Prevention of multidrug-resistant infections from contaminated duodenoscopes: Position Statement of the European Society of Gastrointestinal Endoscopy (ESGE) and European Society of Gastroenterology Nurses and Associates (ESGENA)

Endoscopy

Volumn 49, Issue 11, 2017, Pages 1098-1106

  Beilenhoff, Ulrike ^a   Biering, Holger ^b   Blum, Reinhard ^c   Brljak, Jadranka ^d   Cimbro, Monica ^e   Dumonceau, Jean Marc ^f   Hassan, Cesare ^g   Jung, Michael ^h   Neumann, Christiane ⁱ   Pietsch, Michael ^j   Pineau, Lionel ^k   Ponchon, Thierry ^l   Rejchrt, Stanislav ^m   Rey, Jean François ⁿ   Schmidt, Verona ^o   Tillett, Jayne ^p   Van Hooft, Jeanin ^q  

^a ESGENA   (Germany)

^b Centre for Radiology and Nuclear Medicine   (Germany)

^c Olympus Winter and Ibe   (Germany)

^d KBC Zagreb   (Croatia)

^e CBC (Europe) Srl   (Italy)

^f Diagnostic and Therapeutic Gastroenterology and Endoscopy   (Argentina)

^g CATHOLIC UNIVERSITY   (Italy)

^h Katholisches Klinikum   (Germany)

ⁱ ESGENA Past President   (United Kingdom)

^j UNIVERSITY MEDICAL CENTER MAINZ   (Germany)

^k Biotech Germande   (France)

^l EDOUARD HERRIOT HOSPITAL   (France)

^m UNIVERSITY HOSPITAL HRADEC KRALOVE   (Czech Republic)

ⁿ INSTITUT ARNAULT TZANCK   (France)

^o Microbiology and Hygiene Department   (Germany)

^p Aneurin Bevan University Health BoardClinical Research and Innovation Centre St Woolos Hospital   (United Kingdom)

^q ACADEMIC MEDICAL CENTER   (Netherlands)

more..

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; DEVICE INFECTION; ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY; ENDOSCOPY; EPIDEMIC; HUMAN; HYGIENE; INFECTION PREVENTION; MEDICAL SOCIETY; MICROBIOLOGICAL EXAMINATION; MULTIDRUG RESISTANCE; PRIORITY JOURNAL; VALIDATION STUDY; CROSS INFECTION; DECONTAMINATION; DUODENOSCOPE; INFECTION CONTROL; MEDICAL DEVICE CONTAMINATION; MICROBIOLOGY; PRACTICE GUIDELINE; PROCEDURES; STANDARDS;

CROSS INFECTION; DECONTAMINATION; DRUG RESISTANCE, MULTIPLE; DUODENOSCOPES; EQUIPMENT CONTAMINATION; HUMANS; INFECTION CONTROL;

EID: 85031800268     PISSN: 0013726X     EISSN: 14388812     Source Type: Journal    
DOI: 10.1055/s-0043-120523     Document Type: Article

References (38)

