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Survey of Endoscope Reprocessing in Korea

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      Abstract

      Background/Aims

      There is a growing emphasis on quality management in endoscope reprocessing. Previous surveys conducted in 2002 and 2004 were not practitioner-oriented. Therefore, this survey is significant for being the first to target actual participants in endoscope reprocessing in Korea.

      Methods

      This survey comprised 33 self-filled questions, and was personally delivered to nurses and nursing auxiliaries in the endoscopy departments of eight hospitals belonging to the society. The anonymous responses were collected after 1 week either by post or in person by committee members.

      Results

      The survey included 100 participants. In the questionnaire addressing compliance rates with the reprocessing guideline, the majority (98.9%) had a high compliance rate compared to 27% of respondents in 2002 and 50% in 2004. The lowest rate of compliance with a reprocessing procedure was reported for transporting the contaminated endoscope in a sealed container. Automated endoscope reprocessors were available in all hospitals. Regarding reprocessing time, more than half of the subjects replied that reprocessing took more than 15 minutes (63.2%).

      Conclusions

      The quality management of endoscope reprocessing has improved as since the previous survey. A national survey expanded to include primary clinics is required to determine the true current status of endoscope reprocessing.

      Related collections

      Most cited references 26

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      Transmission of infection by gastrointestinal endoscopy and bronchoscopy.

      To review reports on the transmission of infections by flexible gastrointestinal endoscopy and bronchoscopy in order to determine common infecting microorganisms, circumstances of transmission, and methods of risk reduction. Relevant English-language articles were identified through prominent review articles and a MEDLINE search (1966 to July 1992); additional references were selected from the bibliographies of identified articles. All selected articles related to transmission of infection by gastrointestinal endoscopy or bronchoscopy; 265 articles were reviewed in detail. Two hundred and eighty-one infections were transmitted by gastrointestinal endoscopy, and 96 were transmitted by gastrointestinal endoscopy, spectrum of these infections ranged from asymptomatic colonization to death. Salmonella species and Pseudomonas aeruginosa were repeatedly identified as the causative agents of infections transmitted by gastrointestinal endoscopy, and Mycobacterium tuberculosis, atypical mycobacteria, and P. aeruginosa were the most common causes of infections transmitted by bronchoscopy. One case of hepatitis B virus transmission via gastrointestinal endoscopy was documented. Major reasons for transmission were improper cleaning and disinfection procedures; the contamination of endoscopes by automatic washers; and an inability to decontaminate endoscopes, despite the use of standard disinfection techniques, because of their complex channel and valve systems. The most common agents of infection transmitted by endoscopy are Salmonella, Pseudomonas, and Mycobacterium species. To prevent endoscopic transmission of infections, recommended disinfection guidelines must be followed, the effectiveness of automatic washers must be carefully monitored, and improvements in endoscope design are needed to facilitate effective cleaning and disinfection.
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        Current issues in endoscope reprocessing and infection control during gastrointestinal endoscopy.

        The purpose of this article is to review the evidence regarding transmission of infection during gastrointestinal endoscopy, factors important in endoscope reprocessing and infection control, areas to focus on to improve compliance, and recent developments and advances in the field.
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          Infectious disease complications of GI endoscopy: part II, exogenous infections.

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            Author and article information

            Affiliations
            [1 ]Department of Internal Medicine, Dongguk University College of Medicine, Gyeongju, Korea.
            [2 ]Department of Internal Medicine, Institute of Digestive Disease and Nutrition, Korea University College of Medicine, Seoul, Korea.
            [3 ]Department of Internal Medicine, Kyung Hee University School of Medicine, Seoul, Korea.
            [4 ]Department of Internal Medicine, KEPCO Medical Center, Seoul, Korea.
            [5 ]Department of Internal Medicine, Soonchunhyang University College of Medicine, Bucheon, Korea.
            [6 ]Department of Internal Medicine, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea.
            Author notes
            Correspondence: Yun Jeong Lim. Division of Gastroenterology, Department of Internal Medicine, Dongguk University Ilsan Hospital, Dongguk University College of Medicine, 27 Dongguk-ro, Ilsandong-gu, Goyang 410-773, Korea. Tel: +82-31-961-7133, Fax: +82-31-961-7753, drlimyj@ 123456gmail.com

            Jeong Bae Park and Jae Nam Yang contributed equally to this work as first authors.

            Journal
            Clin Endosc
            Clin Endosc
            CE
            Clinical Endoscopy
            The Korean Society of Gastrointestinal Endoscopy
            2234-2400
            2234-2443
            January 2015
            31 January 2015
            : 48
            : 1
            : 39-47
            4323430 10.5946/ce.2015.48.1.39
            Copyright © 2015 Korean Society of Gastrointestinal Endoscopy

            This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

            Categories
            Original Article

            Radiology & Imaging

            reprocessing, endoscopy, data collection

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