title: Follow-up and management of patients exposed to a flawed automated endoscope washer-disinfector in a digestive diseases unit.
abstract: The possible transmission of pathogens to 236 persons exposed to an endoscope processed in a flawed automated endoscope washer-disinfector in a gastrointestinal endoscopy unit was investigated. During 6 months, 197 patients (83.5%) were followed up, and no cases of acute human immunodeficiency virus, hepatitis C virus, or hepatitis B virus infection were observed. This event created the conditions for improvements in safety procedures.
authors.affiliation: Unite d'Epidemiologie et d'Hygiene Hospitaliere, Hopital Edouard Herriot, Lyon, France. Philipva@lyon-sud.univ-lyon1.fr
authors.forename: Philippe
authors.initials: P
authors.lastname: Vanhems
authors.forename: Angele
authors.initials: A
authors.lastname: Gayet-Ageron
authors.forename: Thierry
authors.initials: T
authors.lastname: Ponchon
authors.forename: Claude
authors.initials: C
authors.lastname: Bernet
authors.forename: Jean-Alain
authors.initials: JA
authors.lastname: Chayvialle
authors.forename: Christine
authors.initials: C
authors.lastname: Chemorin
authors.forename: Leone
authors.initials: L
authors.lastname: Morandat
authors.forename: Marie-Ange
authors.initials: MA
authors.lastname: Bibollet
authors.forename: Philippe
authors.initials: P
authors.lastname: Chevallier
authors.forename: Jacques
authors.initials: J
authors.lastname: Ritter
authors.forename: Jacques
authors.initials: J
authors.lastname: Fabry
mesh_terms: D000328:Adult; D000368:Aged; D003428:Cross Infection / Q000453:epidemiology / Q000209:etiology; D020776:Endoscopes, Gastrointestinal / Q000009:adverse effects*; D016099:Endoscopy, Gastrointestinal / Q000009:adverse effects*; D004866:Equipment Contamination; D004868:Equipment Failure; D005260:Female; D006801:Humans; D017053:Infection Control / Q000295:instrumentation / Q000379:methods*; D008297:Male; D008875:Middle Aged