دورية أكاديمية
Review of Duodenoscope Infection Prevention Practices at the Medical University of South Carolina.
العنوان: | Review of Duodenoscope Infection Prevention Practices at the Medical University of South Carolina. |
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المؤلفون: | Ellison PL Jr; Parker L. Ellison Jr., MD, Department of Internal Medicine, Medical University of South Carolina, Charleston.; Janice Freeman, RN, Department of Infection Prevention and Control, Medical University of South Carolina, Charleston.; B. Joseph Elmunzer, MD, Department of Gastroenterology, Medical University of South Carolina, Charleston.; Gregory A. Cote, MD, Department of Gastroenterology, Medical University of South Carolina, Charleston.; Andrew S. Brock, MD, Department of Gastroenterology, Medical University of South Carolina, Charleston., Freeman J; Parker L. Ellison Jr., MD, Department of Internal Medicine, Medical University of South Carolina, Charleston.; Janice Freeman, RN, Department of Infection Prevention and Control, Medical University of South Carolina, Charleston.; B. Joseph Elmunzer, MD, Department of Gastroenterology, Medical University of South Carolina, Charleston.; Gregory A. Cote, MD, Department of Gastroenterology, Medical University of South Carolina, Charleston.; Andrew S. Brock, MD, Department of Gastroenterology, Medical University of South Carolina, Charleston., Elmunzer BJ; Parker L. Ellison Jr., MD, Department of Internal Medicine, Medical University of South Carolina, Charleston.; Janice Freeman, RN, Department of Infection Prevention and Control, Medical University of South Carolina, Charleston.; B. Joseph Elmunzer, MD, Department of Gastroenterology, Medical University of South Carolina, Charleston.; Gregory A. Cote, MD, Department of Gastroenterology, Medical University of South Carolina, Charleston.; Andrew S. Brock, MD, Department of Gastroenterology, Medical University of South Carolina, Charleston., Cote GA; Parker L. Ellison Jr., MD, Department of Internal Medicine, Medical University of South Carolina, Charleston.; Janice Freeman, RN, Department of Infection Prevention and Control, Medical University of South Carolina, Charleston.; B. Joseph Elmunzer, MD, Department of Gastroenterology, Medical University of South Carolina, Charleston.; Gregory A. Cote, MD, Department of Gastroenterology, Medical University of South Carolina, Charleston.; Andrew S. Brock, MD, Department of Gastroenterology, Medical University of South Carolina, Charleston., Brock AS; Parker L. Ellison Jr., MD, Department of Internal Medicine, Medical University of South Carolina, Charleston.; Janice Freeman, RN, Department of Infection Prevention and Control, Medical University of South Carolina, Charleston.; B. Joseph Elmunzer, MD, Department of Gastroenterology, Medical University of South Carolina, Charleston.; Gregory A. Cote, MD, Department of Gastroenterology, Medical University of South Carolina, Charleston.; Andrew S. Brock, MD, Department of Gastroenterology, Medical University of South Carolina, Charleston. |
المصدر: | Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates [Gastroenterol Nurs] 2020 Nov/Dec; Vol. 43 (6), pp. E214-E216. |
نوع المنشور: | Journal Article; Review |
اللغة: | English |
بيانات الدورية: | Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 8915377 Publication Model: Print Cited Medium: Internet ISSN: 1538-9766 (Electronic) Linking ISSN: 1042895X NLM ISO Abbreviation: Gastroenterol Nurs |
أسماء مطبوعة: | Publication: Hagerstown, MD : Lippincott Williams & Wilkins Original Publication: [Baltimore, MD] : Williams & Wilkins, [c1989- |
مواضيع طبية MeSH: | Duodenoscopes* , Equipment Contamination*/prevention & control, Cholangiopancreatography, Endoscopic Retrograde ; Disinfection ; Humans ; Infection Control |
مستخلص: | A rise in duodenoscope-associated infections, especially in regard to multidrug-resistant organisms, has led to an increase in scrutiny regarding duodenoscope reprocessing. Endoscopic retrograde cholangiopancreatography scopes have a specialized elevator wire channel, allowing more flexible duct cannulation; however, this channel can be difficult to reprocess with standard techniques. Although strict adherence to manufacturer reprocessing protocols remains the primary means of infection prevention, periodic microbiological surveillance is a Food and Drug Administration-recommended practice that the Medical University of South Carolina has implemented to further prevent duodenoscope-associated infections. The Medical University of South Carolina obtains 2 separate cultures from 2 duodenoscopes every 2 months, which undergo standard speciation and sensitivity and are returned to use once negative at 48 hours. The initial results of the Medical University of South Carolina's surveillance cultures are negative for any multidrug-resistant organisms; however, other centers should consider implementing surveillance cultures into their reprocessing practices and closely monitoring for future endoscope infection prevention modalities. |
References: | Alfa M. J., Fatima I., Olson N. (2017). Validation of adenosine triphosphate to audit manual cleaning of flexible endoscope channels. American Journal of Infection Control, 41, 245–248. Department of Health and Human Services Collaboration. (2018, February). Duodenoscope surveillance sampling and culturing protocols: Reducing the risk of infection. (pp. 41–42). Atlanta, GA: Centers for Disease Control and Prevention. Epstein L., Hunter J. C., Arwady M. A., Tsai V., Stein L., Gribogiannis M., Kallen A. J. (2014). New Delhi metallo-β-lactamase-producing carbapenem-resistant Escherichia coli associated with exposure to duodenoscopes. JAMA, 312, 1447–1455. Kovaleva J., Peters F. T. M., van der Mei H. C., Degener J. E. (2013). Transmission of infection by flexible gastrointestinal endoscopy and bronchoscopy. Clinical Microbiology Reviews, 26, 231–254. Reprocessing Guideline Task Force; Petersen B. T., Cohen J., Hambrick R. D. 3 rd, Buttar N., Greenwald D. A., Eisen G. (2017). Multisociety guideline on reprocessing flexible GI endoscopes: 2016 update. Gastrointestinal Endoscopy, 85(2), 282–294.e1. Smith Z. L., Dua A., Saeian K. (2017). A novel protocol obviates endoscope sampling for carbapenem resistant Enterobacteriaceae: Experience of a center with a prior outbreak. Digestive Diseases and Sciences, 62(11), 3100–3109. Wendorf K., Kay M., Baliga C., Weissman S. J., Gluck M., Verma P., Duchin J. (2015). Endoscopic retrograde cholangiopancreatography–associated AmpC Escherichia coli outbreak. Infection Control & Hospital Epidemiology, 36(6), 634–642. |
تواريخ الأحداث: | Date Created: 20201015 Date Completed: 20211124 Latest Revision: 20220531 |
رمز التحديث: | 20231215 |
DOI: | 10.1097/SGA.0000000000000499 |
PMID: | 33055545 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1538-9766 |
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DOI: | 10.1097/SGA.0000000000000499 |