory for quality assurance and for effective infection control, and documentation of this training is required. (IC)
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The efficacy of manual cleaning and HLD is operator dependent, thus assignment of personnel responsible for endoscope reprocessing, extensive training of reprocessing personnel, process validation, and quality assurance is vital, and staff competency should be assessed at the very least on an annual basis. ()
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In the event of reprocessing failure, the patient, the institution’s designated infection control personnel, local and/or state public health agencies, the FDA, the CDC, and the manufacturers of the involved equipment should be notified immediately. (IC)
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General infection control principles should be complied with in the endoscopy unit. ()
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Use of standard precautions reduces the transmission of infection from patients to endoscopy personnel. ()
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Endoscopy units must have a qualified individual who directs their infection prevention plans. (II)
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Title
Infection Control During GI Endoscopy
Authoring Organization
American Society for Gastrointestinal Endoscopy
Publication Month/Year
May 1, 2018
External Publication Status
Published
Country of Publication
US
Document Objectives
The purpose of this document is to disseminate information and promote understanding of endoscopy-related transmission of infection in order to minimize its risk of occurrence.
Inclusion Criteria
Female, Male, Adolescent, Adult, Child, Infant, Older adult
Health Care Settings
Emergency care, Hospital, Outpatient
Intended Users
Nurse, nurse practitioner, physician, physician assistant
Scope
Prevention, Management
Diseases/Conditions (MeSH)
D001424 - Bacterial Infections, D017053 - Infection Control
Keywords
gastrointestinal endoscopy, infection control, GI endoscopy
Source Citation
Calderwood, A. H., Day, L. W., Muthusamy, V. R., Collins, J., Hambrick, R. D., Brock, A. S., … Eisen, G. M. (2018). ASGE guideline for infection control during GI endoscopy. Gastrointestinal Endoscopy, 87(5), 1167–1179. doi:10.1016/j.gie.2017.12.009