Infection & Contamination Challenges in Endoscopic Reprocessing - USA - ASP Learning Lab
Infection & Contamination Challenges in Endoscopic Reprocessing

Infection & Contamination Challenges in Endoscopic Reprocessing

By Ivan Salgo, MD, MS, MBA; Ryan Lewis, MD, MHA, MPH; Nirav Shah, DPM; and Keyvan Nowruzi, PhD

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Endoscope reprocessing plays a vital role in infection prevention, especially for high-risk procedures involving the gastrointestinal and respiratory tracts. Minimally invasive advances for procedures does not mean minimal infection risk. The complexity of endoscope design—paired with frequent reuse—makes thorough cleaning and sterilization a major challenge. This in-depth review consolidates current research and outlines where today’s practices fall short, especially for intricate devices like duodenoscopes and Endoscopic Retrograde Cholangiopancreatography (ERCP) procedures.

Common Endoscope Reprocessing Challenges

For sterile processing departments (SPDs), endoscopy labs, and infection prevention teams, staying abreast of evolving guidelines and technologies is critical. This white paper explores persistent challenges such as biofilm formation, device material compatibility, and Multi Drug Resistant Organisms (MDRO) transmission—and highlights opportunities to strengthen protocols, adopt sterilization over high-level disinfection, and improve the margin of safety for patients.

In this white paper, you’ll learn:

  • Where current reprocessing protocols may fall short
  • Innovations in sterilization, including hydrogen peroxide gas plasma (HPGP)
  • How biofilm and MDROs affect patient safety and compliance
  • When sterilization may be more effective than high-level disinfection
  • Strategies for preserving instrument integrity without increasing environmental harm

Do the right thing for your patients and staff by staying informed and prepared.

Authors

  • Ivan S. Salgo

    Ivan S. Salgo

    M.D., M.S., M.B.A.

    Vice President, Chief Medical and Scientific Officer, ASP

  • Ryan Lewis

    Ryan Lewis

    MD, MHA, MPH

    Senior Director Medical Affairs, Medical Safety, ASP

  • Nirav R. Shah

    Nirav R. Shah

    DPM

    Senior Manager, Medical and Scientific Affairs, ASP

  • Keyvan Nowruzi

    Keyvan Nowruzi

    PhD

    Director, Advanced Research and Development, ASP