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  • Title: [Flexible cystoscopes: disinfection and microbiological surveillance practices among French urologists].
    Author: Malavaud S, Boiteux JP, Coloby P, Bugel H, Verine JL, Conquy S, Doublet JD, Bruyère F.
    Journal: Prog Urol; 2012 Oct; 22(12):731-5. PubMed ID: 22999121.
    Abstract:
    INTRODUCTION: According to the French regulatory authorities, the highest level of disinfection must be achieved for flexible cystoscopes, as they enter a sterile cavity, the current method being peracetic acid disinfection and sterile water terminal rinsing. MATERIAL AND METHODS: The concordance between regulations and the routine was researched using a self-administered questionnaire sent to all French urologists. RESULTS: Responses from 78 urology units, totalling 317 urologists (26% response rate) were analysed. As a whole, 51.2% of centers followed all recommendations on disinfection. There was no microbiological surveillance in 16.6% of centers, although microbiological tests were performed in two out of three centers before using a new endoscope or when returning from maintenance. CONCLUSION: Improvements are needed, both in the disinfection process and the microbiological surveillance. Low temperature sterilization and the use of sterile disposable sheaths may represent an alternative.
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