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DECONTAMINATION


While the concern of contaminated endoscopes has been apparent for years, additional challenges related to the COVID-19 virus present an even greater risk of life-threatening infections.


to barrier measures (i.e. hand, hygiene, wearing of mask, environment cleaning, etc.), we must focus on crucial reprocessing steps such as drying and storage, and use solutions that reduce the risk of infection.


References 1 OMS. Modes of transmission of virus causing COVID-19: implications for IPC precaution recommendations. 2020 [cited 7 Apr 2020].


2 van Doremalen N, Bushmaker T, Morris DH, Holbrook MG, Gamble A, Williamson BN, et al. Aerosol and Surface Stability of SARS-CoV-2 as Compared with SARS-CoV-1. New England Journal of Medicine. 2020;0: null. doi:10/ggn88w


3 Santarpia JL, Rivera DN, Herrera V, Morwitzer MJ, Creager H, Santarpia GW, et al. Transmission Potential of SARS-CoV-2 in Viral Shedding Observed at the University of Nebraska Medical Center. medRxiv. 2020; 2020.03.23.20039446. doi:10/dqtw


4 Ong SWX, Tan YK, Chia PY, Lee TH, Ng OT, Wong MSY, et al. Air, Surface Environmental, and Personal Protective Equipment Contamination by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) From a Symptomatic Patient. JAMA. 2020 [cited 6 Mar 2020]. doi:10/ggngth


5 Kampf G, Todt D, Pfaender S, Steinmann E. Persistence of coronaviruses on inanimate surfaces and its inactivation with biocidal agents. J Hosp Infect. 2020 Feb 6. pii: S0195- 6701(20)30046-3. doi: 10.1016/j.jhin.2020.01.022


6 Bang JY, et al. Gut 2019;0:1–3. doi:10.1136/ gutjnl-2019-318227


7 Rauwers, A.W. (Arjan W.), Voor in ‘t holt, A.F, Buijs, J.G, de Groot, W, Hansen, B.E, Bruno, M.J, & Vos, M.C. (2018). High prevalence rate of digestive tract bacteria in duodenoscopes: A nationwide study. Gut (English Edition): an international journal of gastroenterology & hepatology, 67(9), 1637–1645. doi:10.1136/gutjnl-2017-315082


8 Julia Kovaleva,a Frans T. M. Peters, b Henny C. van der Mei, c John E. Degener, April 2013 Volume 26 Number 2 Clinical Microbiology Reviews, Transmission of Infection by Flexible Gastrointestinal Endoscopy and Bronchoscopy


9 Petersen BT et al. Multisociety guideline on reprocessing flexible gastrointestinal endoscopes. 2016 update. GIE 2017; 85;2.


10 Biotech-Germande report, January 2015, Evaluation of the Efficacy of a Drying Unit for internal Channels of Endoscopes The unit‘s drying efficacy is validated by microbiological tests performed on different endoscope types, according to European standards, as well as visual observation of a stripped endoscope.


11 Evaluation of the efficacy of a drying unit for internal channels of endoscopes according to NF S98-030-


OCTOBER 2020 Paul Caesar Daniel Vinteler


Daniel Vinteler received his Ph.D. degree in Mechanical Engineering from Université Pierre et Marie Curie at Paris where he performed research in aerodynamics. After working for more than 20 years in a high tech environment (aerospace industry and computational fluid dynamics) Daniel created PlasmaBiotics company located close to Paris. Daniel has served as the president and CEO of the company since its inception, in March 2011, leading the development and validation of PlasmaBiotics products. In July 2018, Hoya-Pentax Medical acquired PlasmaBiotics.


Paul J Caesar has more than 25 years’ experience in hygiene and infection control, especially in medical devices and reprocessing flexible endoscopes. He has published articles on endoscope reprocessing, hand hygiene and other items on infection control, and presented on those issues at many international conferences. He also has developed teaching programmes on hygiene and infection control, reprocessing endoscopes and cleaning, disinfection and sterilisation of medical devices. From 2015 – 2019 he was chair of a Dutch Expert Group for reprocessing flexible endoscopes. In 2020, he started working as reprocessing and infection control leader EMEA at Pentax Medical Europe.


WWW.CLINICALSERVICESJOURNAL.COM l 75 Test Report by Biotech-Germande February 2015. CSJ


12 Evaluation of the ability of a storage system (plasmabiotics) to maintain the microbiological quality of heat sensitive endoscope. Report by Biotech-Germande April 2017.


13 The maximum storage time may be subject to local regulations on endoscope storage. The country regulation can restrict the maximum storage time to 7 days. Please refer to the relevant regulations or recommendation of your country.


14 Evaluation of the ability of a storage system (plasmabiotics) to maintain the microbiological quality of heat sensitive endoscope. Report by Biotech-Germande April 2017.


15 The maximum storage time may be subject to local regulations on endoscope storage. The country regulation can restrict the maximum storage time to 7 days. Please refer to the relevant regulations or recommendation of your country.


16 Arcidiacono, P. (2020). Endoscopy during COVID-19 pandemic: The equipment journey from patient to patient [Webinar].


Didier Lepelletier


Didier Lepelletier is a lecturer- researcher at the University of Nantes. Didier is the head of the department of bacteriology-virology and hospital hygiene, he teaches at the Faculty of Medicine about hospital hygiene and the epidemiology of transmissible infectious diseases. Didier is also the vice president of the Specialized Commission on Health Systems and Patient Safety at the Ministry of Health.


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