Latest posts by Lawrence F Muscarella PhD (see all)
- A Duodenoscope Has Been Linked to ‘Probable Transmission’ of a Colistin-Resistant Superbug In January, the FDA had issued a safety alert reporting a "design issue" with this endoscope "that could increase the risk of patient infection." - December 8, 2017
- FDA Clears A Duodenoscope with a Detachable Cap Almost 20 years ago, the FDA cleared two other duodenoscope models with a reusable distal cover for sale in the U.S. - September 25, 2017
- Air Force Advises 135 Patients of HIV, Hepatitis Infection Risk a Year Later A number of questions about this lapse remain unanswered. - June 26, 2017
Just in – Endoscope reprocessing guidelines, updates:
- ASGE: Multi-society guideline on reprocessing flexible GI endoscopes: 2016 update. (2016)
- SGNA: Guideline for Use of High-Level Disinfectants & Sterilants in the Gastroenterology Setting. (2017)
- SGNA: Standards of Infection Prevention in Reprocessing of Flexible Gastrointestinal Endoscopes (2016)
- SGNA: Standard of Infection Prevention in the Gastroenterology Setting (2015)
- AORN: Guideline for Processing Flexible Endoscopes (2017)
A listing of a number of infection control guidelines that focus on instrument reprocessing:
ANSI/AAMI ST91:2015 “Flexible and semi-rigid endoscope processing in health care facilities.”
- “APIC guideline for infection prevention and control in flexible endoscopy, 2000.”
- “Guidelines for safety in the gastrointestinal endoscopy unit, 2014.”
- “Multi-society guideline on reprocessing flexible gastrointestinal endoscopes” — 2011.
- “Multi-society guideline for reprocessing flexible gastrointestinal endoscopes” — 2003.
- “Guideline for Disinfection and Sterilization in Healthcare Facilities, 2008.”
- “Management of multidrug-resistant organisms in healthcare settings, 2006.”
- “2007 Guideline for isolation precautions: Preventing transmission of infectious agents in healthcare settings.”
FDA, CDC, and VA safety communication (2009):
- “Preventing cross-contamination in endoscope processing. Safety communication from FDA, CDC, and the VA.” Issued: November 19, 2009.
- “Standard of Infection Prevention in the Gastroenterology Setting” — 2015.
- “Standards of Infection Prevention in Reprocessing of Flexible Gastrointestinal Endoscopes” — 2015.
- “Standards of infection control in reprocessing of flexible gastrointestinal endoscopes” — 2012.
- “Guideline for Use of High Level Disinfectants & Sterilants for Reprocessing Flexible Gastrointestinal Endoscopes” — 2013.
- “Water and irrigation bottles used during endoscopy” — 2014.
- “Guidelines for Documentation in the Gastrointestinal Endoscopy Setting” — 2013.
1. Inconsistencies in Endoscope-Reprocessing and Infection-Control Guidelines: The Importance of Endoscope Drying. [Muscarella LF. American Journal of Gastroenterology 2006;101:2147–2154.] (Click here)
2. The Importance of Bronchoscope Reprocessing Guidelines: Raising the Standard of Care. [Muscarella LF. Chest 2004;126;1001-1003.] (Click here)
3. Evidence-based Guidelines for Best Practice in Health Care Transrectal Ultrasound Guided Biopsy of the Prostate. The European Association of Urology Nurses. March, 2011. (Click here)
Posted 4-14-2013; updated 03-07-2017. This page is subject to significant revision and the addition of germane guidelines.