dc.contributor.author | Legemate, Jaap D. | |
dc.contributor.author | Kamphuis, Guido Maarten | |
dc.contributor.author | Freund, Jan Erik | |
dc.contributor.author | Baard, Joyce | |
dc.contributor.author | Oussoren, Harry W. | |
dc.contributor.author | Spijkerman, Ingrid J.B. | |
dc.contributor.author | de la Rosette, Jean J. M. C. H. | |
dc.date.accessioned | 2019-12-24T10:58:54Z | |
dc.date.available | 2019-12-24T10:58:54Z | |
dc.date.issued | 2019 | en_US |
dc.identifier.citation | Legemate, J. D., Kamphuis, G. M., Freund, J. E., Baard, J., Oussoren, H. W., Spijkerman, I. J. B. ... de la Rosette, J. J. M. C. H. (2019). Pre-use ureteroscope contamination after high level disinfection: Reprocessing effectiveness and the relation with cumulative ureteroscope use. Journal of Urology, 201(6), 1144-1150. http://doi.org/10.1097/JU.0000000000000108 | en_US |
dc.identifier.issn | 0022-5347 | |
dc.identifier.issn | 1527-3792 | |
dc.identifier.uri | http://doi.org/10.1097/JU.0000000000000108 | |
dc.identifier.uri | https://hdl.handle.net/20.500.12511/4648 | |
dc.description.abstract | Purpose: We assessed the frequency of preoperative and persistent microbial contamination of flexible ureteroscopes after reprocessing and the relation of contamination to cumulative ureteroscope use. Materials and Methods: We evaluated the effectiveness of high level disinfection with peracetic acid as well as data on ureteroscope use for 20 new flexible ureteroscopes from December 2015 to December 2017 at a single center. In the operating room pre-use and postuse microbial samples of the ureteroscope shaft and working channel were collected to evaluate microbial contamination after reprocessing. Positive cultures were defined as 30 cfu/ml or greater of skin flora, or 10 cfu/ml or greater of uropathogenic microorganisms. A generalized estimating equation model was used to analyze whether cumulative ureteroscope use was associated with positive pre-use cultures. Results: Microbial samples were collected during 389 procedures. Pre-use ureteroscope cultures were positive in 47 of 389 procedures (12.1%), of which uropathogens were found in 9 of 389 (2.3%) and skin flora in 38 of 389 (9.8%). Urinary tract infection symptoms did not develop in any of the patients who underwent surgery with a uropathogen contaminated ureteroscope. In 1 case the pre-use culture contained the same bacteria type as the prior postuse culture. Cumulative ureteroscope use was not associated with a higher probability of positive cultures. Conclusions: Microbial contamination of reprocessed ureteroscopes was found in an eighth of all procedures. Notably uropathogenic microorganisms were discovered in a small proportion of all procedures. Persistent ureteroscope contamination with uropathogens was only rarely encountered. Cumulative ureteroscope use was not associated with a higher probability of microbial contamination. | en_US |
dc.language.iso | eng | en_US |
dc.publisher | Lippincott Williams and Wilkins | en_US |
dc.rights | info:eu-repo/semantics/openAccess | en_US |
dc.subject | Disease Transmission | en_US |
dc.subject | Disinfection | en_US |
dc.subject | Equipment Contamination | en_US |
dc.subject | Infectious | en_US |
dc.subject | Ureter | en_US |
dc.subject | Ureteroscopes | en_US |
dc.title | Pre-use ureteroscope contamination after high level disinfection: Reprocessing effectiveness and the relation with cumulative ureteroscope use | en_US |
dc.type | article | en_US |
dc.relation.ispartof | Journal of Urology | en_US |
dc.department | İstanbul Medipol Üniversitesi, Uluslararası Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Üroloji Ana Bilim Dalı | en_US |
dc.identifier.volume | 201 | en_US |
dc.identifier.issue | 6 | en_US |
dc.identifier.startpage | 1144 | en_US |
dc.identifier.endpage | 1150 | en_US |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | en_US |
dc.identifier.doi | 10.1097/JU.0000000000000108 | en_US |
dc.identifier.wosquality | Q1 | en_US |
dc.identifier.scopusquality | Q1 | en_US |