Infection Prevention and Control Guideline for Flexible Gastrointestinal Endoscopy and Flexible Bronchoscopy
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Table of Contents
- Introductory Statement
- Executive Summary
- PART I. PURPOSE
- PART II. TRANSMISSION OF INFECTION BY FLEXIBLE ENDOSCOPY
- 1. Background
- 2. Overview
- 3. Microbial Sources
- 4. Specific Microorganisms Transmitted or Shown to Contaminate Flexible Endoscopes
- 5. Occupational Infection Related to Endoscopy
- 6. Classic and Variant Creutzfeldt-Jakob Disease
- 7. Factors That Contribute to Survival of Microorganisms in Reprocessed Flexible Endoscopes
- 8. Errors in Reprocessing
- PART III. FLEXIBLE ENDOSCOPES: STRUCTURE and FUNCTION
- PART IV. ISSUES RELATED TO REPROCESSING FLEXIBLE ENDOSCOPES
- 1. Reprocessing of Flexible Endoscopes and Accessories
- 2. Sheathed Endoscopes
- 3. Storage of Flexible Endoscopes
- 4. Quality Management
- 5. Healthcare Worker Protection During Endoscopy/Bronchoscopy and During Equipment Reprocessing
- 6. Endoscopy Unit Design
- 7. Surveillance and Outbreak Investigation and Management
- 8. Investigation of a Reprocessing Problem
- PART V. RECOMMENDATIONS FOR REPROCESSING FLEXIBLE ENDOSCOPES
- 1. Administrative Recommendations
- 2. Recommendations for Endoscopy and Endoscopy Decontamination Equipment
- 3. Recommendations For Reprocessing Endoscopes and Accessories
- 4. Recommendations for Endoscopy Unit Design
- 5. Recommendations for Quality Management
- 6. Recommendations for Outbreak Investigation and Management
- 7. Recommendations for Classic and Variant Creutzfeldt-Jakob Disease (CJD and vCJD)
- APPENDIX A - PHAC IP&C Guideline Development Process
- APPENDIX B - Glossary of Terms
- APPENDIX C - Spaulding Classification System
- APPENDIX D - Bioburden Test Method
- APPENDIX E - Sample Audit Checklist for Reprocessing of Medical Equipment/Devices
- APPENDIX F- Sample Audit Tool for Reprocessing of Endoscopy Equipment/Devices
- APPENDIX G - Verification of Training Stages for Endoscope Reprocessing
- APPENDIX H - Guideline for Outbreak Investigation Related to Endoscopic Procedures
- APPENDIX I - PHAC Guideline Rating System
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