Investigation on the current status of cleaning and disinfection management of flexible endoscopes in medical institutions in Xianyang city, China

Aiqun Zhu; Xianyang Liu

doi:10.11910/j.issn.2791-2043.2024.3.05

Your Location：

Home >

Browse articles >

Investigation on the current status of cleaning and disinfection management of flexible endoscopes in medical institutions in Xianyang city, China

MONOGRAPHIC STUDY | Updated：2026-02-06

- Investigation on the current status of cleaning and disinfection management of flexible endoscopes in medical institutions in Xianyang city, China
- Sterile Supply Vol. 3, Issue 3, (2024)
- Affiliations：
  
  Xian Yang Central Hospital, Xianyang, Shaanxi, 712000, China
- Author bio：
- Funds：
- DOI：10.11910/j.issn.2791-2043.2024.3.05
  CLC：
- Published：15 October 2024
- Accepted：
Scan QR Code
Zhu Aiqun,Liu Xianyang.Investigation on the current status of cleaning and disinfection management of flexible endoscopes in medical institutions in Xianyang city, China[J].Sterile Supply,2024,03(03):142-146.
DOI：

Zhu Aiqun,Liu Xianyang.Investigation on the current status of cleaning and disinfection management of flexible endoscopes in medical institutions in Xianyang city, China[J].Sterile Supply,2024,03(03):142-146. DOI： 10.11910/j.issn.2791-2043.2024.3.05.

摘要

Abstract

Objective

This study investigates the current status of cleaning and disinfection management of flexible endoscopes in secondary medical institutions and above with central sterile supply departments (CSSDs) in Xianyang City

Shaanxi Province

China.

Methods

A questionnaire was conducted in 21 medical institutions in Xianyang City regarding personnel training

equipment configuration

bedside pretreatment

leak test

cleaning

drying

disinfection

transportation

storage

management

disinfectant usage

quality monitoring

and machine operation of endoscopes.

Results

Among these medical institutions

7 are class A tertiary hospitals

and 14 are class A secondary hospitals; 19 (90.48%) have standard endoscopic cleaning and disinfection stations

and 2 (9.52%) do not; 13 (61.9%) adopt manual cleaning and disinfection

1 (4.76%) adopts mechanical cleaning and disinfection

and 7 (33.33%) adopt both; 7 (33.33%) have endoscopic cleaning and disinfection machine(s)

and 14 (66.67%) do not. Drying is performed for each endoscope in 53.38% of the institutions by perfusing lumens with 75% to 95% ethanol or isopropyl alcohol. Drying is conducted intensively after daily consultation in 47.62% of the institutions.

Conclusion

All hospitals comply with the basic requirements of standard cleaning and disinfection. However

they have different equipment configurations

training

and assessment. Therefore

these medical institutions shall improve professional competence by continuous training according to standards so that endoscopic cleaning and disinfection are qualified

and the incidence of nosocomial infection is minimized.

关键词

Keywords

references

Y.N. Li and X.H. Lu , Digestive endoscopy . 2nd ed . Beijing : Science Press , 2004 .

L.R. Shen , Q. Li and B.Z. Li , “ Investigation on status of gastrointestinal endoscope disinfection of 170 hospitals in Shaanxi Province ,” Chinese Journal of Disinfection, vol. 34 , pp. 1129 - 1131 , 2017.

H. Cheng , X.Y. Mao and J.S. Sun , “ Research progress of linked color imaging in endoscopic diagnosis of lower digestive tract diseases ,” Chinese Journal of Gastroenterology , vol. 26 , pp. 433 - 437 , 2021 .

Yang F , Yang Q , Ye LL , et al . Current status of cleaning and disinfection of flexible digestive endoscopes in a hospital of Shaoxing from 2019 to 2021 [J ] . Chinese Journal of Nosocomiology . 2023 , 33 ( 17 ): 2716 - 2720 .

