Preventive Effect of Postoperative Disinfection of Endoscope on Bacterial Adhesion to Endoscope

We took culture of throat swab from 77 subjects who were negative for infection of HBV, HCV, HIV and syphilis infection before and after endoscopy. Moreover, the existence of bacterium including Helicobacter pyloriat overcoat of endoscopic instrument was investigated right after examination and afte...

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Veröffentlicht in:Kansenshogaku Zasshi 1999/10/20, Vol.73(10), pp.1019-1024
Hauptverfasser: UWAGAWA, Tadashi, OKABE, Norimasa, MATSUMOTO, Takatugu, KURIHARA, Hideaki, MIYAMOTO, Sakae, TUJIHARA, Yoshito, TAKAHASHI, Takayuki, SAKURAI, Iwao, MATSUMOTO, Fumio, YAMAZAKI, Youji
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container_end_page 1024
container_issue 10
container_start_page 1019
container_title Kansenshogaku Zasshi
container_volume 73
creator UWAGAWA, Tadashi
OKABE, Norimasa
MATSUMOTO, Takatugu
KURIHARA, Hideaki
MIYAMOTO, Sakae
TUJIHARA, Yoshito
TAKAHASHI, Takayuki
SAKURAI, Iwao
MATSUMOTO, Fumio
YAMAZAKI, Youji
description We took culture of throat swab from 77 subjects who were negative for infection of HBV, HCV, HIV and syphilis infection before and after endoscopy. Moreover, the existence of bacterium including Helicobacter pyloriat overcoat of endoscopic instrument was investigated right after examination and after disinfection of endoscope. Povidoneiodine, 70% alcohol and 1% benzalkonium chloride was used as a disinfectant for endoscope, and it took less than 10 minutes to wash by hand to disinfection. α-haemolytic streptococci, Staphylococcus epidermids, Escherichia coli, Staphylococcus aureus, Klebsiella pneumoniae, Enterococcus faecalis, Candida, Pseudomonas aeruginosaand MRSA were cultured in throat swab. The rate of adhesion of bacterium especially such asCandida, K.pneumoniaeandS. epidermidsto endoscope was considerably high. 23 of 77 subjects had H. pyloriinfection, and the adhesion ofH. pyloritoendoscope was found to be 65. 2% of the subjects. On the contrast, no bacterium was detected from the endoscopic instrument after carefull disinfection. These findings stress the importance of postoperative disinfection of the endoscope to prevent the chance to acquire bacterial infection.
doi_str_mv 10.11150/kansenshogakuzasshi1970.73.1019
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subjects 2-Propanol
Adult
Aged
Aged, 80 and over
AIDS/HIV
Bacterial Adhesion
Bacterial Infections - prevention & control
Benzalkonium Compounds
Cross Infection - prevention & control
Disinfection
endoscope
Equipment Contamination - prevention & control
Female
Gastric Mucosa - microbiology
Gastroscopes
Helicobacter pylori
Helicobacter pylori - isolation & purification
Humans
Male
Middle Aged
Pharynx - microbiology
Povidone-Iodine
title Preventive Effect of Postoperative Disinfection of Endoscope on Bacterial Adhesion to Endoscope
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