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Higa JT , Ross AS
Duodenoscope as a Vector for Transmission
Gastrointest Endosc Clin N Am. 2020 Oct;30(4) :653-663
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Elevator-based endoscope-related infections from patient cross-contamination is a multifactorial problem related to device design, maintenance, and function, with additional risk incurred from a high-level disinfection process that lacks quality controls. This article reviews the historical context for these outbreaks, technical aspects of scope design contributing to this risk, and innovations in endoscope technology that have the potential to overcome these shortcomings. Also reviewed are interim solutions and the data that support use of some of these interventions. Still needed are a validated manufacturer-recommended schedule for routine duodenoscope and echoendoscope maintenance with reprocessing protocols that can be implemented in endoscopy units.
1558-1950 Higa, Jennifer T Ross, Andrew S Journal Article Review United States Gastrointest Endosc Clin N Am. 2020 Oct;30(4):653-663. doi: 10.1016/j.giec.2020.05.002. Epub 2020 Jul 15.