ESGE-ESGENA guideline for quality assurance in reprocessing: Microbiological surveillance testing in endoscopy

Contents

1. Introduction
2. Risk of infections, and potential problem areas during reprocessing
3. Responsibilities
4. Frequency
5. Sampling for routine tests
5.1. Endoscopes
5.2. Final rinse water in washer-disinfectors
5.3. Water supply
6. Cultures/culturing
6.1. Liquid samples from endoscope channels
6.2. Swabs
6.3. Water samples
6.4. Additional tests
7. Interpretation of results and corrective measures in case of contamination
7.1. Total microbiological count
7.2. Detection of special microorganisms
8. Management of outbreak of infectious agent
9. References
10. Appendix

9. References

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• 10 Leiss O, Beilenhoff U, Bader L. et al . Reprocessing of flexible endoscopes and endoscopic accessories - an international comparison of guidelines.  Z Gastroenterol. 2002;  40 531-542
• 11 Bader L, Blumenstock G, Birkner B. HYGEA (Hygiene in der Gastroenterologie-Endoskop-Aufbereitung): Studie zur Qualität der Aufbereitung von flexiblen Endoskopen in Klinik und Praxis [HYGEA (Hygiene in gastroenterology - endoscope reprocessing): Study on quality of reprocessing flexible endoscopes in hospitals and in the practice setting].  Z Gastroenterol. 2002;  40 157-170
• 12 RKI (Robert Koch Institut) . Empfehlungen der Kommission für Krankenhaushygiene und Infektionsprävention beim Robert-Koch-Insitut zu den Anforderungen an die Hygiene bei der Aufbereitung flexibler Endoskope und endoskopischen Zusatzinstrumentariums.  Bundesgesundheitsblatt. 2002;  45 395-411
• 13 prEN ISO 15 883. 
• 14 ESGE-ESGENA-Guideline Commitee . ESGE-ESGENA guideline for process validation and for routine tests for reprocessing endoscopes in washer disinfectors, according to prEN ISO 15883, parts 1, 4 and 5.  Endoscopy;. 2007;  39 85-94