Skip to main content Accessibility help
×
Home

Disinfection of flexible fibre-optic endoscopes out-of-hours: confidential telephone survey of ENT units in England – 10 years on

  • PD Radford (a1), SN Unadkat (a1), M Rollin (a1) and NS Tolley (a1)

Abstract

Objective:

To audit out-of-hours flexible endoscope disinfection practice in England and compare the findings with a previously published first audit cycle, with the 2005 ENT UK guidelines as the key intervention.

Methods:

A telephone survey of the 104 ENT units in England was conducted out-of-hours, replicating the first cycle. The on-call clinician answered questions concerning access to flexible endoscopes, training, disinfection procedures and record keeping. Information regarding the clinician's trainee grade and their cross-covering duties was also acquired. Responses were compared to the first cycle results and published guidance.

Results:

In total, 72 of the 104 units agreed to participate. The on-call clinician cleaned the flexible endoscope in 43 per cent of units. However, adequate training in disinfection only occurred in a minority of units (37 per cent), though this was an improvement from the first cycle (12 per cent). Furthermore, 27 per cent of units used an inadequate method of disinfection out-of-hours. One confounding factor may be the increase in cross-cover out-of-hours, with 68 per cent of respondents covering one or more other specialties.

Conclusion:

An overall moderate improvement in the safety of out-of-hours endoscopy in the past 10 years cannot obscure the urgent need for universal compliance with national guidelines.

Copyright

Corresponding author

Address for correspondence: Mr P Radford, Goddards, Hunsdon Rd, Widford SG12 8SE, UK E-mail: peter.radford@doctors.org.uk

Footnotes

Hide All

Presented as a poster at the British Academic Conference in Otolaryngology, 4–6 July 2012, Glasgow, Scotland, UK.

Footnotes

References

Hide All
1Muscarella, LF. Prevention of disease transmission during flexible laryngoscopy. Am J Infect Control 2007;35:536–44
2Banfield, GK, Hinton, AE. A national survey of disinfection techniques for flexible nasendoscopes in UK ENT out-patient departments. J Laryngol Otol 2000;114:202–4
3Lubbe, DE, Fagan, JJ. South African survey on disinfection techniques for the flexible nasopharyngoscope. J Laryngol Otol 2003;117:811–14
4Kanagalingam, J, Zainal, A, Georgalas, C, Paun, S, Tolley, NS. The disinfection of flexible fibre-optic nasendoscopes out-of-hours: confidential telephone survey of ENT units in England. J Laryngol Otol 2002;116:817–22
5Guidelines for cleaning fibreoptic laryngoscopes. In: https://entuk.org/docs/prof/publications/full_guidelines_cleaning_fibreoptic_laryngosopes [1 June 2012]
6Swift, AC. Guidance on the decontamination and sterilization of rigid and flexible endoscopes. London: ENT UK, 2010
7Biswas, D, Rafferty, A, Jassar, P. Night emergency cover for ENT in England: a national survey. J Laryngol Otol 2009;123:899902
8Pothier, DD, Ahluwalia, S, Monteiro, P. Hospital at night? Not for ENT. Bull R Coll Surg Engl 2006;88:134–6
9Sharpe, D, Farboud, A, Trinidade, A. 'Is that the ENT SHO?': concerns over training and experience of juniors expected to cross-cover ENT at night. Clin Otolaryngol 2009;34:275
10Tristel's micro-biological efficacy. In: http://www.tristel.com/wp-content/uploads/2012/07/Tristel-Wipes-System-Brochure.pdf [18 March 2013]
11Vadrot, C, Darbord, JC. Quantitative evaluation of prion inactivation comparing steam sterilization and chemical sterilants: proposed method for test standardization. J Hosp Infect 2006;64:143–8
12Street, I, Hamann, J, Harries, M. Audit of nasendoscope disinfection practice. Surgeon 2006;4:1113

Keywords

Disinfection of flexible fibre-optic endoscopes out-of-hours: confidential telephone survey of ENT units in England – 10 years on

  • PD Radford (a1), SN Unadkat (a1), M Rollin (a1) and NS Tolley (a1)

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed