A5069943848- Medical Device Sterilization and Disinfection
- Healthcare cost, quality, practices
- Quality and Safety in Healthcare
- Extraction and Separation Processes
- Esophageal and GI Pathology
- Infection Control in Healthcare
- Sinusitis and nasal conditions
- Recycling and Waste Management Techniques
- Gastrointestinal Bleeding Diagnosis and Treatment
Erasmus MC
2016-2022
Erasmus University Rotterdam
2016
Increasing numbers of outbreaks caused by contaminated duodenoscopes used for Endoscopic Retrograde Cholangiopancreatography (ERCP) procedures have been reported, some with fatal outcomes. We conducted a nationwide cross-sectional study to determine the prevalence bacterial contamination reprocessed in The Netherlands.All 73 Dutch ERCP centres were invited sample ≥2 using centrally distributed kits according uniform sampling methods, explained video instructions. Depending on duodenoscope...
Background and AimsContaminated duodenoscopes linear echoendoscopes (DLEs) pose a risk for infectious outbreaks. To identify DLEs reprocessing factors, we combined the data from previously published nationwide cross-sectional PROCESS 1 study (Prevalence of contamination complex endoscopes in Netherlands) with follow-up 2 study.MethodsWe invited all 74 Dutch DLE centers to sample ≥2 during 1, as well 2. The studies took place year after another. Local staff sampled each at ≤6 sites according...
Abstract Background Despite compliance to extensive reprocessing protocols, duodenoscopes have been linked outbreaks of susceptible and multi-drug resistant organisms (MDRO) due persistent duodenoscope contamination. Duodenoscope-associated infections (DAIs) based on transmission microorganisms are likely be underreported detection bias. Case presentation We describe the retrospective a DAI case caused by microorganism which at time clinical infection was not recognized as such. During 2017...
Background and study aims Adenosine triphosphate (ATP) tests are increasingly used to detect biological material; however, their reliability bacterial contamination in endoscopes is not proven. We investigated the predictive value of ATP after manual cleaning for presence or absence microorganisms as shown by culture automated high-level disinfection (HLD) duodenoscopes linear echoendoscopes (DLEs). Patients methods After cleaning, were performed on swab samples taken from detachable cap...
We investigated whether the use of postmanual cleaning adenosine triphosphate (ATP) tests lowers number duodenoscopes and linear echoendoscopes (DLEs) contaminated with gut flora.In this single-center before-and-after study, DLEs were ATP tested after cleaning. During control period, participants blinded to results: ATP-positive not recleaned. intervention underwent microbiologic sampling high-level disinfection (HLD) culture results.Using 15 endoscopes 5 different DLE types, we included 909...
Aims Microbiological culturing is the gold standard in monitoring contamination of endoscopes, but has a considerable turnaround time. Adenosine triphosphate (ATP) tests promise to detect any biological material on endoscopes quickly, however, their reliability not conclusively proven. We investigated value ATP after manual cleaning predict presence or absence microorganisms shown by culture high level disinfection (HLD) duodenoscopes and linear echoendoscopes (DLE).