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Volumn 83, Issue 5, 2016, Pages 944-953

Effectiveness of current disinfection procedures against biofilm on contaminated GI endoscopes

Author keywords

[No Author keywords available]

Indexed keywords

ADENOSINE TRIPHOSPHATE; DISINFECTANT AGENT; GLUTARALDEHYDE; PERACETIC ACID; PHTHALALDEHYDE;

EID: 84963807244     PISSN: 00165107     EISSN: 10976779     Source Type: Journal    
DOI: 10.1016/j.gie.2015.09.016     Document Type: Article
Times cited : (42)

References (49)
  • 1
    • 84897499348 scopus 로고    scopus 로고
    • High-level endoscope disinfection processes in emerging economies: Financial impact of manual process versus automated endoscope reprocessing
    • S.E. Funk, and N.L. Reaven High-level endoscope disinfection processes in emerging economies: financial impact of manual process versus automated endoscope reprocessing J Hosp Infect 86 2014 250 254
    • (2014) J Hosp Infect , vol.86 , pp. 250-254
    • Funk, S.E.1    Reaven, N.L.2
  • 2
    • 66949164844 scopus 로고    scopus 로고
    • Modeling microbial survival in buildup biofilm for complex medical devices
    • M.J. Alfa, and R. Howie Modeling microbial survival in buildup biofilm for complex medical devices BMC Infect Dis 9 2009 56
    • (2009) BMC Infect Dis , vol.9 , pp. 56
    • Alfa, M.J.1    Howie, R.2
  • 3
    • 0038784126 scopus 로고    scopus 로고
    • Infectious disease complications of GI endoscopy: Part II, exogenous infections
    • D.B. Nelson Infectious disease complications of GI endoscopy: part II, exogenous infections Gastrointest Endosc 57 2003 695 711
    • (2003) Gastrointest Endosc , vol.57 , pp. 695-711
    • Nelson, D.B.1
  • 4
    • 84888440591 scopus 로고    scopus 로고
    • Reported gastrointestinal endoscope reprocessing lapses: The tip of the iceberg
    • A.M. Dirlam Langlay, C.L. Ofstead, N.J. Mueller, and et al. Reported gastrointestinal endoscope reprocessing lapses: the tip of the iceberg Am J Infect Control 41 2013 1188 1194
    • (2013) Am J Infect Control , vol.41 , pp. 1188-1194
    • Dirlam Langlay, A.M.1    Ofstead, C.L.2    Mueller, N.J.3
  • 5
    • 84880920840 scopus 로고    scopus 로고
    • Re-evaluating endoscopy-associated infection risk estimates and their implications
    • C.L. Ofstead, A.M. Dirlam Langlay, N.J. Mueller, and et al. Re-evaluating endoscopy-associated infection risk estimates and their implications Am J Infect Control 41 2013 734 736
    • (2013) Am J Infect Control , vol.41 , pp. 734-736
    • Ofstead, C.L.1    Dirlam Langlay, A.M.2    Mueller, N.J.3
  • 6
    • 0030764517 scopus 로고    scopus 로고
    • Patient-to-patient transmission of hepatitis C virus during colonoscopy
    • J.P. Bronowicki, V. Venard, C. Botte, and et al. Patient-to-patient transmission of hepatitis C virus during colonoscopy N Engl J Med 337 1997 237 240
    • (1997) N Engl J Med , vol.337 , pp. 237-240
    • Bronowicki, J.P.1    Venard, V.2    Botte, C.3
  • 7
    • 20344374409 scopus 로고    scopus 로고
    • Digestive endoscopy is not a major risk factor for transmitting hepatitis C virus
    • A. Ciancio, P. Manzini, F. Castagno, and et al. Digestive endoscopy is not a major risk factor for transmitting hepatitis C virus Ann Intern Med 142 2005 903 909
    • (2005) Ann Intern Med , vol.142 , pp. 903-909
    • Ciancio, A.1    Manzini, P.2    Castagno, F.3
  • 8
    • 33947301819 scopus 로고    scopus 로고
    • Prospective study of cross-infection from upper-GI endoscopy in a hepatitis C-prevalent population
