Evidence map›Paper›PMID 42626260›Full record

ArticleWorld journal of methodology2026

Efficacy of duodenoscope with disposable distal cap in reducing microbial contamination: A systematic review and meta-analysis.

Beanie Conceição Medeiros Nunes, Stefano Baraldo, Joao Ricardo Duda, Luiza Fenelon, Matheus Cavalcante Franco, Murilo Cavalcante Netto do Carmo, Diogo Bergesch Diedrich, Marcelo Cristalli Pacheco da Costa, Angelo So Taa Kum

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Article in World journal of methodology, 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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1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Beanie Conceição Medeiros NunesDepartment of Gastroenterology Endoscopy Unit, Hospital das Clínicas, Faculty of Medicine, University of Sao Paulo, Sao Paulo 05403-010, SP, Brazil.
Stefano BaraldoDepartment of Endoscopy, Barretos Cancer Hospital, Barretos 14784-400, Sao Paulo, Brazil.
Joao Ricardo DudaEndoscopy Unit, Endoskope Diagnósticos Endoscópicos, Curitiba 80060-272, Paraná, Brazil.
Luiza FenelonEndoscopy Unit, University of Sao Paulo University Hospital of Sao Paulo, Sao Paulo 05508-000, SP, Brazil.
Matheus Cavalcante FrancoDivision of Gastroenterology, UT Health San Antonio, San Antonio, TX 78229, United States.
Murilo Cavalcante Netto do CarmoHospital, Federal University of Health Sciences of Porto Alegre, Porto Alegre 90050-170, Rio Grande do Sul, Brazil.
Diogo Bergesch DiedrichHospital, Federal University of Health Sciences of Porto Alegre, Porto Alegre 90050-170, Rio Grande do Sul, Brazil.
Marcelo Cristalli Pacheco da CostaEndoscopy Unit, Unimed Sorocaba, Sorocaba 18052-775, SP, Brazil.
Angelo So Taa KumDepartment of Gastroenterology Endoscopy Unit, Hospital das Clínicas, Faculty of Medicine, University of Sao Paulo, Sao Paulo 05403-010, SP, Brazil. angelo.kum@alumni.usp.br.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPersistent microbial contamination of duodenoscopes remains a critical vector for healthcare-associated infections involving multidrug-resistant organisms. Despite adherence to standard high-level disinfection (HLD) protocols, contamination rates remain alarming. To mitigate this risk, the United States Food and Drug Administration has recommended transitioning to duodenoscopes with disposable components.

aimTo investigate the efficacy of disposable distal cap compared to standard duodenoscope reprocessing with HLD in reducing microbial contamination.

methodsFollowing Preferred Reporting Items for Systematic Reviews and Meta-analysis and Cochrane guidelines, we conducted a systematic search of MEDLINE, EMBASE, Google Scholar, and grey literature for randomized controlled trials comparing disposable distal cap

resultsFour randomized controlled trials met the inclusion criteria, encompassing 1092 duodenoscopes (543 disposable distal cap, 549 standard). The use of disposable cap demonstrated a significant and substantial reduction in post-HLD contamination rates. The pooled analysis showed a risk ratio of 0.32 (95% confidence interval: 0.16-0.67;

conclusionDisposable distal cap significantly decreases microbial contamination rates compared to standard duodenoscope reprocessing protocols. This technology represents a robust and effective strategy to enhance the safety of duodenoscope reprocessing.

Indexed as

Duodenoscope with disposable distal capHigh-level disinfectionMeta-analysisMicrobial contaminationStandard duodenoscopeSystematic review

Identifiers

PMID42626260
PMCPMC13491128

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Registered trials

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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.