Liu WP , He H , Yang YF , et al . Current status of soft endoscopic biofilms in 24 hospitals in Inner Mongolia Autonomous Region [J ] . Chinese Journal of Disinfection . 2020 , 37 ( 7 ): 3 .

Y. C. Chen , H. M. Huang , P. Y. Lin et al. , “ Comparing visual inspection and performance observation for evaluation of hospital cleanliness ,” American Journal of Infection Control , vol. 49 , no. 12 , pp. 1511 - 1514 , 2021 .

M. Heuvelmans , H. F. Wunderink , H. C. van der Mei et al. , “ A narrative review on current duodenoscope reprocessing techniques and novel developments ,” Antimicrobial Resistance and Infection Control , vol. 10 , no. 1 , p. 171 , Dec2021.

S. Larsen , R. V. Russell , L. K. Ockert et al. , “ Rate and impact of duodenoscope contamination: a systematic review and meta-analysis ,” EClinicalMedicine , vol. 25 , p. 100451 , 2020 .

Zhang LH , Chen XR , Yin XH , et al . Risk factors of endoscopic nosocomial infections and the effect of different cleaning and disinfection methods on sterilization [J ] . Chinese Journal of Nosocomiology . 2017 , 27 ( 24 ): 5715 - 5718 .

J. A. Kwakman , N. S. Erler , M. C. Vos et al. , “ Risk evaluation of duodenoscope-associated infections in the Netherlands calls for a heightened awareness of device-related infections: a systematic review ,” Endoscopy , vol. 54 , no. 2 , pp. 148 - 155 , 2022 .

Shi RC , et al . Observation on disinfection efficacy of digestive endoscopy and infection prevention effect of improved cleaning disinfection process [J ] . Chinese Journal of Disinfection . 2015 ( 4 ): 3 .

Zhao PF , Zhang HM , Ma ZJ , et al . Effect of endoscopic cleaning and disinfection process improvement to reduce the incidence of hospital infections [J ] . Chinese Journal of Nosocomiology . 2016 , 26 ( 16 ): 3827 - 3829 .

W. A. Rutala , H. Kanamori , E. E. Sickbert-Bennett et al. , “What’s new in reprocessing endoscopes : Are we going to ensure “the needs of the patient come first” by shifting from disinfection to sterilization?” American Journal of Infection Control , vol. 47 , pp. A62 - A66 , 2019 .

H. Tian , J. Sun , S. Guo et al. , “ The effectiveness of drying on residual droplets , microorganisms, and biofilms in gastrointestinal endoscope reprocessing: a systematic review ,” Gastroenterology Research and Practice, vol. 2021 , p. 6615357 , Apr2021.

N. Omidbakhsh , S. Manohar , R. Vu et al. , “ Flexible gastrointestinal endoscope processing challenges , current issues and future perspectives,” Journal of Hospital Infection, vol. 110 , pp. 133 - 138 , 2021 .

A. S. F. Chan , H. L. Y. Chan , B. K. L. Yan et al. , “ Effectiveness of adenosine triphosphate to monitor manual cleaning and disinfection efficacy of flexible endoscopes in Hong Kong,” JGH Open: an Open Access Journal of Gastroenterology and Hepatology , vol. 7 , no. 2 , pp. 141 - 147 , Jan2023.

Views

Downloads

CSCD

Alert me when the article has been cited

Submit

Tools

Publicity Resources

A Cross-Sectional Survey on Management and Processing Practices for Loaner Surgical Instruments and Implants Among 861 Hospitals in China

Study on the effectiveness and compatibility of sterilization of flexible endoscopes using a low temperature steam formaldehyde sterilizer

Related Author

Juan Zhou

Dongling Liu

Caixia Yang

Yan Pan

Chunzi Cao

Ying Wang

Huanxi Zhang

Aihua Liu

Related Institution

Central Sterile Supply Department I, Hunan Provincial People’ s Hospital (The First Affiliated Hospital of HunanNormal University), No. 61 Jiefang West Road, Changsha City

The People’s Hospital of Inner Mongolia Autonomous Region

⁰