Is peracetic acid suitable for the cleaning step of reprocessing flexible endoscopes?

Table 4 Overview of evidence-based guidelines for processing flexible endoscopes, focusing on the use of peracetic acid during the cleaning step

Institution	Guidelines	Year	Use of peracetic acid for cleaning
AORN	Recommended practices for cleaning and processing endoscopes and endoscope accessories[221,222]	2012	No recommendation
APIC	APIC guidelines for infection prevention and control in flexible endoscopy. Association for Professionals in Infection Control[223]	2000	No recommendation
APSIC	The ASEAN Guidelines for disinfection and sterilization of instruments in health care facilities[224]	2012	No recommendation
ASGE	Multisociety guidelines on reprocessing flexible gastrointestinal endoscopes: 2011[225,226]	2011	No recommendation
BC Ministry of Health	Best Practice Guidelines For Cleaning, Disinfection and Sterilization of Critical and Semi-critical Medical Devices[227]	2011	No recommendation
BSG	BSG Guidelines for Decontamination of Equipment for Gastrointestinal Endoscopy[228]	2008	No recommendation
CDC	Guidelines for Disinfection and Sterilization in Healthcare Facilities, 2008[229]	2008	No recommendation
ESGE/ESGENA	1ESGE/ESGENA Technical Note on Cleaning and Disinfection[230]	2003	Recommended
ESGE/ESGENA	ESGE-ESGENA guideline: Cleaning and disinfection in gastrointestinal endoscopy, update 2008[231]	2008	No recommendation
HPS	Endoscope Reprocessing: Guidance on the Requirements for Decontamination Equipment, Facilities and Management[232]	2007	No recommendation
JGETS	Guidelines for cleaning and disinfecting endoscopes - Second edition[233]	2004	No recommendation
Public Health Agency of Canada	Infection Prevention and Control Guideline for Flexible Gastrointestinal Endoscopy and Flexible Bronchoscopy[234]	2010	No recommendation
RKI	2Hygiene requirements for reprocessing of medical devices[235]	2001	No recommendation
RKI	Hygiene requirements for reprocessing of medical devices[236]	2012	Not recommended
SGNA	Standards of Infection Control in Reprocessing of Flexible Gastrointestinal Endoscopes[237]	2013	No recommendation
WGO/OMED	WGO/OMED Practice Guideline Endoscope Disinfection[238]	2005	Recommended
WGO/WEO	Endoscope disinfection - a resource-sensitive approach[239]	2011	No recommendation

¹These guidelines were updated in 2008 by guidelines[231];

²These guidelines were updated in 2012 by guidelines[236]. AORN: Association of periOperative Registered Nurses; APIC: Association for Professionals in Infection Control and Epidemiology; APSIC: Asia Pacific Society of Infection Control; ASGE: American Society for Gastrointestinal Endoscopy; BSG: British Society of Gastroenterology; CDC: Centers for Disease Control and Prevention; ESGE: European Society of Gastrointestinal Endoscopy; ESGENA: European Society of Gastroenterology and Endoscopy Nurses and Associates; HPS: Health Protection Scotland; JGETS: Japanese Gastroenterological Endoscopy Technicians Society; OMED: Organisation Mondiale d'Endoscopie Digestive/World Organization for Digestive Endoscopy; RKI: Robert Koch Institute; SGNA: Society of Gastroenterology Nurses and Associates, Inc; WEO: World Endoscopy Organization (former OMED); WGO: World Gastroenterology Organisation.