Mitigating Endoscope-Associated Infections: Revised ANSI/AAMI Standards and New Duodenoscope Surveillance Antimicrobial Sampling and Culturing Protocols

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Article| January 2023 Mitigating Endoscope-Associated Infections: Revised ANSI/AAMI Standards and New Duodenoscope Surveillance Antimicrobial Sampling and Culturing Protocols Uday Jain, BSEE, MD, PhD, FASA Uday Jain, BSEE, MD, PhD, FASA Search for other works by this author on: This Site PubMed Google Scholar ASA Monitor January 2023, Vol. 87, 29. https://doi.org/10.1097/01.ASM.0000911792.39689.52 Views Icon Views Article contents Figures & tables Video Audio Supplementary Data Peer Review Share Icon Share Facebook Twitter LinkedIn MailTo Cite Icon Cite Get Permissions Search Site Citation Uday Jain; Mitigating Endoscope-Associated Infections: Revised ANSI/AAMI Standards and New Duodenoscope Surveillance Antimicrobial Sampling and Culturing Protocols. ASA Monitor 2023; 87:29 doi: https://doi.org/10.1097/01.ASM.0000911792.39689.52 Download citation file: Ris (Zotero) Reference Manager EasyBib Bookends Mendeley Papers EndNote RefWorks BibTex toolbar search Search Dropdown Menu toolbar search search input Search input auto suggest filter your search All ContentAll PublicationsASA Monitor Search Advanced Search Topics: age-related cognitive decline, american national standards institute, antimicrobials, duodenoscopes, endoscopes, infections, surveillance, medical Anesthesiologists provide anesthesia for numerous endoscopy procedures. They also perform bronchoscopy and other endoscopies. There are recent developments in mitigating endoscopy-associated infections. Carbapenem-resistant Enterobacteriaceae (CRE) infections, which are resistant to multiple antibiotics, have been traced to duodenal endoscopy, cystoscopy, and ureteroscopy (Am J Infect Control 2016;44:1032-6). These cases had all followed standard disinfection protocols. The outbreaks were traced to difficulty sterilizing complex shapes or materials, such as the hinge of side-viewing duodenoscopes. As a result of these outbreaks, new sterilization standards have been published by the American National Standards Institute (ANSI)/Association for the Advancement of Medical Instrumentation (AAMI) (ANSI/AAMI ST91:2021; asamonitor.pub/3DEYQnI). Additionally, the FDA and the CDC published new surveillance antimicrobial surveillance guidelines (asamonitor.pub/3Qgqiwq). The FDA recommends transitioning to fully disposable duodenoscopes (Clin Gastroenterol Hepatol 2020;18:2108-2117) or using endoscopes with disposable components. This guidance includes developing schedules for routine inspection and... You do not currently have access to this content.