    • N.N. Mikhail, D.L. Lewis, N. Omar, and et al. Prospective study of cross-infection from upper-GI endoscopy in a hepatitis C-prevalent population Gastrointest Endosc 65 2007 584 588
    • (2007) Gastrointest Endosc , vol.65 , pp. 584-588
    • Mikhail, N.N.1    Lewis, D.L.2    Omar, N.3
  • 9
    • 0031841571 scopus 로고    scopus 로고
    • Natural bioburden levels detected on flexible gastrointestinal endoscopes after clinical use and manual cleaning
    • N.S. Chu, D. McAlister, and P.A. Antonoplos Natural bioburden levels detected on flexible gastrointestinal endoscopes after clinical use and manual cleaning Gastrointest Endosc 48 1998 137 142
    • (1998) Gastrointest Endosc , vol.48 , pp. 137-142
    • Chu, N.S.1    McAlister, D.2    Antonoplos, P.A.3
  • 10
  • 11
    • 84907690490 scopus 로고    scopus 로고
    • New Delhi metallo-beta-lactamase-producing carbapenem-resistant Escherichia coli associated with exposure to duodenoscopes
    • L. Epstein, J.C. Hunter, M.A. Arwady, and et al. New Delhi metallo-beta-lactamase-producing carbapenem-resistant Escherichia coli associated with exposure to duodenoscopes JAMA 312 2014 1447 1455
    • (2014) JAMA , vol.312 , pp. 1447-1455
    • Epstein, L.1    Hunter, J.C.2    Arwady, M.A.3
  • 12
    • 84994300470 scopus 로고    scopus 로고
    • Endoscopic retrograde cholangiopancreatography-associated AmpC Escherichia coli outbreak
    • K.A. Wendorf, M. Kay, C. Baliga, and et al. Endoscopic retrograde cholangiopancreatography-associated AmpC Escherichia coli outbreak Infect Control Hosp Epidemiol 2015 1 9
    • (2015) Infect Control Hosp Epidemiol , pp. 1-9
    • Wendorf, K.A.1    Kay, M.2    Baliga, C.3
  • 13
    • 78649929019 scopus 로고    scopus 로고
    • Endoscope reprocessing using glutaraldehyde in endoscopy services of Goiania, Brazil: A realidade em servicos de endoscopia de Goiania, GO
    • J.M. Barbosa, A.C. Souza, A.F. Tipple, and et al. Endoscope reprocessing using glutaraldehyde in endoscopy services of Goiania, Brazil: a realidade em servicos de endoscopia de Goiania, GO Arq Gastroenterol 47 2010 219 224
    • (2010) Arq Gastroenterol , vol.47 , pp. 219-224
    • Barbosa, J.M.1    Souza, A.C.2    Tipple, A.F.3
  • 14
    • 33847098247 scopus 로고    scopus 로고
    • Infection control during gastrointestinal endoscopy
    • D.B. Nelson Infection control during gastrointestinal endoscopy Can J Gastroenterol 21 2007 13 15
    • (2007) Can J Gastroenterol , vol.21 , pp. 13-15
    • Nelson, D.B.1
  • 15
    • 77649242983 scopus 로고    scopus 로고
    • A study of the efficacy of bacterial biofilm cleanout for gastrointestinal endoscopes
    • Y. Fang, Z. Shen, L. Li, and et al. A study of the efficacy of bacterial biofilm cleanout for gastrointestinal endoscopes World J Gastroenterol 16 2010 1019 1024
    • (2010) World J Gastroenterol , vol.16 , pp. 1019-1024
    • Fang, Y.1    Shen, Z.2    Li, L.3
  • 16
    • 2442427548 scopus 로고    scopus 로고
    • Removal of biofilm from endoscopes: Evaluation of detergent efficiency
    • K. Vickery, A. Pajkos, and Y. Cossart Removal of biofilm from endoscopes: evaluation of detergent efficiency Am J Infect Control 32 2004 170 176
    • (2004) Am J Infect Control , vol.32 , pp. 170-176
    • Vickery, K.1    Pajkos, A.2    Cossart, Y.3
  • 17
    • 0033330657 scopus 로고    scopus 로고
    • Microbial biofilms: Their development and significance for medical device-related infections
    • M. Habash, and G. Reid Microbial biofilms: their development and significance for medical device-related infections J Clin Pharmacol 39 1999 887 898
    • (1999) J Clin Pharmacol , vol.39 , pp. 887-898
    • Habash, M.1    Reid, G.2
  • 18
