［原 著］ 内視鏡感染管理における内視鏡清浄度調査の重要性について
Contents
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5. 4 2 RA 1 Rutala W A 1996 APIC Guideline for selection and use of disinfectants Am J Infect Control 24 313 342 2 Cryan E M F R Falkiner T E Mulvihill et al 1984 Pseudomonas aeruginosa cross infection fol lowing endoscopic retrograde cholangiopancreatog raphy J Hosp Infect 5 371 376 3
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21. Agerton T S Valway B Gore et al 1997 Transmis sion of a highly drug resistant strain Strain W1 of Mycobacterium tuberculosis Community outbreak and nosocomial transmission via a contaminated bronchoscope JAMA 278 1073 1077 4 Michele T M W A Cronin N M Graham et al PSI lt 41 5 6 7 8 1997 Transmission of Mycobacterium tuberculosis by a fiberoptic bronchoscope Identification by DNA fingerprinting JAMA 278 1093 1095 1998 40 2022 2034 2004 2 32 82 96 2008 hk 23 Suppl Shimono N T Takuma N Tsuchimochi et al 2008 An outbreak of Pseudomonas aeruginosa infec tions following thoracic surgeries occurring via the contamination of b
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23. he cleanliness of approximately 40 gastroscopes 53 colonoscopes and 50 bronchoscopes in current use and performed microbiological analysis of these instruments by staining and cul ture After cleaning and disinfection by AER the endoscopes were flushed with sterile saline through the biopsy chan nel and the saline was collected in sterile containers Each sample was centrifuged and the pellet was stained and cultured Twenty samples 14 0 stained positive for bacteria and fungi 22 samples 15 4 stained positive for cells and 6 samples 4 2 exhibited a positive culture for bacteria and fungi Therefore we reevaluated the cleanliness of the 6 endoscopes whose samples were culture positive after repeat cleaning and disinfection by AER However 3 of the 6 samples continued to be culture positive In conclusion the effects of AER on the cleanliness of endoscopes should not be overestimated Furthermore routine microbiological analysis using staining and culture for monitoring the cleanli ness of endoscopes should form an important part of infection control procedures Vol 22 No 1 2012 4l
24. ronchoscopes and an automatic 9 10 11 12 endoscope reprocessor J Infect Chemother 14 418 423 Pajkos A K Vickery Y Cossart 2004 Is biofilm ac cumulation on endoscope tubing a contributor to the failure of cleaning and decontamination J Hosp Infect 58 224 229 Kampf G R Bloss H Martiny 2004 Surface fixa tion of dried blood by glutaraldehyde and peracetic acid J Hosp Infect 57 139 143 Sciortino C V Jr E L Xia A Mozee 2004 Assess ment of a novel approach to evaluate the outcome of endoscope reprocessing Infect Control Hosp Epi demiol 25 284 290 Obee P C C J Griffith Cooper et al 2005 Real time monitoring in managing the decontamination of flexible gastrointestinal endoscopes Am J Infect Control 33 202 206 The Importance of Monitoring Endoscope Cleanliness as a Part of Routine Infection Control Procedures Tomomi Sakata Isao Nishi Masahiro Toyokawa Atsuko Sunada Akiko Ueda Keigo Kimura Yoriko Inoue Seishi Asari P Laboratory for Clinical Investigation Osaka University Hospital Division of Infection Control and Prevention Osaka University Hospital Of late an automatic endoscope reprocessor AER is being commonly used for the cleaning and disinfection of endoscopes However few reports have documented the actual effects of AER on the cleanliness of endoscopes cleaned and disinfected using this device Here we evaluated t
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