Background. The high diffusion of endoscopies worldwide and the need for effective reprocessing methods imposed the development of guidelines and implementation of surveillance procedures at local level. Study design. In order to collect data on everyday practice and their adherence to available guidelines, endoscopy units from different public institutions were surveyed by a dedicated questionnaire. Methods. Between July and November 2015, a survey was conducted in 12 main hospitals from 10 different Italian regions, involving 22 endoscopy units. The state of the art on national and international guidelines was performed to compare the protocols adopted at local level. Results. In all the surveyed hospitals, the reprocessing activity is based on pre-established protocols in adherence with principal guidelines. Enzymatic detergents, which are recommended by the international guidelines, are used in 55.6% of units and peracetic acid is currently the most widely used chemical disinfectant. Discrepancies were observed in application of periodic quality controls. Guidelines and regulations were reviewed. Conclusions. Updated guidelines are generally applied in reprocessing practice. Quality controls may represent a critical issue to improve effectiveness and surveillance. The whole of data acquired from different regions can allow comparisons and promote trend to best practice.
Procedures in endoscope reprocessing and monitoring: an Italian survey / Cristina, Ml; Valeriani, F; Casini, B; Agodi, A; D'Errico, Mm; Gianfranceschi, G; Laganà, P6; Liguori, G; Liguori, R; Mucci, N; Mura, I; Pasquarella, C; Piana, A; Sotgiu, G; Privitera, G; Protano, C; Quattrocchi, A; Ripabelli, G; Rossini, A; Scaramucci, E; Spagnolo, Am; Tamburro, M; Tardivo, S; Veronesi, L; Vitali, M; Romano Spica, V and GISIO. - In: ANNALI DI IGIENE MEDICINA PREVENTIVA E DI COMUNITÀ. - ISSN 1120-9135. - STAMPA. - 30:5 suppl 2(2018), pp. 45-63. [10.7416/ai.2018.2250]
Procedures in endoscope reprocessing and monitoring: an Italian survey
D'Errico MM;
2018-01-01
Abstract
Background. The high diffusion of endoscopies worldwide and the need for effective reprocessing methods imposed the development of guidelines and implementation of surveillance procedures at local level. Study design. In order to collect data on everyday practice and their adherence to available guidelines, endoscopy units from different public institutions were surveyed by a dedicated questionnaire. Methods. Between July and November 2015, a survey was conducted in 12 main hospitals from 10 different Italian regions, involving 22 endoscopy units. The state of the art on national and international guidelines was performed to compare the protocols adopted at local level. Results. In all the surveyed hospitals, the reprocessing activity is based on pre-established protocols in adherence with principal guidelines. Enzymatic detergents, which are recommended by the international guidelines, are used in 55.6% of units and peracetic acid is currently the most widely used chemical disinfectant. Discrepancies were observed in application of periodic quality controls. Guidelines and regulations were reviewed. Conclusions. Updated guidelines are generally applied in reprocessing practice. Quality controls may represent a critical issue to improve effectiveness and surveillance. The whole of data acquired from different regions can allow comparisons and promote trend to best practice.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
