Department of Gastroenterology, Zhongshan Hospital, Fudan University, Shanghai, China.
Clin Liver Dis. 2010 Feb;14(1):61-8; viii. doi: 10.1016/j.cld.2009.11.012.
The risk for potential transmission of infectious agents during gastrointestinal (GI) endoscopy is concerning for patients and physicians. However, the instance of infection transmission remains rare after GI endoscopy procedures, with an estimated frequency of 1 in 1.8 million procedures. Endoscopy-related infection may occur when microorganisms are spread or transmitted from patient to patient by contaminated endoscopic or accessory equipments; from the GI tract through the bloodstream during endoscopy to susceptible organs or prostheses, or spread to adjacent tissues that are breached as a result of the endoscopy procedure; or from patients to endoscopy personnel and perhaps from endoscopy personnel to patients. Proper cleaning, disinfection, and reprocessing of endoscopies and accessories, and appropriate administration of intravenous drugs help to minimize the risk for infection transmission.
在胃肠道（GI）内镜检查期间，传染性病原体潜在传播的风险令患者和医生感到担忧。然而，胃肠道内镜检查后感染传播的情况仍然较为罕见，估计每 180 万例操作中发生 1 例。内镜相关感染可能发生在微生物通过污染的内镜或附件设备从患者传播或传播到另一个患者时；在进行内镜检查时，通过血液从胃肠道传播到易受感染的器官或假体，或传播到因内镜检查程序而被穿透的邻近组织；或从患者传播到内镜操作人员，也许从内镜操作人员传播到患者。正确清洗、消毒和再处理内镜和附件，以及适当管理静脉内药物有助于最大限度地降低感染传播的风险。
