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Efficacy of Disinfection of Rigid Endoscope by Ethyl Alcohol 70

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Publisher Thieme
Date 2022 Jul 18
PMID 35846816
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Abstract

 Currently, there is no safe, affordable, and ecologically-sustainable guideline that helps prevent contamination through endoscopy. We evaluated the safety of intermediate-level disinfection with 70% ethyl alcohol (w/v) based on biological-load recovery from rigid endoscopes after nasal endoscopy.  To demonstrate the efficacy of 70% ethanol in disinfecting rigid endoscopes (REs) to reduce microbial growth in microbiological cultures.  After a nasal endoscopy examination, the endoscope was swabbed with gauze; this served as the positive-control sample. The standard operating procedure for intermediate-level disinfection with 70% ethyl alcohol (w/v) following prior cleaning was applied. The endoscope was again swabbed; this served as the experimental sample. The collected material from the endoscope was extracted from gauze pieces, filtered through a 0.22-μm cellulose membrane, and cultivated in different means of culture.  The results revealed a significant difference between the positive-control and experimental groups regarding the presence of coagulase (-) (  < 0.001), spp. (  < 0.001), and (  = 0.001). These microorganisms were detected in the control group, but not in the experimental group.  Microorganisms were not recovered from the samples of the experimental group, demonstrating the efficacy and the germicidal action of 70% ethyl alcohol (w/v) as a means of achieving intermediate-level disinfection.

References
1.
McDonnell G, Burke P . Disinfection: is it time to reconsider Spaulding?. J Hosp Infect. 2011; 78(3):163-70. DOI: 10.1016/j.jhin.2011.05.002. View

2.
Fokkens W, Lund V, Mullol J, Bachert C, Alobid I, Baroody F . EPOS 2012: European position paper on rhinosinusitis and nasal polyps 2012. A summary for otorhinolaryngologists. Rhinology. 2012; 50(1):1-12. DOI: 10.4193/Rhino12.000. View

3.
Liming B, Funnell I, Jones A, Demons S, Marshall K, Harsha W . An evaluation of varying protocols for high-level disinfection of flexible fiberoptic laryngoscopes. Laryngoscope. 2014; 124(11):2498-501. DOI: 10.1002/lary.24665. View

4.
McDonnell G, Russell A . Antiseptics and disinfectants: activity, action, and resistance. Clin Microbiol Rev. 1999; 12(1):147-79. PMC: 88911. DOI: 10.1128/CMR.12.1.147. View

5.
Alvarado C, Reichelderfer M . APIC guideline for infection prevention and control in flexible endoscopy. Association for Professionals in Infection Control. Am J Infect Control. 2000; 28(2):138-55. View