Current limitations about the cleaning of luminal endoscopes
Current limitations about the cleaning of luminal endoscopes
Background: The presence and potential build up of patient material such as proteins in endoscope lumens can have significant implications, including toxic reactions, device damage, inadequate disinfection/sterilisation, increased risk of biofilm development and potential transmission of pathogens.
Aim: We intended to evaluate the potential protein deposition and removal in the channels of flexible luminal endoscopes during a simple contamination/ cleaning cycle.
Methods: We evaluated the level of contamination present on disposable endoscopy forceps which come in contact with the lumen of biopsy channels. Following observations in endoscopy units, we evaluated some factors influencing protein adsorption inside luminal endoscope channels and the action of current initial cleaning techniques using a proteinaceous test soil and very sensitive fluorescence epimicroscopy.
Findings: Disposable endoscope accessories appeared likely to contribute to the contamination of lumens and were useful indicators of the amount of proteinaceous soil transiting through the channels of luminal endoscopes. Enzymatic cleaning according to the manufacturer’s recommendations and brushing of the channels were ineffective at removing all proteinaceous residues from new endoscope channels after a single contamination. Rinsing applied immediately after contamination only slightly improved decontamination outcome.
Conclusion: Limited action of current decontamination procedures and the lack of applicable quality control methods to assess channel cleanliness between each patient contribute to increasing the risk of cross infection of potentially harmful microorganisms and molecules during endoscopy procedures.
luminal endoscope, decontamination, prion, CJD
22-29
Hervé, R.
9baddc65-93cf-4a18-9388-088d60572b06
Keevil, C.W.
cb7de0a7-ce33-4cfa-af52-07f99e5650eb
January 2013
Hervé, R.
9baddc65-93cf-4a18-9388-088d60572b06
Keevil, C.W.
cb7de0a7-ce33-4cfa-af52-07f99e5650eb
Abstract
Background: The presence and potential build up of patient material such as proteins in endoscope lumens can have significant implications, including toxic reactions, device damage, inadequate disinfection/sterilisation, increased risk of biofilm development and potential transmission of pathogens.
Aim: We intended to evaluate the potential protein deposition and removal in the channels of flexible luminal endoscopes during a simple contamination/ cleaning cycle.
Methods: We evaluated the level of contamination present on disposable endoscopy forceps which come in contact with the lumen of biopsy channels. Following observations in endoscopy units, we evaluated some factors influencing protein adsorption inside luminal endoscope channels and the action of current initial cleaning techniques using a proteinaceous test soil and very sensitive fluorescence epimicroscopy.
Findings: Disposable endoscope accessories appeared likely to contribute to the contamination of lumens and were useful indicators of the amount of proteinaceous soil transiting through the channels of luminal endoscopes. Enzymatic cleaning according to the manufacturer’s recommendations and brushing of the channels were ineffective at removing all proteinaceous residues from new endoscope channels after a single contamination. Rinsing applied immediately after contamination only slightly improved decontamination outcome.
Conclusion: Limited action of current decontamination procedures and the lack of applicable quality control methods to assess channel cleanliness between each patient contribute to increasing the risk of cross infection of potentially harmful microorganisms and molecules during endoscopy procedures.
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More information
Accepted/In Press date: 22 August 2012
e-pub ahead of print date: 23 October 2012
Published date: January 2013
Keywords:
luminal endoscope, decontamination, prion, CJD
Organisations:
Centre for Biological Sciences
Identifiers
Local EPrints ID: 345683
URI: http://eprints.soton.ac.uk/id/eprint/345683
ISSN: 0195-6701
PURE UUID: 85892960-75bf-476f-8495-a763c63c5ca7
Catalogue record
Date deposited: 28 Nov 2012 12:49
Last modified: 15 Mar 2024 03:17
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