1. Kovaleva J. Peters F. TM. van der Mei H. C. et al. Transmission of infection by flexible gastrointestinal endoscopy and bronchoscopy. Clin Microbiol Rev: 2013; 26 231 254
2. Muscarella L. F. Risk of transmission of carbapenem-resistant Enterobacteriaceae and related superbugs during gastrointestinal endoscopy. World J Gastrointest Endosc: 2014; 6 457 474
3. Aumeran C. Poincloux L. Souweine B. et al. Multidrug-resistant Klebsiella pneumoniae outbreak after endoscopic retrograde cholangiopancreatography. Endoscopy: 2010; 42 895 899
4. Epstein L. Hunter J. C. Arwady M. A. et al. New Delhi metallo-β-lactamase-producing carbapenem-resistant Escherichia coli associated with exposure to duodenoscopes. JAMA: 2014; 312 1447 1455
5. Wendorf K. Kay M. Baliga C. et al. Endoscopic retrograde cholangiopancreatography-associated AmpC Escherichia coli outbreak. Infect Control Hosp Epidemiol: 2015; 36 634 642
6. Smith Z. L. Yuong S. O. Saeian K. et al. Transmission of carbapenem-resistant Enterobacteriaceae during ERCP: time to revisit the current reprocessing guidelines. Gastrointest Endosc: 2015; 81 1041 1045
7. Kola A. Piening B. Pape U. F. et al. An outbreak of carbapenem-resistant OXA-48-producing Klebsiella pneumonia associated to duodenoscopy. Antimicrob Resist Infect Control: 2015; 4 8 [doi:10.1186/s13756-015-0049-4]
8. Verfaillie C. J. Bruno M. J. Voor in't holt A. F. et al. Withdrawal of a novel-design duodenoscope ends outbreak of a VIM-2-producing Pseudomonas aeruginosa. Endoscopy: 2015; 47 493 502
9. US Food and Drug Administration (FDA) Safety Communication. Available from: http://www.fda.gov/MedicalDevices/Safety/AlertsandNotices/default.htm [Accessed: April 20 2017]
10. Bundesinstitut für Arzneimittel und Medizinprodukte Empfehlungen des BfArM. Hinweis des BfArM und des RKI zu komplex aufgebauten Endoskopen (Duodenoskopen), deren Aufbereitung und damit verbundenen Infektionsrisiken. German. Available from: https://www.bfarm.de/SharedDocs/Risikoinformationen/Medizinprodukte/DE/bfarm-rki-aufbereitung-endoskop.html [Accessed: April 20 2017]
11. Humphries R. M. McDonnell G. Superbugs on duodenoscopes: the challenge of cleaning and disinfection of reusable devices. J Clin Microbiol: 2015; 53 3118 3125
12. Petersen B. T. Duodenoscope reprocessing: risk and options coming into view. Gastrointest Endosc: 2015; 82 484 486
13. Gastmeier P. Vonberg R. P. Klebsiella spp. in endoscopy-associated infections: we may only be seeing the tip of the iceberg. Infection: 2014; 42 15 21
14. Kim S. Russell D. Mohamadnejad M. et al. Risk factors associated with the transmission of carbapenem-resistant Enterobacteriaceae via contaminated duodenoscopes. Gastrointest Endosc: 2016; 83 1121 1129
15. Guyatt G. H. Schünemann H. J. Djulbegovic B. et al. Guideline panels should not GRADE good practice statements. J Clin Epidemiol: 2015; 68 597 600
16. Guyatt G. H. Alonso-Coello P. Schünemann H. J. Guideline panels should seldom make good practice statements: guidance from the GRADE Working Group. J Clin Epidemiol: 2016; 80 3 7
17. Dumonceau J. M. Hassan C. Riphaus A. et al. European Society of Gastrointestinal Endoscopy (ESGE) Guideline Development Policy. Endoscopy: 2012; 44 626 629
18. Rutala W. A. Weber D. J. Gastrointestinal endoscopes: a need to shift from disinfection to sterilization? JAMA: 2014; 312 1405 1406 [doi:10.1001/jama.2014.12559]
19. Jung M. Beilenhoff U. Hygiene: The looming Achilles heel in endoscopy. Visc Med: 2016; 32 21 28
20. Ross A. S. Baliga C. Verma P. et al. A quarantine process for the resolution of duodenoscope-associated transmission of multidrug-resistant Escherichia coli. Gastrointest Endosc: 2015; 82 477 483
21. Beilenhoff U. Neumann C. S. Rey J. F. et al. ESGE-ESGENA guideline: cleaning and disinfection in gastrointestinal endoscopy. Endoscopy: 2008; 40 939 957
22. Association for the Advancement of Medical Instrumentation ANSI/AAMI ST91: 2015. Flexible and semi-rigid endoscope processing in health care facilities. Available from: http://nascecme.com.br/2014/wp-content/uploads/2015/09/ANSI-AAMI-ST91-Endoscopy-2015.pdf [Accessed: April 20 2017]
