ATP monitoring and ethylene oxide sterilization for flexible endoscopes
Because of their complicated construction, endoscopes can harbor matter that escapes the initial cleaning process and can prevent the sterilization or disinfection process from working properly. Visual checks are not enough, especially for the interior of long, narrow lumens. Residual matter can contain potentially deadly bacteria and pathogens that can be passed on to new patients.
The dangers that antibiotic-resistant bacteria present — to patients, hospitals and facilities — are clear. And while efforts are being made to improve processes, clinical evidence tells us that current cleaning and cleaning-monitoring practices aren’t effective enough.2,3,4
3M offers solutions including an ATP monitoring system for rapid and quantitative measurement of cleaning performance and low-temperature sterilization and sterilization monitoring that can help address the rising threat of superbugs from contaminated endoscopes.
Manual cleaning is the first, very important step in endoscope reprocessing. Start with a thorough cleaning, using brushes if necessary. Ensure that every step is completed for every endoscope.
Routine use of cleaning monitors that use detection of adenosine triphosphate (ATP). from residual clinical soil is a small step that makes a big difference. Results provide immediate feedback for quality control monitoring of manual cleaning. You'll know right away if additional cleaning is needed based on your facility-determined threshold before the endoscope moves to the next stage in the process.
More than high-level disinfection, low-temperature sterilization ensures the safety of endoscopes for patient use.
ATP monitoring of high-touch surfaces in hospitals and facilities can help ensure cleanliness and reduce the transmission of infection.
1. Rutala WA, Weber DJ. In: Healthcare Infection Control Practices Advisory Committee (HICPAC). Guideline for disinfection and sterilization in healthcare facilities, Vol 2012. Washington [DC]: Department of Health and Human Services; 2008.
2. Wendorf KA, Kay M, Baliga C, et al. Endoscopic Retrograde Cholangiopancreatography–Associated AmpC Escherichia coli Outbreak. Infect Control Hosp Epidemiol. 2015; 36: 634-642.
3. Epstein L, Hunter JC, Arwady MA, et al. New Delhi Metallo-β-Lactamase-Producing Carbapenem-Resistant Escherichia coli Associated with Exposure to Duodenoscopes. JAMA. 2014; 312: 1447-1455.
4. Ofstead CL, Wetzler HP, Doyle EM, et al. Persistent contamination on colonoscopes and gastroscopes detected by biologic cultures and rapid indicators despite reprocessing performed in accordance with guidelines. Am J Infect Control. 2015; 43: 794-801.
Whether you’re interested in a product, education, or training, our 3M device reprocessing representatives are here to help. If you’re looking for live technical support, please call the Tech Help Line at 1-800-441-1922 option 2.
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