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Decontamination


endoscope transport system with simple but effective time indicator labelling. After the procedure, the endoscope is pre-cleaned and is put into a liner bag with the decontaminated symbol. The bag is secured using a time indicator label that changes colour slowly over the time period of 1-hour. The endoscope can be safely transported to


the reprocessing area with the time indicator clearly showing the time left for cleaning to commence. Prioritising which endoscope needs cleaning is easy to follow as the tags change colour. There are other related products available – such as the Aegis 1-hour tag from Boston Scientific. Companies, such as Healthmark, Ruhof and Steris, also offer a 1-hour time tag, whereby time indicator tags are applied to existing endoscope transport systems.


Conclusion Efficient reprocessing is a key component in maintaining patient safety, but communication should also be a principal factor in achieving effective reprocessing. Despite the evidence that delayed reprocessing can lead to healthcare associated infections and potentially dangerous multidrug resistant bacteria adhering to endoscopes, the guidelines surrounding time management in reprocessing is still inconsistent around the world. Manufacturers should be working together with multi-societies to create clear standardised guidelines and IFUs for healthcare staff. Healthcare providers should be using a simple, affordable solution to maximise communication methods, and that helps prioritise timely reprocessing to avoid delayed reprocessing protocols. Industry should work closely with a broad range of healthcare staff to develop new and affordable products that enhance infection prevention standards within healthcare facilities.


References 1. BSG Guidance for Decontamination of Equipment for Gastrointestinal Endoscopy, June 2020. https://www.bsg.org.uk/BSG/ media/BSG-Media/BSG-Decontamination- guidance-2020-update.pdf


2. NHS Health Technical Memorandum 01-06: Decontamination of Flexible endoscopes. Part C: Operational Management. https://www. england.nhs.uk/wp-content/uploads/2021/05/ HTM0106_PartC.pdf


3. Reprocessing of flexible endoscopes and endoscopic accessories used in gastrointestinal endoscopy: Position Statement of the European Society of Gastrointestinal Endoscopy (ESGE) and European Society of Gastroenterology Nurses


56 www.clinicalservicesjournal.com I February 2025


and Associates (ESGENA) – Update 2018 https://www.esge.com/assets/downloads/ pdfs/guidelines/2018_a_0759_1629.pdf


4. World Gastroenterology Organisation global guidelines. Endoscope disinfection update: a guide to resource-sensitive reprocessing. https://www.worldgastroenterology.org/ UserFiles/file/guidelines/endoscope- disinfection-english-2019.pdf


5. Society of Gastroenterology Nurses & Associates, Inc. Standards of Infection Control in Reprocessing of Flexible Gastrointestinal Endoscopes. https:// www.sgna.org/portals/0/education/pdf/ standardsguidelines/sgna_stand_of_infection_ control_0812_final.pdf


6. AAMI ST91: A Review of the New Standards and Discussion on Enhanced Compliance. https://censis.com/blog/aami-st91-a-review- of-the-new-standards-and-discussion-on- enhanced-compliance


7. Lukejohn W. et al. Multisociety guideline on reprocessing flexible GI endoscopes and accessories. This document was reviewed and approved by the Governing Board of the American Society for Gastrointestinal Endoscopy. https://www.asge.org/docs/ default-source/default-document-library/ multisociety-guideline-reprocessing-gi- endoscopes.pdf


8. Lacava, R. Outpatient Surgery (A division of AORN). Is perfection possible every time when disinfecting scopes? 2017. https:// www.aorn.org/outpatient-surgery/ article/2017-October-endoscope-reprocessing- from-start-to-finish#:~:text=From%20 withdrawal%20of%20the%20 scope,completed%20thoroughly%20every%20 single%20time.


CSJ


9. Devereaux BM, Jones D, Wardle E, on behalf of the Infection Control in Endoscopy Committee, Melbourne: Gastroenterological Society of Australia. Infection Prevention and Control in Endoscopy 2021. https://www.gesa. org.au/public/13/files/Education%20%26%20 Resources/Clinical%20Practice%20Resources/ Endoscopy%20Infection%20Control/IPCE%20 2021_Feb2022update.pdf


10. Benedict, M. Delays in Endoscope Reprocessing … and the Biofilms Within. 2018. https:// medical.olympusamerica.com/sites/default/ files/us/files/pdf/Whitepaper---Delays-in- Endoscope-Reprocessing-FINAL-APPROVED- single-page-version.pdf


11. Roberts, C.G. The role of biofilms in reprocessing medical devices. American Journal of Infection Control (AJIC), May, 2013. https://www.ajicjournal.org/article/S0196- 6553(13)00018-7/fulltext


12. Pajkos, A, Vickery, K, Cossart, Y. Is biofilm


accumulation on endoscope tubing a contributor to the failure of cleaning and decontamination? Journal of Hospital Infection, November 2004. https://pubmed.ncbi.nlm.nih. gov/15501338/


13. Naas T, Cuzon G, Babics A, et al. Endoscopy- associated transmission of carbapenem- resistant Klebsiella pneumoniae producing KPC-2 b-lactamase., J Antimicrob Chemother, 2010.


14. Shimono N, Takuma T, Tsuchimochi N, et al. An outbreak of Pseudomonas aeruginosa infections following thoracic surgeries occurring via the contamination of bronchoscopes and an automatic endoscope reprocessor. J Infect Chemother, no. 14, p. 418–423, 2008.


15. Kovaleva J, Peters F.T.M, Van Der Mei, H.C, Degener, J.E. Transmission of Infection by Flexible Gastrointestinal Endoscopy and Bronchoscopy. ASM Journals, 2013. https:// journals.asm.org/doi/10.1128/cmr.00085-12


About the author


Kerry Dolan has been a freelance writer for over 20 years and is currently the head of the marketing department for Meditech Endoscopy, a global product development company which supplies endoscopy consumables worldwide. She has concentrated her expertise on the cleaning and disinfection areas of endoscopy. Her marketing expertise focuses on creating innovative marketing strategies, content creation and managing the company website & social media accounts. She has recently developed a mentor programme for students within the company, helping young people gain valuable work experience in the workplace. Kerry has a special interest in creating awareness about the difficulties that endoscopy staff experience, and to provide solutions that combine industry and nursing staff working together for better patient outcomes.


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