23. American Society for Gastrointestinal Endoscopy Multisociety guideline on reprocessing flexible GI endoscopes: 2016 update. Gastrointest Endosc: 2017; 85 282e 294e
24. Association of periOperative Registered Nurses (AORN) Guideline for processing flexible endoscopes. Guidelines for Perioperative Practice: 2017; 10.6015/psrp.17.01.717
25. Gastroenterological Society of Australia/Gastroenterological Nurses College of Australia (GESA/GENCA) Draft document for discussion. Infection control in endoscopy - Multidrug resistant outbreaks response. Version: April 2016. Available from: http://www.genca.org/public/5/files/Infection%20Control%20Guidelines%20Draft%20April%202016.pdf [Accessed: April 20 2017]
26. ESGENA European Curriculum for reprocessing flexible endoscopes and endoscopic accessories 2017. Forthcoming 3 Nov 2017, at http://www.esgena.org/statements-curricula.html
27. Council Directive 93/42/EEC of 14 June 1993 concerning medical devices (OJ L 169, 12.7.1993, p. 1). Available from: http://eur-lex.europa.eu/LexUriServ/LexUriServ.do?uri=CONSLEG:1993L0042:20071011:en:PDF [Accessed: September 22 2017]
28. Roberts C. G. The role of biofilms in reprocessing medical devices. Am J Infect Control: 2013; 41 S77 S80
29. Otter J. A. Vickery K. Walker J. T. et al. Surface-attached cells, biofilms and biocide susceptibility: implications for hospital cleaning and disinfection. J Hosp Infect: 2015; 89 16 27
30. Bertschinger P. Brenneisen M. Cathomas A. et al. Schweizerische Richtlinie zur Aufbereitung flexibler Endoskope. Gemeinsame Richtlinie der Schweizerischen Gesellschaft für Gastroenterologie (SGG), Schweizerischen Gesellschaft für Pneumologie (SGP), Schweizerischen Gesellschaft für Spitalhygiene (SGSH), Schweizerischen Vereinigung für Endoskopiepersonal (SVEP). German. Available from: https://svep-aspe.ch/fileadmin/user-upload/pdf/Schweizerische-Hygienerichtlinie2013.pdf
31. Ministère de la santé, de la famille et des personnes handicapées, DGS/DHOS, Comité Technique national des Infections Nosocomiales (CTIN) Bonnes pratiques de désinfection des dispositifs médicaux. Guide pour l'utilisation des laveurs-désinfecteurs d'endoscopes. French. November 2003. Available from: http://nosobase.chu-lyon.fr/recommandations/Ministere-Sante/2003-endoscopie-ministere.pdf [Accessed: September 22 2017]
32. Sethi S. Huang R. J. Barakat M. et al. Adenosine triphosphate bioluminescence for bacteriologic surveillance and reprocessing strategies for minimizing risk of infection transmission by duodenoscopes. Gastrointest Endosc: 2017; 85 1180 1187
33. Ramsey A. H. Oemig T. V. Davis J. P. et al. An outbreak of bronchoscopy-related Mycobacterium tuberculosis infections due to lack of bronchoscope leak testing. Chest: 2002; 121 976 981
34. Seki M. Hashiguchi K. Tanaka A. et al. Characteristics and disease severity of healthcare-associated pneumonia among patients in a hospital in Kitakyushu, Japan. Infect Chemother: 2011; 17 363 369
35. Beilenhoff U. Neumann C. S. Biering H. et al. ESGE Guidelines Committee. ESGE/ESGENA guideline for process validation and routine testing for reprocessing endoscopes in washer-disinfectors, according to the European Standard prEN ISO 15883 parts 1, 4 and 5. Endoscopy: 2007; 39 85 94
36. Beilenhoff U, Biering H, Blum R et al. European Society of Gastrointestinal Endoscopy (ESGE)-European Society of Gastroenterology and Endoscopy Nurses and Associates (ESGENA) Technical Specification for process validation and routine testing of endoscope reprocessing in washer-disinfectors, according to EN ISO 15883, parts 1, 4, and ISO/TS 15883-5. Forthcoming Nov/Dec 2017
37. Beilenhoff U. Neumann C. S. Rey J. F. et al. ESGE-ESGENA guideline for quality assurance in reprocessing: microbiological surveillance testing in endoscopy. Endoscopy: 2007; 39 175 181
38. Centers for Disease Control and Prevention Interim duodenoscope surveillance protocol, updated April 3, 2015. Available from: http://www.cdc.gov/hai/organisms/cre/cre-duodenoscope-surveillance-protocol.html [Accessed: April 20 2017]