Barbosa Jackeline Maciel, Souza Adenicía Custódia Silva, Tipple Anaclara Ferreira Veiga, Pimenta Fabiana Cristina, Leão Lara Stefania Netto de Oliveira, Silva Silvia Rita Marin Caninni
Municipal Secretary of Goiânia, Ribeirão Preto, SP, Brazil.
Arq Gastroenterol. 2010 Jul-Sep;47(3):219-24. doi: 10.1590/s0004-28032010000300002.
The endoscopic procedure safety depends on the use of an adequately reprocessed device which quality is related to each of its operational steps.
To characterize the reprocessing of endoscopes using glutaraldehyde in endoscopy services
Study was conducted by observing the reprocessing of 60 endoscopes from 20 medical practices of the municipality of Goiânia, GO, central area of Brazil.
This study showed failure in all reprocessing steps. The pre-washing was performed in 24 (40.0%) of the endoscope. In the cleaning steps, was identify the improper use of enzymatic detergent, and in 27 (45.0%) cases, the brushing of internal channels was not performed. All 60 endoscopes were submitted to this disinfectant. However, for 33 (55.0%) of the cases the internal channels was not filled. The total immersion of endoscope in the glutaraldehyde was not performed in 39 (65.0%) cases. The recommended minimum total immersion time for exposure to 2% glutaraldehyde solution was followed only for 12 (20.0%) endoscopes. There was no filter for water treatment used in the rinse of most endoscopes 54 (90.0%) and to dry the internal channels only 6 (10.0%) of them used compressed air. Adequate storing conditions were identified.
Considering the particularities of the endoscope and its reprocessing, it is imperative to establish protocols to ensure the quality of the disinfection and the prevention of cross-contamination.
内镜操作的安全性取决于使用经过充分再处理的设备，其质量与每个操作步骤相关。
对内窥镜检查服务中使用戊二醛进行内镜再处理的情况进行特征描述。
通过观察巴西中部戈亚尼亚市20家医疗机构的60条内窥镜的再处理过程进行研究。
本研究显示所有再处理步骤均存在问题。24条（40.0%）内窥镜进行了预清洗。在清洗步骤中，发现酶洗涤剂使用不当，27例（45.0%）未对内窥镜内部通道进行刷洗。所有60条内窥镜均使用了这种消毒剂。然而，33例（55.0%）未对内窥镜内部通道进行灌注。39例（65.0%）未将内窥镜完全浸泡在戊二醛中。仅12条（20.0%）内窥镜遵循了推荐的2%戊二醛溶液最短完全浸泡时间。大多数内窥镜（54条，90.0%）冲洗时未使用水处理过滤器，只有6条（10.0%）使用压缩空气干燥内部通道。确定了适当的储存条件。
考虑到内窥镜及其再处理的特殊性，必须制定规程以确保消毒质量并防止交叉污染。
