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Table 5 Cost of consumables involved in reprocessing endoscopes with manual cleaning plus AER

From: Comparative cost-efficiency of the EVOTECH endoscope cleaner and reprocessor versus manual cleaning plus automated endoscope reprocessing in a real-world Canadian hospital endoscopy setting

 

Cost per Scope

Cost per Year

Multiuse brushes

$1.11 (broncho)

$1.59 (colono/gastro)

$15, 860.21*

Sterilization of multiuse brushes

$0.14

$1, 443.00

Test strips

$1.21

$12, 465.17

Fibertech Enzymatic soap (4L)

$0.70

$7, 207.53

Cidex OPA** in AER for automated endoscope cleaning

$4.15

$42, 822.86

Labour to change Cidex after every 45 cycles

$0.09

$933.02

70% alcohol for alcohol flush

$0.006

$62.05

Cidex OPA in ultrasonic device to clean multiuse brushes

$0.03

$284.58

Blue wipes to dry endoscopes after manual cleaning

$0.29

$3, 037.03

Blue wraps to cover brushes to be autoclaved at the end of each day

$0.004

$38.27

Small filter (6 per year)

$0.009

$90.00

Ultra filter replacement every 2 years

$0.04

$425.00

Ultra filter cleaning 3 times per year - labour

$0.03

$360.00

Ultra filter cleaning 3 times per year - Cidex

$0.07

$700.50

Total annual consumables cost

 

$85, 729.23

Cost of consumables per scope

 

$8.31

  1. *Annual cost of disposable brushes would be much higher at $82, 528.
  2. **A less costly disinfectant such as glutaraldehyde may be used; if glutaraldehyde was used, the disinfectant cost would be lower.