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Developing and strictly following endoscope reprocessing protocols for each specific endoscope model in a facility’s inventory and for each newly purchased model can greatly reduce the likelihood of cross contamination of pathogens between patients.
The endoscope reprocessor is a good substitute for manual cleaning.
Hands should be washed before and after each patient interaction, irrespective of whether or not gloves are worn.
Two things to consider when moving the a used scope from the point of use to the area of decontamination are:
A used scope should be pre-cleaned prior to disconnecting it and setting it aside.
Dried debris has no affect on manual cleaning on an endoscope.
The first step in cleaning an endoscope is to completely immerse the distal tip of the scope in enzymatic solution.
Final rinse water should be sterile or bacteria-free
A lack of cleaning and drying of the air-water and/or the elevator channels of duodenoscopes was also implicated in some cases of transmission of Pseudomonas infection.
The carrying case used to transport clean and reprocessed endoscopes outside the health-care environment should not be used to store an endoscope or to transport the instrument within the health-care facility.