    • 0034054228 scopus 로고    scopus 로고
    • Reduced susceptibility of thin Pseudomonas aeruginosa biofilms to hydrogen peroxide and monochloramine
    • W.L. Cochran, G.A. McFeters, and P.S. Stewart Reduced susceptibility of thin Pseudomonas aeruginosa biofilms to hydrogen peroxide and monochloramine J Appl Microbiol 88 2000 22 30
    • (2000) J Appl Microbiol , vol.88 , pp. 22-30
    • Cochran, W.L.1    McFeters, G.A.2    Stewart, P.S.3
  • 19
    • 67650079044 scopus 로고    scopus 로고
    • Epidemic of postsurgical infections caused by Mycobacterium massiliense
    • R.S. Duarte, M.C. Lourenco, S. Fonseca Lde, and et al. Epidemic of postsurgical infections caused by Mycobacterium massiliense J Clin Microbiol 47 2009 2149 2155
    • (2009) J Clin Microbiol , vol.47 , pp. 2149-2155
    • Duarte, R.S.1    Lourenco, M.C.2    Fonseca Lde, S.3
  • 20
    • 33745531574 scopus 로고    scopus 로고
    • Evaluation of the effectiveness of an enzymatic cleaner and glutaraldehyde-based disinfectant for chemothermal processing of flexible endoscopes in washer-disinfectors in accordance with prEN ISO 15 883
    • B. Zuhlsdorf, and G. Kampf Evaluation of the effectiveness of an enzymatic cleaner and glutaraldehyde-based disinfectant for chemothermal processing of flexible endoscopes in washer-disinfectors in accordance with prEN ISO 15 883 Endoscopy 38 2006 586 591
    • (2006) Endoscopy , vol.38 , pp. 586-591
    • Zuhlsdorf, B.1    Kampf, G.2
  • 21
    • 33947136836 scopus 로고    scopus 로고
    • ESGE-ESGENA guideline for quality assurance in reprocessing: Microbiological surveillance testing in endoscopy
    • U. Beilenhoff, C.S. Neumann, J.F. Rey, and et al. ESGE-ESGENA guideline for quality assurance in reprocessing: microbiological surveillance testing in endoscopy Endoscopy 39 2007 175 181
    • (2007) Endoscopy , vol.39 , pp. 175-181
    • Beilenhoff, U.1    Neumann, C.S.2    Rey, J.F.3
  • 22
    • 84858799650 scopus 로고    scopus 로고
    • Establishing a clinically relevant bioburden benchmark: A quality indicator for adequate reprocessing and storage of flexible gastrointestinal endoscopes
    • M.J. Alfa, S. Sepehri, N. Olson, and et al. Establishing a clinically relevant bioburden benchmark: a quality indicator for adequate reprocessing and storage of flexible gastrointestinal endoscopes Am J Infect Control 40 2012 233 236
    • (2012) Am J Infect Control , vol.40 , pp. 233-236
    • Alfa, M.J.1    Sepehri, S.2    Olson, N.3
  • 23
    • 67651098977 scopus 로고    scopus 로고
    • Monitoring the effectiveness of hospital cleaning practices by use of an adenosine triphosphate bioluminescence assay
    • J.M. Boyce, N.L. Havill, D.G. Dumigan, and et al. Monitoring the effectiveness of hospital cleaning practices by use of an adenosine triphosphate bioluminescence assay Infect Control Hosp Epidemiol 30 2009 678 684
    • (2009) Infect Control Hosp Epidemiol , vol.30 , pp. 678-684
    • Boyce, J.M.1    Havill, N.L.2    Dumigan, D.G.3
  • 24
    • 84857398188 scopus 로고    scopus 로고
    • Assessment on experimental bacterial biofilms and in clinical practice of the efficacy of sampling solutions for microbiological testing of endoscopes
    • C. Aumeran, E. Thibert, F.A. Chapelle, and et al. Assessment on experimental bacterial biofilms and in clinical practice of the efficacy of sampling solutions for microbiological testing of endoscopes J Clin Microbiol 50 2012 938 942
    • (2012) J Clin Microbiol , vol.50 , pp. 938-942
    • Aumeran, C.1    Thibert, E.2    Chapelle, F.A.3
  • 25
    • 0036835205 scopus 로고    scopus 로고
