SNZ HB 8149:2001
Microbiological surveillance of flexible hollow endoscopes
Currently, many flexible endoscopes undergo high-level chemical disinfection between patient use. Because of their complicated hollow structure, these endoscopes are difficult to clean and disinfect, and infection has been reported to be transmitted to patients through gastrointestinal or bronchoscopic procedures in hundreds of cases over the last 20 years. This Handbook deals primarily with microbiological surveillance of flexible hollow endoscopes.
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Foreword
Contents
Committee Representation
Review Period
Relevant New Zealand Acts and Regulations
Scope and Application
Project Overview
The Treaty of Waitangi
Code of Health and Disability Services Patients’ Rights 1996
1 Introduction
1.1 Transmission of micro-organisms by endoscopy
1.2 Standards and guidelines for cleaning and disinfection
1.3 Quality control
1.4 Endoscope surveillance cultures
2 Cleaning and Disinfection of Endoscopes
2.1 Infection control
3 Taking Endoscope Surveillance Cultures
3.1 How often to take cultures
3.2 When to take cultures
3.3 How to collect the sample
3.4 Taking samples from an automated disinfecting machine
4 Laboratory Processing of Samples and Reporting of Results
4.1 Processing methods
4.2 Laboratory processing
4.3 Reporting of results
5 Response to Positive Cultures
5.1 Initial interpretation of and response to positive culture results
5.2 Investigation of the cleaning and disinfection process
5.3 Investigation of possible transmission – general considerations
5.4 Investigation of possible transmission - serious pathogens isolated
5.5 Investigation of possible transmission – major problem with cleaning or disinfection
5.6 Investigation of possible transmission – process
5.7 Referral of results for central collection and analysis
APPENDIX
A EXPLANATION OF TERMS
B CHARTS
C ASSOCIATED STANDARDS AND GUIDELINES
D RECOMMENDED INTERNET SITES
E REFERENCES
ACKNOWLEDGEMENT
© CROWN COPYRIGHT
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Foreword
Contents
Committee Representation
Review Period
Relevant New Zealand Acts and Regulations
Scope and Application
Project Overview
The Treaty of Waitangi
Code of Health and Disability Services Patients’ Rights 1996
1 Introduction
1.1 Transmission of micro-organisms by endoscopy
1.2 Standards and guidelines for cleaning and disinfection
1.3 Quality control
1.4 Endoscope surveillance cultures
2 Cleaning and Disinfection of Endoscopes
2.1 Infection control
3 Taking Endoscope Surveillance Cultures
3.1 How often to take cultures
3.2 When to take cultures
3.3 How to collect the sample
3.4 Taking samples from an automated disinfecting machine
4 Laboratory Processing of Samples and Reporting of Results
4.1 Processing methods
4.2 Laboratory processing
4.3 Reporting of results
5 Response to Positive Cultures
5.1 Initial interpretation of and response to positive culture results
5.2 Investigation of the cleaning and disinfection process
5.3 Investigation of possible transmission – general considerations
5.4 Investigation of possible transmission - serious pathogens isolated
5.5 Investigation of possible transmission – major problem with cleaning or disinfection
5.6 Investigation of possible transmission – process
5.7 Referral of results for central collection and analysis
APPENDIX
A EXPLANATION OF TERMS
B CHARTS
C ASSOCIATED STANDARDS AND GUIDELINES
D RECOMMENDED INTERNET SITES
E REFERENCES
ACKNOWLEDGEMENT
© CROWN COPYRIGHT
SNZ HB 8149:2001
Online Library subscription pricing
The cost of your subscription will depend on which standards you want to access, and how many people in your organisation need to be able to access the Online Library subscription at the same time (concurrent users). During your subscription period, we are also able to make any necessary changes and ensure you are aware of any pricing changes that result. For a quote, contact our Online Library team by emailing onlinelibrary@standards.govt.nz.