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Prog Urol. 2012 Oct;22(12):731-5. doi: 10.1016/j.purol.2012.06.003. Epub 2012 Jul 28.

[Flexible cystoscopes: disinfection and microbiological surveillance practices among French urologists].

[Article in French]

Author information

  • 1CHU de Toulouse, hôpital Rangueil, Toulouse cedex, France. malavaud.s@chu-toulouse.fr

Abstract

INTRODUCTION:

According to the French regulatory authorities, the highest level of disinfection must be achieved for flexible cystoscopes, as they enter a sterile cavity, the current method being peracetic acid disinfection and sterile water terminal rinsing.

MATERIAL AND METHODS:

The concordance between regulations and the routine was researched using a self-administered questionnaire sent to all French urologists.

RESULTS:

Responses from 78 urology units, totalling 317 urologists (26% response rate) were analysed. As a whole, 51.2% of centers followed all recommendations on disinfection. There was no microbiological surveillance in 16.6% of centers, although microbiological tests were performed in two out of three centers before using a new endoscope or when returning from maintenance.

CONCLUSION:

Improvements are needed, both in the disinfection process and the microbiological surveillance. Low temperature sterilization and the use of sterile disposable sheaths may represent an alternative.

Copyright © 2012 Elsevier Masson SAS. All rights reserved.

PMID:
22999121
[PubMed - indexed for MEDLINE]
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