Infection prevention in endoscopy practice: comparative evaluation of re-usable vs single-use endoscopic valves

Autor: L. Pasquale, A. Maurano, G. Cengia, P. Da Massa Carrara, B. Germanà, M.G. Graziani, G. Manes, A. Pisani, M. Golia, E. Marciano, L. Rodella, L. Schiffino, C. Gandolfo, C. Terrosi, M.G. Cusi
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Infection Prevention in Practice, Vol 3, Iss 2, Pp 100123- (2021)
Druh dokumentu: article
ISSN: 2590-0889
DOI: 10.1016/j.infpip.2021.100123
Popis: Summary: Re-usable air/water and suction valves used in endoscopes often demonstrate risk of infection. To the authors' knowledge, the safety and efficacy of re-usable and single-use valves have not been compared to date. As such, a laboratory investigation was undertaken to compare the safety and efficacy of re-usable and single-use valves at 11 Italian endoscopy sites. Safety was evaluated by analysing the rinse liquid of reprocessed re-usable valves ready for use, and efficacy was assessed based on the completion of endoscopic procedures without valve malfunction. This study found significantly lower contamination of single-use valves compared with re-usable valves (0 vs 29.1%, respectively; P=0.007) and similar efficacy (97.6 vs 98.8%, respectively; P=ns). Microbiological analysis of the rinse liquid of reprocessed re-usable valves identified various surviving micro-organisms and highlighted their potential pathogenicity. Such data suggest that sterile single-use valves may be safer than re-usable valves, and have comparable performance.
Databáze: Directory of Open Access Journals