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Follow-up and Management of Patients Exposed to a Flawed Automated Endoscope Washer-Disinfector in a Digestive Diseases Unit

Published online by Cambridge University Press:  21 June 2016

Philippe Vanhems ,
Angèle Gayet-Ageron ,
Thierry Ponchon ,
Claude Bernet ,
Jean-Alain Chayvialle ,
Christine Chemorin ,
Léone Morandat ,
Marie-Ange Bibollet ,
Philippe Chevallier  and
Jacques Ritter
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Philippe Vanhems*
Affiliation:
Unite d'Epidémiologie et d'Hygiène Hospitalière, Hôpital Edouard Herriot, Lyon, France
Angèle Gayet-Ageron
Affiliation:
Unite d'Epidémiologie et d'Hygiène Hospitalière, Hôpital Edouard Herriot, Lyon, France
Thierry Ponchon
Affiliation:
Service de Gastroentérologie et d'Endoscopie Digestive, Hôpital Edouard Herriot, Lyon, France
Claude Bernet
Affiliation:
Unite d'Epidémiologie et d'Hygiène Hospitalière, Hôpital Edouard Herriot, Lyon, France
Jean-Alain Chayvialle
Affiliation:
Service de Gastroentérologie et d'Endoscopie Digestive, Hôpital Edouard Herriot, Lyon, France
Christine Chemorin
Affiliation:
Unite d'Epidémiologie et d'Hygiène Hospitalière, Hôpital Edouard Herriot, Lyon, France
Léone Morandat
Affiliation:
Unite d'Epidémiologie et d'Hygiène Hospitalière, Hôpital Edouard Herriot, Lyon, France
Marie-Ange Bibollet
Affiliation:
Service de Gastroentérologie et d'Endoscopie Digestive, Hôpital Edouard Herriot, Lyon, France
Philippe Chevallier
Affiliation:
Laboratoire de Virologie, Hôpital Edouard Herriot, Lyon, France
Jacques Ritter
Affiliation:
Laboratoire de Virologie, Hôpital Edouard Herriot, Lyon, France
Jacques Fabry
Affiliation:
Unite d'Epidémiologie et d'Hygiène Hospitalière, Hôpital Edouard Herriot, Lyon, France
*
Unite d'Epidémiologie et d'Hygiene Hospitalière, Hôpital Edouard Herriot, Place d'Arsonval, 69437 Lyon cedex 03, France ([email protected])
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Abstract

The possible transmission of pathogens to 236 persons exposed to an endoscope processed in a flawed automated endoscope washer-disinfector in a gastrointestinal endoscopy unit was investigated. During 6 months, 197 patients (83.5%) were followed up, and no cases of acute human immunodeficiency virus, hepatitis C virus, or hepatitis B virus infection were observed. This event created the conditions for improvements in safety procedures.

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 27 , Issue 1 , January 2006 , pp. 89 - 92
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2006

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