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Cleaning techniques for endoscopes may be insufficient, study finds
 

Cleaning techniques for endoscopes may be insufficient, study finds

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Researchers have found that many flexible endoscopes still test positive for bacterial growth despite being disinfected using current guidelines, prompting the need for higher-level disinfection techniques and stricter infection prevention protocols.
 
today.mims.com
 
3 Feb 2017 - General
 
Rajinda Asalage I agree that more effective cleaning methods and techniques have to be applied to ensure safety of our patients. Endoscopy is frequently used that leads to defects of the machines. The question now is if we are using endoscopy unnecessarily too? Reducing the number of endoscopy procedures done is apparently a way to maintain the sterility of the machines as the scopes sustain defects in the acidic...
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Theekshana Abayawickrama Yes, I am referencing to that specific test. Thank you for clearing the limitations of the test to diagnose erosive gastritis. Maybe we can use the breath test to detect suspected H. pylori infections (once the test becomes validated) and save the endoscopic procedure for diagnosis of erosions, cancer, and other illnesses that require visualization or sampling. In this way, the machines...
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Chih Chiang Nieh and Shunjie Chua Thank you for keeping the discussion going on how to improve septic and aseptic techniques for endoscopy. Finding a new agent to clean endoscopes might be a good start since the current cleaning agent has not been able to clean around the defects/dents of the scopes. Focusing more on maintenanc...
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Shunjie Chua Thank you for sharing your views. The article has already stated that "The findings suggest that cleaning wasn’t working, perhaps because cleaning doesn’t work when endoscopes are damaged," but we should not take this hypothesis at face value, it could still be inadequate cleaning. I do agree with yourself and Mark Edmon Tan that improvement of the endoscope's design, particularly in being more stable to acidic conditions of pH <2 (normal pH of stomach is 2) would b...
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Theekshana Abayawickrama Lack of equipment will surely be a risk factor for bacterial growth. I have also experienced the same issues for different pieces of equipment in another government hospital. Do you remember the acid breath test that could potentially be an alternative to invasive endoscopy? I think that could come into play with this study since it has been shown that the scopes may not be capable of with...
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Chih Chiang Nieh and Shunjie Chua Thank you for sharing your thoughts. Rigorous cleaning in intact equipment should be done to prevent bacterial growth. For those with dents, repair or replacement should be in place as cleaning cannot reach beyond the contortions of the equipment. I agree that specialists should lobby for impro...
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