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GMS Curr Top Otorhinolaryngol Head Neck Surg. 2015 Dec 22;14:Doc10. doi: 10.3205/cto000125. eCollection 2015.

Principles of infection prevention and reprocessing in ENT endoscopy.

GMS current topics in otorhinolaryngology, head and neck surgery

Axel Kramer, Wolfgang Kohnen, Susanne Israel, Sylvia Ryll, Nils-Olaf Hübner, Horst Luckhaupt, Werner Hosemann

Affiliations

  1. Institute for Hygiene and Environmental Medicine, University Medicine of Greifswald, Germany.
  2. Hospital Hygiene of the University of Mainz, Germany.
  3. Institute for Hygiene and Environmental Medicine, University Medicine of Greifswald, Germany; Institute for Medical Diagnostics, Greifswald, Germany.
  4. Dept. of Otolaryngology, St. Johannes Hospital Dortmund, Germany.
  5. Dept. of Otolaryngology, University of Greifswald, Germany.

PMID: 26770284 PMCID: PMC4702059 DOI: 10.3205/cto000125

Abstract

This article gives an overview on the principles of reprocessing of rigid and flexible endoscopes used in ENT units including structural and spatial requirements based on general and ENT-specific risks of infection associated with diagnostic and therapeutic endoscopy. The underlying legal principles as well as recommendations from scientific societies will be exemplified in order to give a practical guidance to the otorhinolaryngologist. Preliminary results of a small nation-wide survey on infection control standards based on data of 29 ENT practices in Germany reveal current deficits of varying degree concerning infection control management including reprocessing of endoscopes. The presented review aims to give support to the establishment of a structured infection control management program including the evaluation of results by means of a prospective surveillance.

Keywords: flexible endoscopes; infection risks; reprocessing; rigid endoscopes; spatial requirements

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