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KMID : 1038120150480050369
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Clinical Endoscopy
2015 Volume.48 No. 5 p.369 ~ p.373
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Recent Update on Microbiological Monitoring of Gastrointestinal Endoscopes after High-Level Disinfection
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Shin Suk-Pyo
Kim Won-Hee
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Abstract
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Endoscopy-related infections are important contributors to nosocomial infections. Endoscope reprocessing according to standard guidelines ensures high-level disinfection and prevents endoscopy-related infections. Microbiological surveillance may help in monitoring the effectiveness of gastrointestinal endoscope disinfection. The process involves microbial cultures and non-culture methods such as bioburden assays, adenosine triphosphate (ATP) bioluminescence, and quantitative polymerase chain reactions (PCRs). Surveillance culturing to monitor endoscopes after reprocessing has been recommended by a majority of organizations. Bioburden assays, ATP bioluminescence, and quantitative PCRs provide rapid and reliable measures. Each institution will have to try to establish its own surveillance guidelines.
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KEYWORD
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Endoscopes, gastrointestinal, Reprocessing, Monitoring
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