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Good Practices on Endoscope Reprocessing in Italy: Findings of a Nationwide Survey

Background: Correct reprocessing and microbiological surveillance on endoscopes are fundamental for preventing the transmission of multi-drug resistant strains and device-related infections. Methods: A questionnaire with three domains was created: (1) centre characteristics; (2) endoscope reprocessi...

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Autores principales: Scarpaci, Michela, Cosci, Tommaso, Tuvo, Benedetta, Guarini, Alessandra, Iannone, Teresa, Zullo, Angelo, Casini, Beatrice
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9566799/
https://www.ncbi.nlm.nih.gov/pubmed/36231398
http://dx.doi.org/10.3390/ijerph191912082
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author Scarpaci, Michela
Cosci, Tommaso
Tuvo, Benedetta
Guarini, Alessandra
Iannone, Teresa
Zullo, Angelo
Casini, Beatrice
author_facet Scarpaci, Michela
Cosci, Tommaso
Tuvo, Benedetta
Guarini, Alessandra
Iannone, Teresa
Zullo, Angelo
Casini, Beatrice
author_sort Scarpaci, Michela
collection PubMed
description Background: Correct reprocessing and microbiological surveillance on endoscopes are fundamental for preventing the transmission of multi-drug resistant strains and device-related infections. Methods: A questionnaire with three domains was created: (1) centre characteristics; (2) endoscope reprocessing procedures; and (3) application of microbiological surveillance. Nurses working in endoscopic units across Italy were invited to anonymously fill out the questionnaire on the SurveyMonkey platform between November 2021 and February 2022. Results: A total of 82 out of 132 endoscopic centres participated in the survey, with at least one centre from each Italian region. Data found different concerns regarding the current practice of both reprocessing and microbiological surveillance. According to respondents, the training on reprocessing was performed through theoretical training and only in 10% of centres; the microbiological surveillance was regularly performed in 59% of centres; and sampled endoscopes were not excluded for use in 31% of centres performing the surveillance until the outcome was pending, and when positive, 72% maintained them in quarantine until a successive negative result. Conclusions: Reprocessing and microbiological surveillance currently present several criticisms along the endoscopic centres in Italy. Our survey highlights the need for the correct application of the national recommendations in each endoscopic centre to prevent the potential transmission of endoscope-related infections.
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spelling pubmed-95667992022-10-15 Good Practices on Endoscope Reprocessing in Italy: Findings of a Nationwide Survey Scarpaci, Michela Cosci, Tommaso Tuvo, Benedetta Guarini, Alessandra Iannone, Teresa Zullo, Angelo Casini, Beatrice Int J Environ Res Public Health Article Background: Correct reprocessing and microbiological surveillance on endoscopes are fundamental for preventing the transmission of multi-drug resistant strains and device-related infections. Methods: A questionnaire with three domains was created: (1) centre characteristics; (2) endoscope reprocessing procedures; and (3) application of microbiological surveillance. Nurses working in endoscopic units across Italy were invited to anonymously fill out the questionnaire on the SurveyMonkey platform between November 2021 and February 2022. Results: A total of 82 out of 132 endoscopic centres participated in the survey, with at least one centre from each Italian region. Data found different concerns regarding the current practice of both reprocessing and microbiological surveillance. According to respondents, the training on reprocessing was performed through theoretical training and only in 10% of centres; the microbiological surveillance was regularly performed in 59% of centres; and sampled endoscopes were not excluded for use in 31% of centres performing the surveillance until the outcome was pending, and when positive, 72% maintained them in quarantine until a successive negative result. Conclusions: Reprocessing and microbiological surveillance currently present several criticisms along the endoscopic centres in Italy. Our survey highlights the need for the correct application of the national recommendations in each endoscopic centre to prevent the potential transmission of endoscope-related infections. MDPI 2022-09-24 /pmc/articles/PMC9566799/ /pubmed/36231398 http://dx.doi.org/10.3390/ijerph191912082 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Scarpaci, Michela
Cosci, Tommaso
Tuvo, Benedetta
Guarini, Alessandra
Iannone, Teresa
Zullo, Angelo
Casini, Beatrice
Good Practices on Endoscope Reprocessing in Italy: Findings of a Nationwide Survey
title Good Practices on Endoscope Reprocessing in Italy: Findings of a Nationwide Survey
title_full Good Practices on Endoscope Reprocessing in Italy: Findings of a Nationwide Survey
title_fullStr Good Practices on Endoscope Reprocessing in Italy: Findings of a Nationwide Survey
title_full_unstemmed Good Practices on Endoscope Reprocessing in Italy: Findings of a Nationwide Survey
title_short Good Practices on Endoscope Reprocessing in Italy: Findings of a Nationwide Survey
title_sort good practices on endoscope reprocessing in italy: findings of a nationwide survey
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9566799/
https://www.ncbi.nlm.nih.gov/pubmed/36231398
http://dx.doi.org/10.3390/ijerph191912082
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