Guideline for the use of high-level disinfectants and sterilants for reprocessing of flexible gastrointestinal endoscopes.

Glutaraldehyde, 0.2% peracetic acid, 7.5% hydrogen peroxide, 0.08% peracetic acid/1% hydrogen peroxide, and 0.55% ortho-phthalaldehyde are cleared by the FDA for reprocessing flexible gastrointestinal endoscopes. Each product has advantages and disadvantages. All require adherence to published reprocessing protocols in order to maintain the integrity of equipment while providing the public with endoscopic instruments that are safe and effective. All chemicals must be handled with respect. Selection of a product must be weighed against the needs of a particular setting, taking into consideration factors such as compatibility, toxicity, environmental controls and cost.