Año 2022 / Volumen 114 / Número 2
Editorial
Disposable duodenoscopes. Is healthcare system affordability the main hindrance?

70-72

DOI: 10.17235/reed.2022.8570/2021

Enrique Vázquez-Sequeiros, Juan Ángel González Martín, Agustín Albillos Martínez,

Resumen
The performance of an endoscopic procedure involves introducing an endoscope through the mouth or the anus, which may potentially lead to lethal infection. The risk increases when complex and difficult-to-clean scopes are used, as in the case of duodenoscopes. Side-viewing duodenoscopes are complex in design, with the camera and working channel exit located on one side of the endoscope’s distal end, and with an elevator nail also located at this point for catheter redirection. This complex design may facilitate the presence of blind areas not easy to access for cleaning, resulting in suboptimal disinfection of the duodenoscope and therefore a higher risk of bacterial infection. This is of particular importance in particularly vulnerable patients like those who are immunosuppressed (e.g., transplanted patients) or have a malignant disease and are receiving chemotherapy. Moreover, in the era of ¨superbugs¨, like carbapenem-resistant Enterobacteriaceae, infection outbreaks related to endoscopic retrograde cholangiopancreatography (ERCP) have been reported with a significant mortality rate.
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Bibliografía
1. Ha J, Son BK. Current issues in duodenoscope-associated infections: now is the time to take action. Clin Endosc 2015;48:361-363. doi: 10.5946/ce.2015.48.5.361.
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Vázquez-Sequeiros E, González Martín J, Albillos Martínez A. Disposable duodenoscopes. Is healthcare system affordability the main hindrance?. 8570/2021


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Ficha Técnica

Recibido: 03/01/2022

Aceptado: 14/01/2022

Prepublicado: 20/01/2022

Publicado: 07/02/2022

Tiempo de prepublicación: 17 días

Tiempo de edición del artículo: 35 días


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