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
ARTICLE HIGHLIGHTS
Research background
Precleaning is a key step in endoscopic reprocessing. There are some non-standard operations in the endoscopic precleaning stage in clinical practice, which increases the risk of endoscopic related infections. Therefore, it is important to improve the endoscopic precleaning method.
Research motivation
The research aims to develop an effective and economic endoscope cleaning method to reduce endoscopic related infections and reduce clinical costs.
Research objectives
The research aims to verify the clinical effectiveness, safety and economic benefits of our designed disposable endoscope bedside precleaning kit and it is expected to improve and supplement the endoscopic cleaning methods.
Research methods
Exploring the effectiveness of a disposable endoscope bedside precleaning kit through multi-center and observational research, and the precleaning kit is a patented product.
Research results
The disposable endoscope bedside precleaning kit can save cost in terms of the amount of detergent used in the precleaning stage and has better and more stable precleaning effect, which can improve the effectiveness of the subsequent reprocessing procedures. Meanwhile, the cleaning solution can be used up to four times without reducing the cleaning effect in the manual cleaning stage. The results provide a reference for the improvement of endoscopic precleaning methods. However, a larger sample size and more detection methods are still needed to verify this result.
Research conclusions
This study proposes a new endoscopic reprocessing method that uses a disposable endoscope bedside precleaning kit for precleaning and reuses the cleaning solution during the manual cleaning, which can improve cleaning effectiveness and reduce clinical costs.
Research perspectives
The future research direction is to continue optimizing the design of the disposable endoscope bedside precleaning kit and conduct experiments to detect viruses and prions to perfect the research. Moreover, it is particularly important to promote the application of precleaning kits nationwide to obtain more clinical data.
