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Table 1 Comparison of the cleaning and disinfection procedures recommended by the European Society for Gastrointetsinal Endoscopy (ESGE) [2] and those used in the present trial.

From: Quality control in colorectal cancer screening: Systematic microbiological investigation of endoscopes used in the NORCCAP (Norwegian Colorectal Cancer Prevention) trial

 

ESGE guidelines

Policy in the present trial

1. Manual cleaning

• Flushing air/water channel with water

• Flushing air/water channel with water

 

• Immersion in water and detergent, external cleaning and brushing/rinsing of instrument channels

• Immersion in water and detergent, external cleaning and brushing/rinsing of instrument channels

 

• Flushing air/water channel with detergent (facultative)

• Flushing air/water channel with detergent*

2. Automatic disinfection

• Washing, disinfection and drying according to the manufacturer specification

• Washing, disinfection and drying according to the manufacturer specification

3. Before storage

-

• Flushing biopsy channel with 70% alcohol*

  1. *Comprehensive procedures, incorporated in local policy after finding of Enterobacter cloacae in one endoscope.