Inadequacy of manual cleaning for reprocessing single-use, triple-lumen sphinctertomes: Simulated-use testing comparing manual with automated cleaning methods

American Journal of Infection Control

Volumn 31, Issue 4, 2003, Pages 193-207

  Alfa, Michelle J ^a,b   Nemes, Radita ^a  

^a WAYNE STATE UNIVERSITY   (United States)

^b ST BONIFACE GENERAL HOSPITAL   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

CARBOHYDRATE; ENDOTOXIN; ETHYLENE OXIDE; HEMOGLOBIN; PROTEIN; REAGENT;

ARTICLE; AUTOMATION; BACTERIAL TRANSMISSION; BACTERIUM; CAUTERIZATION; CLEANING; DEVICE; ENTEROCOCCUS FAECALIS; GEOBACILLUS STEAROTHERMOPHILUS; HUMAN; INJECTION; INOCULATION; INSTRUMENT STERILIZATION; INTERMETHOD COMPARISON; MANUAL LABOR; MATERIALS TESTING; MICROORGANISM; NONHUMAN; ORGANISM HYBRIDIZATION; SECRETION; SOIL; SPHINCTERTOME;

EID: 0037662959     PISSN: 01966553     EISSN: None     Source Type: Journal    
DOI: 10.1067/mic.2003.22     Document Type: Article

References (20)

1. American National Standard. Safe handling and biological decontamination of medical devices in health care facilities and in non-clinical settings. Association for the Advancement of Medical Instrumentation. ANSI/AAMI ST35-1996:1-15.
2. Merritt K, Hitchins VM, Brown SA. Safety and cleaning of medical materials and devices. J Biomed Mater Res (Appl Biomater) 2000;53:131-6.
3. Cowen Alistair E. The clinical risks of infection associated with endoscopy. Can J Gastroenterol 2001;15:321-31.
4. Furman PJ, Kozarek RA (guest ed). Third-party reprocessing of endoscopic accessories. Gastrointest Endosc Clin N Am 2000;10(2):385-92.
5. Ogoshi K. Working party report: care of endoscopes. Reprocessing of gastrointestinal endoscopic accessories. J Gastroenterol Hepatol 2000;15:G82-5.
6. Ahuja V, RK Tandon. Working party report: care of endoscopes. Survey of gastrointestinal endoscope disinfection and accessory reprocessing practices in the Asia-Pacific region. J Gastroenterol Hepatol 2000;15:G78-81.
7. Alfa MJ. Medical-device reprocessing. Infect Control Hosp Epidemiol 2000;21:496-8.
8. Miller M, Gravel D, Paton S. Reuse of single-use medical devices in Canadian acute-care health facilities. Presented at Canadian Association of Clinical Microbiology and Infectious Diseases conference held in Victoria, BC, Nov 5-8, 2001.
9. Wilcox CM, Geels W, Baron T. How many times can you reuse a sphinctertome: a prospective evaluation. Gastrointest Endosc 1997;45:143-6.
10. Kozarek RA, Sumida SE, Raltz SL, Merriam LD, Irizarry DC. In vitro evaluation of wire integrity and ability to reprocess single-use sphinctertomes. Gastrointest Endosc 1997;45:117-21.
11. Lee RM, Vida F, Kozarek RA, Raltz SL, Ball TJ, Patterson DJ, et al. In vitro and in vivo evaluation of a reusable double-channel sphinctertome. Gastrointest Endosc 1999;49:477-82.
12. Wilcox CM. Methodology of reprocessing one-time use accessories. Endoscopic disinfection and reprocessing of endoscopic accessories. Gastrointest Endosc Clin N Am 2000;2:379-84.
13. Alfa MJ. Process validation for reprocessing of patient-used cannulatomes. Zentr Steril 1999;7:368-82.
14. Alfa MJ, DeGagne P, Olson N. Worst-case soiling levels for patient-used flexible endoscopes before and after cleaning. Am J Infect Control 1999;27:392-401.
15. Alfa MJ, Jackson M. A new hydrogen peroxide-based medical device detergent with germicidal properties: comparison with enzymatic cleaners. Am J Infect Control 2001;29:1-10.
16. Lui E, Lau YL, Chau YK, Pacepavicius G. Simple technique for estimation of biofilm accumulation. Bull Environ Contam Toxicol 1994;53:913-8.
17. Alvarado CJ, Reichelderfer M. APIC guideline for infection prevention and control in flexible endoscopy. Am J Infect Control 2000;28:138-55.
18. Feigel DW, Hughes JM. FDA and CDC public health advisory: infections from endoscopes inadequately reprocessed by an automated endoscope reprocessing system [letter]. Available at: http://www.fda.gov/dcrh/safety/endoreprocess.html.
19. Gilbert P, McBain AJ. Biofilms: their impact on health and their recalcitrance toward biocides. Am J Infect Control 2001;29:252-5.
20. Leonard DL, SE Mills. Comparison of automated instrument cleaning: preliminary results. Infect Control Steril Technol 1997;Feb:20-8.