Comparison of automated systems for the cleaning and disinfection of flexible fibreoptic endoscopes

https://doi.org/10.1016/0195-6701(84)90127-0Get rights and content

Abstract

A comparison of four cleaning and disinfection machines is described. These varied considerably in design and function and although no single machine possessed all the preferred characteristics, cleaning and disinfection, particularly between patients, was substantially improved. Before purchasing a machine it is recommended that the user ensures that it is convenient to operate, effective in removing soil and bacteria, and adaptable to the range of fibrescopes used within the unit. Infections are often caused by Gram-negative bacilli which are particularly difficult to remove manually from moist narrow channels of the fibrescope and perfusion of all channels including the air channel, is, therefore, recommended. Thorough cleaning and disinfection will not only reduce the likelihood of infection but will also reduce channel blockages and the general deterioration of the fibrescope.

References (19)

There are more references available in the full text version of this article.

Cited by (22)

  • Comparison of the cleaning and disinfecting efficacy of four washer-disinfectors for flexible endoscopes

    2007, Journal of Hospital Infection
    Citation Excerpt :

    To what extent this can also be achieved in the case of endoscopes remains to be shown. As early as 1984, Babb et al. examined the effectiveness of four automated systems.25 Although the technology of that time is markedly different from that of today's WDs, the advantages of machine processing were already apparent.

  • APIC guideline for infection prevention and control in flexible endoscopy

    2000, American Journal of Infection Control
    Citation Excerpt :

    Accessible channel(s) should be brushed to remove particulate matter, and the detergent solution must be suctioned or pumped through all channels to remove dislodged material. Channel irrigators40 and some automated endoscope reprocessors41-43 may be useful in this step. Meticulous attention must be given to crevices, which are likely to harbor contaminated organic material.

  • APIC guideline for infection prevention and control in flexible endoscopy

    1994, AJIC: American Journal of Infection Control
View all citing articles on Scopus
View full text