Adenosine triphosphate bioluminescence to validate decontamination of endoscopes. Issue 4 (December 2017)

• Record Type: Journal Article
• Authors: Gillespie, E.; Sievert, W.; Swan, M.; Kaye, C.; Edridge, I.; Stuart, R.L.
• Is Part Of: Journal of hospital infection. Volume 97:Issue 4(2017)
• Page Start: 353
• Page End: 356
• Publication Date: 2017-12
• Subjects: Endoscope -- Decontamination -- Carbapenemase-resistant Enterobacteriaceae -- ATP -- Microbiological surveillance; Cross infection -- Periodicals; Cross infection -- Prevention -- Periodicals; Nosocomial infections -- Periodicals; Nosocomial infections -- Prevention -- Periodicals; Cross Infection -- Periodicals; Cross Infection -- prevention & control -- Periodicals; Infection Control -- Periodicals; Electronic journals; 614.44
• DOI: 10.1016/j.jhin.2017.05.020
• Languages: English
• ISSNs: 0195-6701

Abstract

Summary: The reports of outbreaks involving carbapenemase-resistant Enterobacteriaceae (CRE) associated with gastrointestinal endoscopy prompted a review and study of a novel method of assessing cleaning. This study assessed adenosine triphosphate (ATP) bioluminescence to demonstrate cleanliness prior to endoscopy. ATP testing was compared with microbiological monitoring for 127 endoscopes. Samples were taken after cleaning, reprocessing and storage, but immediately before the endoscopy procedure. We recommend implementing ATP testing prior to endoscopy procedures as an alternative to microbiological testing at periodic intervals. ATP testing provides a convenient assessment of endoscopy hygiene to demonstrate safety and quality assurance.