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Document presentation of content: Introduction, endoscope cleaning, endoscope disinfection, endoscope sterilization, endoscope storage, endoscope accessories, efficacy of disinfection and quality assurance, cascade options for endoscope disinfection. | World Gastroenterology Organisation World Endoscopy Organization Global Guidelines A Resource Sensitive Solution Endoscope disinfection a resource-sensitive approach February 2011 WEO World Endoscopy Organization Review team Jean-Franẹois Rey co-chairman France David Bjorkman co-chairman USA Douglas Nelson USA Dianelle Duforest-Rey France Anthony Axon United Kingdom Roque Sáenz Chile Michael Fried Switzerland Tetsuya Mine Japan Kyoji Ogoshi Japan Justus Krabshuis France Anton LeMair Netherlands World Gastroenterology Organisation 2011 WGO WEO Global Guideline Endoscope disinfection 2 Contents 1 Introduction 3 1.1 Tropical infections 3 1.2 Endoscope processing sequence 3 1.3 WGO cascades a resource-sensitive approach 4 2 Endoscope cleaning 4 2.1 General procedures 4 2.2 Ultrasonic cleaning 5 2.3 Detergents 6 3 Endoscope disinfection 6 3.1 General procedures 6 3.2 Manual disinfection 7 3.3 Automatic reprocessing 7 3.4 Importance of rinsing and drying 7 3.5 Disinfectants 8 4 Endoscope sterilization 9 5 Endoscope storage 9 6 Endoscope accessories 10 7 Efficacy of disinfection and quality assurance 10 7.1 Quality control 11 7.2 Personnel training 11 8 Cascade options for endoscope disinfection 12 List of tables Table 1 Endoscope processing general principles applying to all levels of resources 4 Table 2 Pathogens that are difficult to eliminate in decreasing order of resistance to disinfectants sterilization 11 Table 3 Cascade options for endoscope disinfection 12 World Gastroenterology Organisation 2011 WGO WEO Global Guideline Endoscope disinfection 3 1 Introduction Every patient must be considered a potential source of infection and all endoscopes and accessory devices must be decontaminated with the same degree of rigor following every endoscopic procedure. All health-care personnel in the endoscopy suite should be trained in and adhere to standard infection control procedures for protection of both patients and personnel. For a pathogen to be transmitted all the .
