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Canadian Association of Gastroenterology Position Statement on the Impact of Simethicone on Endoscope Reprocessing.
J Can Assoc Gastroenterol
April 2018
Division of Gastroenterology, McGill University Health Center, Montreal, QC, Canada.
A recent study by Ofstead et al. published in the American Journal of Infection Control described the presence of residual simethicone and non-pathogenic bacterial colonization in endoscopes despite adherence to reprocessing procedures(1). These findings received significant media attention, in part because they were released following a warning issued by the Food and Drug Administration and the Centre for Disease Control regarding the potential transmission of multi-drug resistant bacteria associated with the use of duodenoscopes(2, 3).
View Article and Find Full Text PDFProspective microbiologic evaluation of the forceps elevator in closed-channel duodenoscopes after reprocessing.
Am J Infect Control
February 2017
Department of Hospital Hygiene and Infection Control, Vienna General Hospital, Medical University of Vienna, Vienna, Austria.
Background: Endoscopes are well-known sources of bacterial transmission in health care facilities offering endoscopy services. The association between multidrug-resistant bacterial infections in patients who had undergone an endoscopic retrograde cholangiopancreatography procedure with reprocessed duodenoscopes has been much discussed. Bacterial contamination of duodenoscopes has been attributed to difficulties with reprocessing these devices, specifically the distal end of the scope, which features a movable forceps elevator.
View Article and Find Full Text PDFBackground: Since the late 1970s there have been sporadic reports of nosocomial infections linked to endoscopic procedures. Infections by multidrug-resistant organisms (MDRO) have an increasing impact on healthcare systems worldwide. Since 2010 outbreaks involving MDRO have been reported as a result of endoscopic retrograde cholangiopancreatography (ERCP) from the USA, France, Germany and the Netherlands.
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