ArticleFrontiers in cellular and infection microbiology2026
Optimization of colonoscope bedside precleaning protocol: an orthogonal experimental study.
Article in Frontiers in cellular and infection microbiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: This study utilized an orthogonal experimental design to optimize the bedside precleaning protocol for colonoscopes. It evaluated the correlation between adenosine triphosphate (ATP) bioluminescence testing and microbial culture results, thereby establishing an evidence-based foundation for quality control in endoscopy. Methods: Four factors affecting colonoscope bedside precleaning were selected, each with three levels, and arranged into nine protocols using an L9(3 Results: Factors A (types of detergents) and C (suction duration) demonstrated statistically significant effects on post-precleaning ATP values and microbial counts (P = 0.035 and P = 0.048, respectively), with alkaline solution (A Conclusions: The optimized colonoscope bedside precleaning protocol for reducing biopsy channel contamination includes: alkaline solution (A
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