Microbe Management
EAI stands for what?
Endoscope Associated Infection
TRUE OR FALSE? You can clean an endoscope perfectly if you follow the process perfectly
FALSE: The design of an endoscope will cause the cleaning process to fail even when the process is followed “perfectly.”
The challenge with duodenoscope distal tip attachments is that:
We lack necessary data to see the effectiveness.
CRE is a bacteria found in duodenoscopes that does not respond to a powerful class of antibiotics. The infection has a ___ percent mortality rate.
50%!!!!!
TRUE OR FALSE? Newly emerging MDROs are easy for healthcare facilities to detect
FALSE
In 2019, the FDA made a recommendation for healthcare facilities to do what?
Consider using duodenoscopes that have disposable components to lower, but not eliminate risks of infection.
TRUE OR FALSE? A single use duodenoscope eliminates the risk of human error in reprocessing:
TRUE--there is no need for reprocessing with a single use duodenoscope
TRUE OR FALSE? Prophylactic antibiotics no longer a guarantee protection from superbugs. A rise in antibiotic-resistant infections worldwide is nearing a crisis point:
TRUE
The duodenoscope ecosystem contains many areas that support the growth of microbes. Factors that increase microbe growth include:
-Dark environment, making it especially difficult for water to dry
-Multiple, complex channels
-Inaccessible locations
1 in ____ duodenoscopes are contaminated with pathogens despite adherence to IFUs and guidelines:
20--Transmission of pathogens occurs despite adherence to IFUs and guidelines.
TRUE OR FALSE? The duodenoscope distal tip attachment is a total scope decontamination solution
FALSE: It is a partial solution, as it only addresses cleaning of the distal tip. With this attachment, additional cleaning steps must be added to the process
Recent tests performed by scope manufacturers at the demand of the F.D.A. found that 1 in ___ duodenoscopes retained disease-causing microbes like E. coli even after proper cleaning:
20 duodenoscopes…...or 5% of duodenoscopes
The particular concern regarding the spread of multidrug-resistant organisms (MDROs) is that:
There are limited to no treatment options available for these bacterial infections.
In 2015, the FDA delivered more safety communications for the duodenoscope than any other medical device in healthcare. They then recommended four possible approaches to decrease risk of EAIs. What were they?
1. Repeat HLD
2. Terminal Sterilization
3. Liquid Chemical Sterilization
4. Microbial Culture
** Although the FDA did not have any data support as to whether or not these measures would actually work.
This is the only technology that addresses all the concerns related to processing because it completely eliminates scope processing and all the problems and concerns that go with it.
A Single Use Duodenoscope
The creation of Biofilm formation requires these three things:
1. A surface
2. Water
3. A source of microbes (living organisms)