建立有效十二指肠镜再处理的前提条件一个观察性队列研究.pdf

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1、Establishing preconditionsfor effective duodenoscopereprocessing:an observationalcohort studyKoen van der Ploeg1,2,Margreet C.Vos2,Nicole S.Erler3,4,Adriana J.C.Bulkmans5 Bibi C.G.C.Mason-Slingerland2,Julitte A.Severin2*,Marco J.Bruno1*1.Dept.of Gastroenterology and Hepatology,Erasmus MC University

2、Medical Center,Rotterdam,The Netherlands.2.Dept.of Medical Microbiology and Infectious Diseases,Erasmus MC University Medical Center,Rotterdam,The Netherlands.3.Depart.of Biostatistics,Erasmus MC University Medical Centre,Rotterdam,The Netherlands4.Depart.of Epidemiology,Erasmus MC University Medica

3、l Centre,Rotterdam,The Netherlands5.Depart.of Quality assurance and regulatory affairs office Medical Technology,Erasmus MC University Medical Centre,Rotterdam,The NetherlandsPloeg et al,Impact of Duodenoscope Reprocessing Factors on Duodenoscope Contamination:A Retrospective Observational Study.Jou

4、rnal of Hospital Infection.2024ERASMUS MC UNIVERSITY MEDICAL CENTREROTTERDAM,THE NETHERLANDSAdriana J.C.(Diana)BulkmansExpert on sterile medical devices and endoscope reprocessing(since 2016)Member of SFERD(since 2018)THE ISSUE85%successful reprocessing15%contamination with microorganisms of gut or

5、oral origin(MGO)1Reprocessing1.Rauwers et al,High prevalence rate of digestive tract bacteria in duodenoscopes:a nationwide study.Gut.2018CURRENT REPROCESSING2.(Bedside)Pre-cleaning3.Leaktest and manualcleaning4.Automated cleaning and high level disinfection5.Drying1.Used duodenoscopeGUIDELINESLack

6、of uniformityLack of sufficient evidenceEssential risk factors remain unidentifiedLack of information about individual competencies for reprocessing staffPROFESSIONAL STANDARD(SFERD)SFERD Handbook 4.1 ENG(infectiepreventieopleidingen.nl)SFERD Handbook 3.2_ESP(infectiepreventieopleidingen.nl)SFERD Ha