    • Cleaning efficacy of nine different cleaners in a washer-disinfector designed for flexible endoscopes
    • B. Zuhlsdorf, M. Emmrich, H. Floss, and et al. Cleaning efficacy of nine different cleaners in a washer-disinfector designed for flexible endoscopes J Hosp Infect 52 2002 206 211
    • (2002) J Hosp Infect , vol.52 , pp. 206-211
    • Zuhlsdorf, B.1    Emmrich, M.2    Floss, H.3
  • 26
    • 34547931627 scopus 로고    scopus 로고
    • Sonication of removed hip and knee prostheses for diagnosis of infection
    • A. Trampuz, K.E. Piper, M.J. Jacobson, and et al. Sonication of removed hip and knee prostheses for diagnosis of infection N Engl J Med 357 2007 654 663
    • (2007) N Engl J Med , vol.357 , pp. 654-663
    • Trampuz, A.1    Piper, K.E.2    Jacobson, M.J.3
  • 27
    • 84896077755 scopus 로고    scopus 로고
    • Sonication of catheter tips for improved detection of microorganisms on external ventricular drains and ventriculo-peritoneal shunts
    • G.F. Jost, M. Wasner, E. Taub, and et al. Sonication of catheter tips for improved detection of microorganisms on external ventricular drains and ventriculo-peritoneal shunts J Clin Neurosci 21 2014 578 582
    • (2014) J Clin Neurosci , vol.21 , pp. 578-582
    • Jost, G.F.1    Wasner, M.2    Taub, E.3
  • 28
    • 84875371276 scopus 로고    scopus 로고
    • The adenosine triphosphate test is a rapid and reliable audit tool to assess manual cleaning adequacy of flexible endoscope channels
    • M.J. Alfa, I. Fatima, and N. Olson The adenosine triphosphate test is a rapid and reliable audit tool to assess manual cleaning adequacy of flexible endoscope channels Am J Infect Control 41 2013 249 253
    • (2013) Am J Infect Control , vol.41 , pp. 249-253
    • Alfa, M.J.1    Fatima, I.2    Olson, N.3
  • 29
    • 84891617527 scopus 로고    scopus 로고
    • Comparison of clinically relevant benchmarks and channel sampling methods used to assess manual cleaning compliance for flexible gastrointestinal endoscopes
    • M.J. Alfa, N. Olson, and B.L. Murray Comparison of clinically relevant benchmarks and channel sampling methods used to assess manual cleaning compliance for flexible gastrointestinal endoscopes Am J Infect Control 42 2014 e1 e5
    • (2014) Am J Infect Control , vol.42 , pp. e1-e5
    • Alfa, M.J.1    Olson, N.2    Murray, B.L.3
  • 30
    • 0029888407 scopus 로고    scopus 로고
    • Mycobacteria and glutaraldehyde: Is high-level disinfection of endoscopes possible?
    • S. Urayama, R.A. Kozarek, S. Sumida, and et al. Mycobacteria and glutaraldehyde: is high-level disinfection of endoscopes possible? Gastrointest Endosc 43 1996 451 456
    • (1996) Gastrointest Endosc , vol.43 , pp. 451-456
    • Urayama, S.1    Kozarek, R.A.2    Sumida, S.3
  • 31
    • 84875368857 scopus 로고    scopus 로고
    • Validation of adenosine triphosphate to audit manual cleaning of flexible endoscope channels
    • M.J. Alfa, I. Fatima, and N. Olson Validation of adenosine triphosphate to audit manual cleaning of flexible endoscope channels Am J Infect Control 41 2013 245 248
    • (2013) Am J Infect Control , vol.41 , pp. 245-248
    • Alfa, M.J.1    Fatima, I.2    Olson, N.3
  • 32
    • 77950609222 scopus 로고    scopus 로고
    • Efficacy and limitations of an ATP-based monitoring system
    • D.E. Turner, E.K. Daugherity, C. Altier, and et al. Efficacy and limitations of an ATP-based monitoring system J Am Assoc Lab Anim Sci 49 2010 190 195
    • (2010) J Am Assoc Lab Anim Sci , vol.49 , pp. 190-195
    • Turner, D.E.1    Daugherity, E.K.2    Altier, C.3
  • 33
    • 84921491126 scopus 로고    scopus 로고
