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Superbugs: Updated Guidance for Infection Prevention During Gastrointestinal Endoscopy
Keyword(s)
1316-2024, Ruhof, eBook, nurse, NCCT, superbugs, endoscopy, endoscopic, endoscopies, gastrointestinal, GI, CRE, duodenoscope, retrograde cholangiopancreatography, ERCP, echo endoscope, ultrasonography, EUS, FDA, CDC, society of gastroenterology, SGNA, cleaning, reprocessing, channel, lumen, bioburden, outbreak, disinfection, infection, prevention, control, IPC, surveillance, non-culture cleaning kit, AORN, storage, valve, suction, PPE, decontamination, outpatient, ambulatory, ASC, suite, unit
Credits
CBRN:2.0, NCCT:2.0
Description
Several deadly outbreaks of carbapenem-resistant Enterobacteriaceae (CRE) or a related superbug following therapeutic gastrointestinal (GI) endoscopy have been documented in medical journals and on the front pages of local and national newspapers. In each case, health officials linked these outbreaks to either contaminated duodenoscopes or echoendoscopes, which are used to perform endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasonography (EUS) respectively. In response to these outbreaks, the Food and Drug Administration (FDA), Centers for Disease Control and Prevention (CDC), and other agencies and organizations including the Society of Gastroenterology Nurses (SGNA) published a number of recommendations to prevent infections of CRE and related superbugs following ERCP and EUS. This continuing education activity will discuss updated guidance for the prevention of the transmission of CRE and related superbugs during gastrointestinal endoscopy and new standards of practice regarding infection prevention and control in the GI endoscopic setting.