ReviewDigestive diseases and sciences2019
Duodenoscope-Associated Infections: Update on an Emerging Problem.
Review in Digestive diseases and sciences, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
31 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- [A systematic analysis of nosocomial outbreaks of nosocomial infections after gastrointestinal endoscopy].Zeitschrift fur Gastroenterologie · 2023Pooled it
- Gastrointestinal Endoscopy-Associated Infections: Update on an Emerging Issue.Digestive diseases and sciences · 2022Pooled it
- Comparison of procedure-related complications and success rates between duodenoscopes with disposable end caps and conventional reusable duodenoscopes: a randomized trial.Surgical endoscopy · 2026Trial
- From cabinet to PlasmaBag: validating mobile endoscope storage with plasma technology.Microbiology spectrum · 2026Article
- Comprehensive Review of How Endoscope Channel Biofilm Differs from Hydrated and Dry Surface Biofilm and Its Implications.Endoscopy international open · 2026Review
- Effectiveness of a Fluid-Collection Device for the Duodenoscope Biopsy Channel During Endoscopic Retrograde Cholangiopancreatography.Medicina (Kaunas, Lithuania) · 2025Article
- Efficacy and safety of single use duodenoscopes in comparison to reusable duodenoscopes for endoscopic retrograde cholangiopancreatography: A single center experience.World journal of gastrointestinal endoscopy · 2025Article
- Green Endoscopy: A Review of Global Perspectives on Environmental Sustainability of Gastrointestinal Endoscopy.Journal of clinical medicine · 2025Review
- The evolution of single-use duodenoscope utilization at a large-volume endoscopic retrograde cholangiopancreatography tertiary care center.iGIE : innovation, investigation and insights · 2025Article
- A prospective, multicenter, clinical study of duodenoscope contamination after reprocessing.Infection control and hospital epidemiology · 2022Article
- Performance of single-use duodenoscopes for ERCP: a systematic review and meta-analysis.iGIE : innovation, investigation and insights · 2022Article
- Adverse Event Fatalities Related to GI Endoscopy.Digestive diseases and sciences · 2022Article
- Single-Use Duodenoscopes for ERCP: Rationale, Feasibility, Cost, and Environmental Impact.Gastroenterology & hepatology · 2022Article
- Comparison of the impact of endoscopic retrograde cholangiopancreatography between pre-COVID-19 and current COVID-19 outbreaks in South Korea: Retrospective survey.World journal of clinical cases · 2021Article
- Changes in endoscopic patterns before and during COVID-19 outbreak: Experience at a single tertiary center in Korean.World journal of clinical cases · 2021Article
- Challenges in Defining and Preventing Suspected Duodenoscope Infections.Gastroenterology & hepatology · 2021Article
- Nosocomial outbreak linked to a flexible gastrointestinal endoscope contaminated with an amikacin-resistant ST17 clone of Pseudomonas aeruginosa.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2020Article
- Detection of Carbapenem-Resistance Genes inAntibiotics (Basel, Switzerland) · 2020Article
- Clinical Questions and Answers on Gastrointestinal Endoscopy during the Novel Coronavirus Disease 2019 pandemic.Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society · 2020Review
- COVID-19 and gastrointestinal endoscopies: Current insights and emergent strategies.Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society · 2020Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The duodenoscope is among the most complex medical instruments that undergo disinfection between patients. Transmission of infection by contaminated scopes has remained a challenge since its inception. Notable risk factors for pathogen transmission include non-adherence to disinfection guidelines, encouragement of biofilm deposition due to complex design and surface defects and contaminated automated endoscope reprocessors. The most common infections following endoscopy are endogenous infections involving the patient's own gut flora. Exogenous infections, on the other hand, are associated with contaminated scopes and can theoretically be prevented by effective reprocessing. Pseudomonas aeruginosa is currently the most common organism isolated from contaminated endoscopes. Of note, reports of multidrug-resistant duodenoscopy-associated outbreaks have surfaced recently, many of which occurred despite adequate reprocessing. The FDA and CDC currently recommend comprehensive cleaning followed with at least high-level disinfection for reprocessing of flexible GI endoscopes. Reports of duodenoscope-related outbreaks despite compliance with established guidelines have prompted professional and government bodies to revisit existing guidelines and offer supplementary recommendations for duodenoscope processing. For the purposes of this review, we identified reports of duodenoscope-associated infections from 2000 till date. For each outbreak, we noted the organisms isolated, the number of cases reported, any possible explanations of contamination, and the measures undertaken to end each outbreak. We have also attempted to present an overview of recent developments in this rapidly evolving field.
Indexed as
Identifiers
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.