    • Validation of constitutively expressed bioluminescent Pseudomonas aeruginosa as a rapid microbiological quantification tool
    • N. Shah, and D.C. Naseby Validation of constitutively expressed bioluminescent Pseudomonas aeruginosa as a rapid microbiological quantification tool Biosens Bioelectron 68 2015 447 453
    • (2015) Biosens Bioelectron , vol.68 , pp. 447-453
    • Shah, N.1    Naseby, D.C.2
  • 34
    • 77957806225 scopus 로고    scopus 로고
    • Development of a rapid ATP bioluminescence assay for biocidal susceptibility testing of rapidly growing mycobacteria
    • R. Kapoor, and J.S. Yadav Development of a rapid ATP bioluminescence assay for biocidal susceptibility testing of rapidly growing mycobacteria J Clin Microbiol 48 2010 3725 3728
    • (2010) J Clin Microbiol , vol.48 , pp. 3725-3728
    • Kapoor, R.1    Yadav, J.S.2
  • 35
    • 1942417548 scopus 로고    scopus 로고
    • Surface fixation of dried blood by glutaraldehyde and peracetic acid
    • G. Kampf, R. Bloss, and H. Martiny Surface fixation of dried blood by glutaraldehyde and peracetic acid J Hosp Infect 57 2004 139 143
    • (2004) J Hosp Infect , vol.57 , pp. 139-143
    • Kampf, G.1    Bloss, R.2    Martiny, H.3
  • 36
    • 33645898316 scopus 로고    scopus 로고
    • Effect of different stabilized preparations of peracetic acid on biofilm
    • N.H. Loukili, B. Granbastien, K. Faure, and et al. Effect of different stabilized preparations of peracetic acid on biofilm J Hosp Infect 63 2006 70 72
    • (2006) J Hosp Infect , vol.63 , pp. 70-72
    • Loukili, N.H.1    Granbastien, B.2    Faure, K.3
  • 37
    • 84455199734 scopus 로고    scopus 로고
    • Presence of biofilm containing viable multiresistant organisms despite terminal cleaning on clinical surfaces in an intensive care unit
    • K. Vickery, A. Deva, A. Jacombs, and et al. Presence of biofilm containing viable multiresistant organisms despite terminal cleaning on clinical surfaces in an intensive care unit J Hosp Infect 80 2012 52 55
    • (2012) J Hosp Infect , vol.80 , pp. 52-55
    • Vickery, K.1    Deva, A.2    Jacombs, A.3
  • 38
    • 4844229222 scopus 로고    scopus 로고
    • Effect of peracetic acid and aldehyde disinfectants on biofilm
    • N. Henoun Loukili, H. Becker, J. Harno, and et al. Effect of peracetic acid and aldehyde disinfectants on biofilm J Hosp Infect 58 2004 151 154
    • (2004) J Hosp Infect , vol.58 , pp. 151-154
    • Henoun Loukili, N.1    Becker, H.2    Harno, J.3
  • 39
    • 40749111079 scopus 로고    scopus 로고
    • Molecular characterization of Mycobacterium massiliense and Mycobacterium bolletii in isolates collected from outbreaks of infections after laparoscopic surgeries and cosmetic procedures
    • C. Viana-Niero, K.V. Lima, M.L. Lopes, and et al. Molecular characterization of Mycobacterium massiliense and Mycobacterium bolletii in isolates collected from outbreaks of infections after laparoscopic surgeries and cosmetic procedures J Clin Microbiol 46 2008 850 855
    • (2008) J Clin Microbiol , vol.46 , pp. 850-855
    • Viana-Niero, C.1    Lima, K.V.2    Lopes, M.L.3
  • 40
    • 82855169544 scopus 로고    scopus 로고
    • Molecular identification and typing of Mycobacterium massiliense isolated from postsurgical infections in Brazil
    • F. Monego, R.S. Duarte, S.M. Nakatani, and et al. Molecular identification and typing of Mycobacterium massiliense isolated from postsurgical infections in Brazil Braz J Infect Dis 15 2011 436 441
    • (2011) Braz J Infect Dis , vol.15 , pp. 436-441
    • Monego, F.1    Duarte, R.S.2    Nakatani, S.M.3
  • 41
