Adoption of Improved Reprocessing Decreased Microbiological Non-Compliance for Bronchoscopes.
NDM-producing Klebsiella pneumoniae
bronchoscopes
endoscope reprocessing
microbiological surveillance
Journal
International journal of environmental research and public health
ISSN: 1660-4601
Titre abrégé: Int J Environ Res Public Health
Pays: Switzerland
ID NLM: 101238455
Informations de publication
Date de publication:
27 10 2022
27 10 2022
Historique:
received:
08
09
2022
revised:
12
10
2022
accepted:
24
10
2022
entrez:
11
11
2022
pubmed:
12
11
2022
medline:
15
11
2022
Statut:
epublish
Résumé
In the past few decades, the inadequate reprocessing of bronchoscopes has been associated with several serious outbreaks caused by multidrug-resistant microorganisms. In this study we evaluated the improvement in the quality of reprocessing in a Bronchoscopy Unit (BU), after the introduction of a new procedure. In 2019, observational and clinical audits were conducted in the BU. After the introduction of an improved procedure in 2020, a microbiological surveillance plan was implemented in 2021. In 2019, 13 of 22 bronchoscopes (59%) resulted as non-compliant, 18% as high concern organisms (HCO) and 36.4% as high microbial count (≥100 CFU/all channels) and HCO. The most frequent microorganisms were The adoption of an improved reprocessing procedure decreased the non-compliance of bronchoscopes, increasing the quality of the process and patient safety.
Sections du résumé
BACKGROUND
In the past few decades, the inadequate reprocessing of bronchoscopes has been associated with several serious outbreaks caused by multidrug-resistant microorganisms. In this study we evaluated the improvement in the quality of reprocessing in a Bronchoscopy Unit (BU), after the introduction of a new procedure.
METHODS
In 2019, observational and clinical audits were conducted in the BU. After the introduction of an improved procedure in 2020, a microbiological surveillance plan was implemented in 2021.
RESULTS
In 2019, 13 of 22 bronchoscopes (59%) resulted as non-compliant, 18% as high concern organisms (HCO) and 36.4% as high microbial count (≥100 CFU/all channels) and HCO. The most frequent microorganisms were
CONCLUSIONS
The adoption of an improved reprocessing procedure decreased the non-compliance of bronchoscopes, increasing the quality of the process and patient safety.
Identifiants
pubmed: 36360859
pii: ijerph192113978
doi: 10.3390/ijerph192113978
pmc: PMC9656596
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Références
Am J Infect Control. 2018 Jun;46(6):689-696
pubmed: 29609854
Infect Control Hosp Epidemiol. 2009 Jun;30(6):550-5
pubmed: 19379099
Am J Infect Control. 2020 Mar;48(3):309-315
pubmed: 31677925
Dig Liver Dis. 2021 Sep;53(9):1105-1111
pubmed: 34266792
J Clin Microbiol. 2012 Mar;50(3):938-42
pubmed: 22170930
Chest. 2020 Feb;157(2):454-469
pubmed: 31421109
Am J Infect Control. 2019 Sep;47(9):1083-1089
pubmed: 30962022
Am J Infect Control. 2014 Aug;42(8):936-7
pubmed: 24939515
Sci Rep. 2020 Nov 17;10(1):19983
pubmed: 33204000
Endoscopy. 2018 Dec;50(12):1205-1234
pubmed: 30458567
Ann Ig. 2019 Jan-Feb;31(1):13-20
pubmed: 30554235
Endoscopy. 2016 Aug;48(8):704-10
pubmed: 27200525
Am J Infect Control. 2016 Jul 1;44(7):815-9
pubmed: 26952038
Am J Respir Crit Care Med. 2015 May 1;191(9):P7-8
pubmed: 25932771
Am J Infect Control. 2006 Jun;34(5):274-80
pubmed: 16765205
Int J Environ Res Public Health. 2021 Mar 03;18(5):
pubmed: 33802350
Clin Microbiol Rev. 2013 Apr;26(2):231-54
pubmed: 23554415
Chest. 2018 Nov;154(5):1024-1034
pubmed: 29859183
Am J Infect Control. 2020 Jan;48(1):26-32
pubmed: 31358417
Infect Control Hosp Epidemiol. 2019 Jan;40(1):40-46
pubmed: 30451128
J Bronchology Interv Pulmonol. 2020 Oct;27(4):e52-e54
pubmed: 32195687
Am J Infect Control. 2022 Feb;50(2):126-132
pubmed: 34865859