Transmission of multidrug-resistant organisms between patients undergoing ERCP prompted the U.S. Food and Drug Administration to issue guidance for endoscopy departments to adopt intensified reprocessing practices and\/or newer endoscope designs that are partially or entirely disposable. These authors used a Monte Carlo analysis to evaluate the cost-utility of each of the currently advised approaches for reducing transmission, including single and double high-level disinfection (HLD), ethylene oxide (ETO) sterilization, culture and quarantine, use of instruments with removable\/disposable endcaps, and single-use fully disposable instruments (SU). Cost of care for transmitted infections and postprocedure quality-adjusted life years (QALY) were included. <\/p>\n\n\n\n
When transmission rates were below 1%, the disposable-tip endoscopes yielded the most favorable cost-utility compared with both SU endoscopes and enhanced reprocessing of fixed-tip instruments. The cost-utility of SU instruments exceeded both single and double HLD reprocessing of fixed-tip endoscopes. SU endoscopes were also more cost-effective than culture-quarantine for infection rates >0.56% and ETO sterilization for rates >0.32%. Cost-utility profiles varied depending on variations in assigned QALY values, postexposure lifespan, hospital volume, and environmental costs.<\/p>\n","protected":false},"excerpt":{"rendered":"
Transmission of multidrug-resistant organisms between patients undergoing ERCP prompted the U.S. Food and Drug Administration to issue guidance for endoscopy departments to adopt intensified reprocessing practices and\/or newer endoscope designs that are partially or entirely disposable. These authors used a Monte Carlo analysis to evaluate the cost-utility of each of the currently advised approaches for … Read more<\/a><\/p>\n","protected":false},"template":"","categories":[1768,67],"tags":[3154,2669,3156,3155,2128,3157],"class_list":["post-11623","ec-news","type-ec-news","status-publish","hentry","category-asge-journal-scan","category-bauchspeicheldruese-pankreas","tag-duodenoscopes","tag-eto","tag-hld","tag-monte-carlo-simulation","tag-pancreatobiliary","tag-qaly"],"_links":{"self":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news\/11623","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news"}],"about":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/types\/ec-news"}],"wp:attachment":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/media?parent=11623"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/categories?post=11623"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/tags?post=11623"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}