Copyright
©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
Effect of a disposable endoscope precleaning kit in the cleaning procedure of gastrointestinal endoscope: A multi-center observational study
Yi-Fan Wang, Yu Wu, Xiao-Wei Liu, Jian-Guo Li, Yan-Qiong Zhan, Bin Liu, Wen-Ling Fan, Zi-Heng Peng, Jin-Tao Xiao, Bing-Bing Li, Jian He, Jun Yi, Zhao-Xia Lu
Yi-Fan Wang, Yu Wu, Xiao-Wei Liu, Zi-Heng Peng, Jin-Tao Xiao, Bing-Bing Li, Jian He, Jun Yi, Zhao-Xia Lu, Department of Gastroenterology, Xiangya Hospital, Central South University, Changsha 410008, Hunan Province, China
Yu Wu, Xiao-Wei Liu, Department of Gastroenterology, Hunan International Scientific and Technological Cooperation Base of Artificial Intelligence Computer Aided Diagnosis and Treatment for Digestive Disease, Changsha 410008, Hunan Province, China
Xiao-Wei Liu, Department of Gastroenterology, National Research Center of Geriatric Diseases, Xiangya Hospital, Central South University, Changsha 410008, Hunan Province, China
Jian-Guo Li, Department of Gastroenterology, The Fourth Hospital of Changsha, Changsha 410006, Hunan Province, China
Yan-Qiong Zhan, Department of Gastroenterology, Zhuzhou Hospital Affiliated to Xiangya School of Medicine, Central South University, Zhuzhou 412007, Hunan Province, China
Bin Liu, Department of Gastroenterology, Xiangtan Central Hospital, Xiangtan 411100, Hunan Province, China
Wen-Ling Fan, Department of Gastroenterology, The First Hospital of Changsha, Changsha 410005, Hunan Province, China
Author contributions: Wang YF, Wu Y, and Liu XW designed the study; Wang YF, Wu Y, Li JG, Zhan YQ, Liu B, Fan WL, Peng ZH, Xiao JT, Li BB, and He J performed the study and collected the data; Wang YF analyzed data and wrote the manuscript; Yi J, and Lu ZX revised the manuscript; Wu Y and Liu XW modified the manuscript critically; and all authors have read and approve the final manuscript.
Institutional review board statement: The Medical Ethics Committee of Xiangya Hospital of Central South University determined that this project did not require ethics approval by an Human Research Ethics Committee.
Informed consent statement: This project has applied for exemption from informed consent forms.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: No additional data are available.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
https://creativecommons.org/Licenses/by-nc/4.0/ Corresponding author: Yu Wu, RN, Nurse, Department of Gastroenterology, Xiangya Hospital, Central South University, No. 87 Xiangya Road, Changsha 410008, Hunan Province, China.
wy22xy@163.com
Received: August 10, 2023
Peer-review started: August 10, 2023
First decision: October 9, 2023
Revised: October 20, 2023
Accepted: November 8, 2023
Article in press: November 8, 2023
Published online: December 16, 2023
Processing time: 126 Days and 18.7 Hours
BACKGROUND
Precleaning is a key step in endoscopic reprocessing.
AIM
To develop an effective and economic endoscope cleaning method by using a disposable endoscope bedside precleaning kit.
METHODS
Altogether, 228 used gastrointestinal endoscopes were selected from five high-volume endoscopy units and precleaned by a traditional precleaning bucket (group T) or a disposable endoscope bedside precleaning kit (group D). Each group was further subdivided based on the replacement frequency of the cleaning solution, which was replaced every time in subgroups T1 and D1 and every several times in subgroups Ts and Ds. The adenosine triphosphate (ATP) level and residual proteins were measured three times: Before and after precleaning and after manual cleaning.
RESULTS
After precleaning, the precleaning kit significantly reduced the ATP levels (P = 0.034) and has a more stable ATP clearance rate than the traditional precleaning bucket. The precleaning kit also saved a quarter of the cost of enzymatic detergent used during the precleaning process. After manual cleaning, the ATP levels were also significantly lower in the precleaning kit group than in the traditional precleaning bucket group (P < 0.05). Meanwhile, the number of uses of the cleaning solution (up to four times) has no significant impact on the cleaning effect (P > 0.05).
CONCLUSION
Considering its economic cost and cleaning effect, the use of a disposable endoscope bedside precleaning kit can be an optimal option in the precleaning stage with the cleaning solution being replaced several times in the manual cleaning stage.
Core Tip: Precleaning is a key step in endoscopic reprocessing, but related studies on the matter are few. In the present study, we evaluated the role of a self-developed disposable endoscope bedside precleaning kit for endoscopic cleaning. We compared the cleaning effects between the disposable precleaning kit and traditional precleaning buckets in five endoscopy units and found that the precleaning kit has advantages in the precleaning stage. Its better precleaning effect can improve the effectiveness of the subsequent reprocessing procedures. Meanwhile, the cleaning solution used in the precleaning and manual cleaning stages was reduced, suggesting a significant cost advantage in the clinical practice.