    • 77953252544 scopus 로고    scopus 로고
    • Epidemic of surgical-site infections by a single clone of rapidly growing mycobacteria in Brazil
    • S.C. Leao, C. Viana-Niero, C.K. Matsumoto, and et al. Epidemic of surgical-site infections by a single clone of rapidly growing mycobacteria in Brazil Future Microbiol 5 2010 971 980
    • (2010) Future Microbiol , vol.5 , pp. 971-980
    • Leao, S.C.1    Viana-Niero, C.2    Matsumoto, C.K.3
  • 42
    • 80052616964 scopus 로고    scopus 로고
    • Increased virulence of an epidemic strain of Mycobacterium massiliense in mice
    • e24726
    • S. Shang, S. Gibbs, M. Henao-Tamayo, and et al. Increased virulence of an epidemic strain of Mycobacterium massiliense in mice PLoS One 6 2011 e24726
    • (2011) PLoS One , vol.6
    • Shang, S.1    Gibbs, S.2    Henao-Tamayo, M.3
  • 43
    • 84868100639 scopus 로고    scopus 로고
    • Targeting drug tolerance in mycobacteria: A perspective from mycobacterial biofilms
    • M.S. Islam, J.P. Richards, and A.K. Ojha Targeting drug tolerance in mycobacteria: a perspective from mycobacterial biofilms Expert Rev Anti Infect Ther 10 2012 1055 1066
    • (2012) Expert Rev Anti Infect Ther , vol.10 , pp. 1055-1066
    • Islam, M.S.1    Richards, J.P.2    Ojha, A.K.3
  • 44
    • 54549117073 scopus 로고    scopus 로고
    • The mycobacterial glycopeptidolipids: Structure, function, and their role in pathogenesis
    • J.S. Schorey, and L. Sweet The mycobacterial glycopeptidolipids: structure, function, and their role in pathogenesis Glycobiology 18 2008 832 841
    • (2008) Glycobiology , vol.18 , pp. 832-841
    • Schorey, J.S.1    Sweet, L.2
  • 45
    • 77958016317 scopus 로고    scopus 로고
    • Bacterial viability in starved and revitalized biofilms: Comparison of viability staining and direct culture
    • Y. Shen, S. Stojicic, and M. Haapasalo Bacterial viability in starved and revitalized biofilms: comparison of viability staining and direct culture J Endod 36 2010 1820 1823
    • (2010) J Endod , vol.36 , pp. 1820-1823
    • Shen, Y.1    Stojicic, S.2    Haapasalo, M.3
  • 46
    • 15944387317 scopus 로고    scopus 로고
    • The viable but nonculturable state in bacteria
    • J.D. Oliver The viable but nonculturable state in bacteria J Microbiol 43 Spec No 2005 93 100
    • (2005) J Microbiol , vol.43 , Issue.SPEC NO , pp. 93-100
    • Oliver, J.D.1
  • 47
    • 78349306338 scopus 로고    scopus 로고
    • Mimicking disinfection and drying of biofilms in contaminated endoscopes
    • J. Kovaleva, J.E. Degener, and H.C. van der Mei Mimicking disinfection and drying of biofilms in contaminated endoscopes J Hosp Infect 76 2010 345 350
    • (2010) J Hosp Infect , vol.76 , pp. 345-350
    • Kovaleva, J.1    Degener, J.E.2    Van Der Mei, H.C.3
  • 48
    • 84939260228 scopus 로고    scopus 로고
    • A quarantine process for the resolution of duodenoscope-associated transmission of multidrug-resistant Escherichia coli
    • A.S. Ross, C. Baliga, P. Verma, and et al. A quarantine process for the resolution of duodenoscope-associated transmission of multidrug-resistant Escherichia coli Gastrointest Endosc 82 2015 477 483
    • (2015) Gastrointest Endosc , vol.82 , pp. 477-483
    • Ross, A.S.1    Baliga, C.2    Verma, P.3
  • 49
    • 84939168573 scopus 로고    scopus 로고
    • Duodenoscope reprocessing: Risk and options coming into view
    • B.T. Petersen Duodenoscope reprocessing: risk and options coming into view Gastrointest Endosc 82 2015 484 487
    • (2015) Gastrointest Endosc , vol.82 , pp. 484-487
    • Petersen, B.T.1


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