This is an archive of papers published by the staff and faculty of Fox Chase Cancer Center. For questions about content, please contact Talbot Research Library
Last updated on
Duodenoscope-related infections: Overview and epidemiology
Techniques in Gastrointestinal Endoscopy. 2019 Oct;21(4)
PMID: WOS:000501582600005 URL: https://www2.scopus.com/inward/record.uri?eid=2-s2.0-85071675196&doi=10.1016%2fj.tgie.2019.150623&partnerID=40&md5=64cb2bf560b230b2037d2b9dbf09b8c6
AbstractThe duodenoscope, a complex endoscopic instrument, is frequently utilized to accomplish the increasing demand for minimally invasive treatments of pancreatic and biliary diseases. It is, in addition, the fundamental tool used to perform endoscopic retrograde cholangiopancreatography (ERCP). However, outbreaks of multi-drug resistance organism transmission have occurred in patients undergoing ERCP while adherent to current endoscope manufacturers' reprocessing guidelines. Evolving evidence suggests that implementation of the current protocols is inadequate to guarantee a pathogen-free duodenoscope. In spite of infection risk, ERCP remains a critical platform in the management of patients with pancreaticobiliary diseases. This manuscript reviews the history and epidemiology of recent duodenoscope-related infections, current challenges to scope reprocessing, and recommendations by regulatory agencies. (C) 2019 Elsevier Inc. All rights reserved.
NotesExport Date: 1 October 2019