Kanagala P, Bradley C, Hoffman P, Steeds R P
Glenfield Hospital, Leicester, UK.
Eur J Echocardiogr. 2011 Oct;12(10):i17-23. doi: 10.1093/ejechocard/jer095.
The clinical utility of transoesophageal echocardiography (TOE) is well established. Being a semi-invasive procedure, however, the potential for transmission of infection between sequential patients exists. This has implications for the protection of both patients and medical staff. Guidelines for disinfection during gastrointestinal endoscopy (GIE) have been in place for many years.(1,2) Unfortunately, similar guidance is lacking with respect to TOE. Although traversing the same body cavities and sharing many similarities with upper GIE, there are fundamental structural and procedural differences with TOE which merit special consideration in establishing a decontamination protocol. This document provides recommendations for TOE probe decontamination based on the available evidence, expert opinion, and modification of the current British Society of Gastroenterology guidelines.
经食管超声心动图（TOE）的临床效用已得到充分确立。然而，作为一种半侵入性检查，在连续患者之间存在感染传播的可能性。这对患者和医护人员的防护都有影响。胃肠内镜检查（GIE）期间的消毒指南已经实施多年。（1,2）遗憾的是，关于TOE缺乏类似的指导。尽管TOE穿过相同的体腔且与上消化道内镜检查有许多相似之处，但TOE在结构和操作上存在根本差异，在制定去污方案时值得特别考虑。本文档根据现有证据、专家意见以及对当前英国胃肠病学会指南的修改，提供了TOE探头去污的建议。
