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High-level disinfection evaluation in the ambulatory setting

      Highlights

      • High level disinfection of cystoscopes and biopsy probes is complex and high risk.
      • Training and competency on reprocessing cystoscopes and biopsy probes is essential.
      • Instrument reprocessing oversight is an important for patient safety.
      • Leadership oversight of reprocessing is an important in ambulatory settings.
      High level disinfection (HLD) is a complex process, requiring appropriate materials and highly trained personnel. An investigation of the HLD process was performed at an outpatient urology practice upon notification of expired chemical test strips being utilized. Infection Prevention (IP) identified various breaches in the reprocessing of flexible cystoscopes and transrectal prostate biopsy probes. Contributing factors identified were gaps in staff training, availability of all necessary supplies and staff supervision.

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      References

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        • Evrevin M
        • Jumas-Bilak E
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        An outbreak of Pseudomonas aeruginosa urinary tract infections following outpatient flexible cystoscopy.
        Am J Infect Control. 2019; 47: 1510-1512
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      2. Rutala,W. Weber, D. and the Healthcare Infection Control Practices Advisory Committee (HICPAC). 2019. Guideline for disinfection and sterilization in healthcare facilities, 2008. Accessed November 2, 2021. https://www.cdc.gov/infectioncontrol/pdf/guidelines/disinfection-guidelines-H.pdf

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