Petersen Bret T
Division of Gastroenterology and Hepatology, Mayo Clinic, 201 1st Street Southwest, Rochester, MN 55905, USA.
Gastrointest Endosc Clin N Am. 2021 Oct;31(4):625-640. doi: 10.1016/j.giec.2021.05.001. Epub 2021 Jul 20.
Gastrointestinal (GI) endoscopy units tend to be busy environments in which numerous categories of staff provide moderately complex procedural care to high volumes of patients. The prevention of infections of both patients and staff is a never-ending endeavor for both inpatient and outpatient environments. Necessary considerations must address patient-to-staff, staff-to-patient, environmental, and device-related transmission of infection. In addition to the typical environmental and interpersonal infection risks present in all medical environments, the major concern within the endoscopy suite relates to contamination and potential transmission via reusable devices and endoscopes. Our understanding of this ever-present issue has evolved over time and has become a major focus of scrutiny in the past 5 years. This significant problem has stimulated guidance and ingenuity by regulators, investigators, and industry. Most recently, the COVID-19 pandemic of 2020 to 21 has also added significant burdens to our infection control efforts in gastrointestinal endoscopy.
胃肠（GI）内镜检查科室往往是繁忙的场所，众多类别的工作人员在这里为大量患者提供中等复杂程度的程序性护理。无论是住院环境还是门诊环境，预防患者和工作人员感染都是一项永无止境的工作。必须考虑患者与工作人员之间、工作人员与患者之间、环境以及与设备相关的感染传播。除了所有医疗环境中常见的典型环境和人际感染风险外，内镜检查室的主要担忧还涉及通过可重复使用的设备和内窥镜造成的污染及潜在传播。我们对这个一直存在的问题的理解随着时间的推移而不断演变，并且在过去5年中已成为审查的主要焦点。这个重大问题激发了监管机构、研究人员和行业的指导意见和创新能力。最近，2020年至2021年的新冠疫情也给我们胃肠内镜检查的感染控制工作增加了巨大负担。
