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Single Use (Disposable) Duodenoscope: Recent Development and Future

  • Kihyun Ryu (Department of Gastroenterology, Konyang University College of Medicine) ;
  • Sunguk Jang (Digestive Disease Institute, Cleveland Clinic)
  • 투고 : 2021.02.09
  • 심사 : 2021.03.15
  • 발행 : 2022.03.30

초록

Unlike simple forward-viewing endoscopes such as gastroscope or colonoscope, duodenoscope houses much more complex design to fulfil its function. This design differences leave duodenoscopes more prone to contamination from inadequate disinfection process and potential dissemination of pathogens. Recent reports on dissemination of infection through the duodenoscope mandated an overhaul of duodenoscope utilization including development of a disposable duodenoscope. This article reviews the current state of disposable duodenoscope development, including reported early efficacy as well as its future direction and utilization.

키워드

참고문헌

  1. Ha J, Son BK. Current issues in duodenoscope-associated infections: now is the time to take action. Clin Endosc 2015;48:361-363.
  2. Rutala WA, Weber DJ. Disinfection and sterilization in health care facilities: an overview and current issues. Infect Dis Clin North Am 2016;30:609-637.
  3. Aumeran C, Poincloux L, Souweine B, et al. Multidrug-resistant klebsiella pneumoniae outbreak after endoscopic retrograde cholangiopancreatography. Endoscopy 2010;42:895-899.
  4. Epstein L, Hunter JC, Arwady MA, et al. New Delhi metallo-β-lactamase-producing carbapenem-resistant escherichia coli associated with exposure to duodenoscopes. JAMA 2014;312:1447-1455.
  5. Wendorf KA, Kay M, Baliga C, et al. Endoscopic retrograde cholangiopancreatography-associated AmpC escherichia coli outbreak. Infect Control Hosp Epidemiol 2015;36:634-642.
  6. Kola A, Piening B, Pape U-F, et al. An outbreak of carbapenem-resistant OXA-48 - producing klebsiella pneumonia associated to duodenoscopy. Antimicrob Resist Infect Control 2015;4:8.
  7. Muscarella LF. Risk of transmission of carbapenem-resistant enterobacteriaceae and related "superbugs" during gastrointestinal endoscopy. World J Gastrointest Endosc 2014;6:457-474.
  8. Verfaillie CJ, Bruno MJ, Voor in 't Holt AF, et al. Withdrawal of a novel-design duodenoscope ends outbreak of a VIM-2-producing pseudomonas aeruginosa. Endoscopy 2015;47:493-502.
  9. Loeve AJ. Investigational report on a TJF-Q180V duodenoscope following contamination after cleaning and disinfection. Available on request from the Dutch Healthcare Inspectorate/National Institute for Public Health and the Environment. Bilthoven, The Netherlands, 2012.
  10. Ross AS, Baliga C, Verma P, Duchin J, Gluck M. A quarantine process for the resolution of duodenoscope-associated transmission of multidrug-resistant Escherichia coli. Gastrointest Endosc 2015;82:477-483.
  11. Rauwers AW, Voor In 't Holt AF, Buijs JG, et al. High prevalence rate of digestive tract bacteria in duodenoscopes: a nationwide study. Gut 2018;67:1637-1645.
  12. Rex DK, Sieber M, Lehman GA, et al. A double-reprocessing high-level disinfection protocol does not eliminate positive cultures from the elevators of duodenoscopes. Endoscopy 2018;50:588-596.
  13. Vickery K, Ngo Q-D, Zou J, Cossart YE. The effect of multiple cycles of contamination, detergent washing, and disinfection on the development of biofilm in endoscope tubing. Am J Infect Control 2009;37:470-475.
  14. Pajkos A, Vickery K, Cossart Y. Is biofilm accumulation on endoscope tubing a contributor to the failure of cleaning and decontamination? J Hosp Infect 2004;58:224-229.
  15. Naryzhny I, Silas D, Chi K. Impact of ethylene oxide gas sterilization of duodenoscopes after a carbapenem-resistant Enterobacteriaceae outbreak. Gastrointest Endosc 2016;84:259-262.
  16. Kim S, Russell D, Mohamadnejad M, et al. Risk factors associated with the transmission of carbapenem-resistant enterobacteriaceae via contaminated duodenoscopes. Gastrointest Endosc 2016;83:1121-1129.
  17. Chan JK, Ng I, Ang JP, et al. Randomised controlled trial comparing the Ambu® aScopeTM2 with a conventional fibreoptic bronchoscope in orotracheal intubation of anaesthetised adult patients. Anaesth Intensive Care 2015;43:479-484.
  18. Mager R, Kurosch M, Hofner T, Frees S, Haferkamp A, Neisius A. Clinical outcomes and costs of reusable and single-use flexible ureterorenoscopes: a prospective cohort study. Urolithiasis 2018;46:587-593.
  19. Terjesen CL, Kovaleva J, Ehlers L. Early assessment of the likely cost effectiveness of single-use flexible video bronchoscopes. Pharmacoecon Open 2017;1:133-141.
  20. Hennessey DB, Fojecki GL, Papa NP, Lawrentschuk N, Bolton D. Single-use disposable digital flexible ureteroscopes: an ex vivo assessment and cost analysis. BJU Int 2018;121 (Suppl 3):55-61.
  21. Muthusamy VR, Bruno MJ, Kozarek RA, et al. Clinical evaluation of a single-use duodenoscope for endoscopic retrograde cholangiopancreatography. Clin Gastroenterol Hepatol 2020;18:2108-2117.e3.
  22. Cotton PB, Eisen G, Romagnuolo J, et al. Grading the complexity of endoscopic procedures: results of an ASGE working party. Gastrointest Endosc 2011;73:868-874.
  23. Ross AS, Bruno MJ, Kozarek RA, et al. Novel single-use duodenoscope compared with 3 models of reusable duodenoscopes for ERCP: a randomized bench-model comparison. Gastrointest Endosc 2020;91:396-403.
  24. Bang JY, Sutton B, Hawes R, Varadarajulu S. Concept of disposable duodenoscope: at what cost? Gut 2019;68:1915-1917.
  25. Alrabaa SF, Nguyen P, Sanderson R, et al. Early identification and control of carbapenemase-producing klebsiella pneumoniae, originating from contaminated endoscopic equipment. Am J Infect Control 2013;41:562-564.