Endoscope Reprocessing: Problem and trends. Difficulty of cleaning and disinfecting endoscopes Due...

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Endoscope Reprocessing: Problem and trends

Transcript of Endoscope Reprocessing: Problem and trends. Difficulty of cleaning and disinfecting endoscopes Due...

Page 1: Endoscope Reprocessing: Problem and trends. Difficulty of cleaning and disinfecting endoscopes Due to the endoscope material the endoscope is build with.

Endoscope Reprocessing: Problem and trends

Page 2: Endoscope Reprocessing: Problem and trends. Difficulty of cleaning and disinfecting endoscopes Due to the endoscope material the endoscope is build with.

Difficulty of cleaning and disinfecting endoscopes

• Due to the endoscope material the endoscope is build with :

no heat sterilization

• Due to the hospital practice and habits

• Due to the endoscope design

Page 3: Endoscope Reprocessing: Problem and trends. Difficulty of cleaning and disinfecting endoscopes Due to the endoscope material the endoscope is build with.
Page 4: Endoscope Reprocessing: Problem and trends. Difficulty of cleaning and disinfecting endoscopes Due to the endoscope material the endoscope is build with.
Page 5: Endoscope Reprocessing: Problem and trends. Difficulty of cleaning and disinfecting endoscopes Due to the endoscope material the endoscope is build with.

BIOFILM AND

ENDOSCOPESInternal surface of a brand new endoscope biopsy channel (Teflon )

4µm

Page 6: Endoscope Reprocessing: Problem and trends. Difficulty of cleaning and disinfecting endoscopes Due to the endoscope material the endoscope is build with.

BIOFILM AND

ENDOSCOPESInternal surface of an endoscope biopsy channel after 300 exams (Teflon)

20µm

Page 7: Endoscope Reprocessing: Problem and trends. Difficulty of cleaning and disinfecting endoscopes Due to the endoscope material the endoscope is build with.

BIOFILM AND

ENDOSCOPESInternal surface of an endoscope biopsy channel after 300 exams (Teflon)

4µm

Page 8: Endoscope Reprocessing: Problem and trends. Difficulty of cleaning and disinfecting endoscopes Due to the endoscope material the endoscope is build with.

BIOFILM AND

ENDOSCOPESInternal surface of an endoscope biopsy channel after 600 exams (Teflon)

4µm

Page 9: Endoscope Reprocessing: Problem and trends. Difficulty of cleaning and disinfecting endoscopes Due to the endoscope material the endoscope is build with.

Where do we come from ?

• Cleaning only the distal part of the endoscope

because endoscopes were not waterproof

because the contamination risk was ignored

• The only thing the doctors cared about was :

the reprocessing time between two patients

not to damage their endoscopes

Page 10: Endoscope Reprocessing: Problem and trends. Difficulty of cleaning and disinfecting endoscopes Due to the endoscope material the endoscope is build with.

New awareness of the contamination risk

Changes in the types of germs

Changes in the legal responsibility

Changes in the types of patients

Hepatitis, Aids, multi resistant mycobacteria, SARS, Creutzfeld Jacob (mad cow)….

Elderly people, Immunodepressed patients….

The doctor and the hospital can be sued

Page 11: Endoscope Reprocessing: Problem and trends. Difficulty of cleaning and disinfecting endoscopes Due to the endoscope material the endoscope is build with.

New awareness of the chemical risk

Skin, eyes and respiratory toxicity: allergy, asthma

For the nurse

For the patient

For the environment

Colitis due to improper rinse of the endoscope

Non biodegradable disinfectant kills the bacteria used in sewage plants

Page 12: Endoscope Reprocessing: Problem and trends. Difficulty of cleaning and disinfecting endoscopes Due to the endoscope material the endoscope is build with.

New risk management for the hospital

More endoscopes

Writing and implementation of protocols

Respect of protocols

Evaluation, improvement of these protocols

Need for :

In one word : Quality and safety for the patient

Traceability

Page 13: Endoscope Reprocessing: Problem and trends. Difficulty of cleaning and disinfecting endoscopes Due to the endoscope material the endoscope is build with.

New risk management in general

New Chemistry

New Guidelines & Regulatory

New Technologies

Need for :