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Re-evaluating endoscopy-associated infection risk estimates and their implications

Published:January 14, 2013DOI:https://doi.org/10.1016/j.ajic.2012.10.008
      According to the Centers for Disease Control and Prevention (CDC), approximately 11 million gastrointestinal endoscopies are performed annually in the United States.

      Centers for Disease Control and Prevention. National Hospital Discharge Survey: 2009 table, procedures by selected patient characteristics. Available from: http://www.cdc.gov/nchs/fastats/insurg.htm. Accessed June 15, 2012.

      • Cullen K.A.
      • Hall M.J.
      • Golosinskiy A.
      Ambulatory surgery in the United States, 2006.
      The 2008 CDC/Healthcare Infection Control Practices Advisory Committee (HICPAC) Guideline for Disinfection and Sterilization in Healthcare Facilities states that contaminated endoscopes have been linked to more health care-associated infections than any other medical device.
      • Rutala W.A.
      • Weber D.J.
      Paradoxically, several guideline-issuing organizations assert that the risk of endoscopy-associated infection (EAI) is only 1 in 1.8 million procedures.
      • Rutala W.A.
      • Weber D.J.
      • Petersen B.T.
      • Chennat J.
      • Cohen J.
      • Cotton P.B.
      • Greenwald D.A.
      • Kowalski T.E.
      • et al.
      Multisociety guideline on reprocessing flexible GI endoscopes: 2011.
      • ASGE Standards of Practice Committee
      • Banerjee S.
      • Shen B.
      • Nelson D.B.
      • Lichtenstein D.R.
      • Baron T.H.
      • et al.
      Infection control during GI endoscopy.
      • Society of Gastroenterology Nurses and Associates Inc
      SGNA Standards: Standards of infection control in reprocessing of flexible gastrointestinal endoscopes.
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