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Méthodes de nettoyage et de désinfection en endoscopic gastrointestinale

Cleaning & disinfection procedures in gastrointestinal endoscopy

Metodos de limpieza y de desinfeccion en endoscópia gastrointestinal

  • Published:
Acta Endoscopica

Résumé

Chaque manipulation endoscopique expose à un risque potentiel de transmission ďinfection. Si les recommandations concernant le nettoyage et la désinfection sont bien suivies, le risque de ces infections est extrêmement faible. II est essentiel de se plier aux recommandations standards des méthodes de nettoyage et de désinfection. Les raisons précises ďun manque de compliance sont caractéristiques et peuvent être en relation avec un manque de temps, des problèmes financiers, une limitation des équipements et des équipes, un défaut ďappréciation correcte du risque potentiel de transmission ďinfections par voie endoscopique. A ľavenir, un respect plus strict des règies de conduite en matière de nettoyage et désinfection des endoscopes sera exigé de toutes les personnes qui accomplissent ces examens. De plus, des études soigneuses de chaque phase du nettoyage et de la désinfection seront effectuées afin de mieux comprendre les problèmes de nos méthodes courantes. Ces études doivent conduire à une amélioration des techniques, des solutions chimiques employées, et de la structure de ľendoscope. La surveillance attentive du nettoyage et de la désinfection devrait contribuer au développement de ľendoscopie gastrointestinale diagnostique et thérapeutique.

Summary

Every endoscopic procedure provides a potential source for transmitting an infection. If current recommendations regarding cleaning and disinfection are followed, the risk of these infections are extremely low. It is essential to comply with standard cleaning and disinfection procedures. Specific reasons for lack of compliance have not been characterized, but may relate to time restraints, costs, shortage of staff and equipment, as well as a lack of appreciation of the potential to transmit infections via endoscopy. In the future, strict adherence to accepted guidelines for endoscopic cleaning and disinfection is needed byall persons performing these procedures. In addition, carefully designed studies of each aspect of the cleaning and disinfection process should be performed in order to better understand the problems associated with current methods. These studies may lead to improvements in techniques, chemical solutions employed, and endoscope design. Continued attention to proper endoscopic cleaning and disinfection procedures will aid the ongoing expansion of diagnostic and therapeutic gastrointestinal endoscopy.

Resumen

Cada manipulación endoscópica expone a un riesgo potencial de trasmision de una infección. Si las recomendaciones respecto a la limpieza y desinfección son bien seguidas, el riesgo de estas infecciones es bastante mínima. Es esencial someterse a las recomendaciones establecidas en los métodos de limpieza y de desinfección. Las razones precisas en una falla de manejo son características y pueden estar relacionadas con falta de tiempo, problemas financieros, limitación de equipos y de colaboradores, falta de apreciación correcta del riesgo potencial de trasmisión de infecciones por vía endoscópica. En el porvenir, un respeto más estricto de las reglas de conducta en materia de limpieza y desinfección de los endoscopios, será exigida a todas las personas que realizanestos examenes. Además estudios cuidadosos de cada fase de la limpieza y de la desinfección se efectuaran con el fin de comprender mejor los problemas de nuestros métodos corrientes. Estos estudios deben conducir a una mejoría de las técnicas, de las soluciones químicas empleadas y de la estructura del endoscopio. La atenta vigilancia de la limpieza y de la desinfección debe contribuír al desarrollo de la endoscopia gastrointestinal diagnóstica y terapéutica. Division of Gastroenterology, RG-24, University of Washington Medical Center, 1959 NE Pacific, Seattle, Washington 98195 (USA).

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Authors
  1. D. H. Spach
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  2. F. E. Silverstein
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Spach, D.H., Silverstein, F.E. Méthodes de nettoyage et de désinfection en endoscopic gastrointestinale. Acta Endosc 21, 567–574 (1991). https://doi.org/10.1007/BF02970298

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