Duodenoscope hang time does not correlate with risk of bacterial contamination

Riley Heroux, Michelle Sheppard, Sharon B. Wright, Mandeep Sawhney, Elizabeth B. Hirsch, Robin Kalaidjian, Graham M. Snyder

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Background Current professional guidelines recommend a maximum hang time for reprocessed duodenoscopes of 5-14 days. We sought to study the association between hang time and risk of duodenoscope contamination. Methods We analyzed cultures of the elevator mechanism and working channel collected in a highly standardized fashion just before duodenoscope use. Hang time was calculated as the time from reprocessing to duodenoscope sampling. The relationship between hang time and duodenoscope contamination was estimated using a calculated correlation coefficient between hang time in days and degree of contamination on the elevator mechanism and working channel. Results The 18 study duodenoscopes were cultured 531 times, including 465 (87.6%) in the analysis dataset. Hang time ranged from 0.07-39.93 days, including 34 (7.3%) with hang time ≥7.00 days. Twelve cultures (2.6%) demonstrated elevator mechanism and/or working channel contamination. The correlation coefficients for hang time and degree of duodenoscope contamination were very small and not statistically significant (−0.0090 [P = .85] for elevator mechanism and −0.0002 [P = 1.00] for working channel). Odds ratios for hang time (dichotomized at ≥7.00 days) and elevator mechanism and/or working channel contamination were not significant. Conclusions We did not find a significant association between hang time and risk of duodenoscope contamination. Future guidelines should consider a recommendation of no limit for hang time.

Original languageEnglish (US)
Pages (from-to)360-364
Number of pages5
JournalAmerican journal of infection control
Volume45
Issue number4
DOIs
StatePublished - Apr 1 2017

Bibliographical note

Funding Information:
Funded in part by an investigator-initiated grant from the American Society for Gastrointestinal Endoscopy (MS, EBH, and GMS) and with support from the study institution.

Publisher Copyright:
© 2017 Association for Professionals in Infection Control and Epidemiology, Inc.

Copyright:
Copyright 2017 Elsevier B.V., All rights reserved.

Keywords

  • Disinfection
  • ERCP
  • Endoscope
  • Environmental contamination

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