title: Endoscope reprocessing using glutaraldehyde in endoscopy services of Goiânia, Brazil: a realidade em serviços de endoscopia de Goiânia, GO.
abstract: BACKGROUND
  The endoscopic procedure safety depends on the use of an adequately reprocessed device which quality is related to each of its operational steps.
  
  
  OBJECTIVE
  To characterize the reprocessing of endoscopes using glutaraldehyde in endoscopy services
  
  
  METHODS
  Study was conducted by observing the reprocessing of 60 endoscopes from 20 medical practices of the municipality of Goiânia, GO, central area of Brazil.
  
  
  RESULTS
  This study showed failure in all reprocessing steps. The pre-washing was performed in 24 (40.0%) of the endoscope. In the cleaning steps, was identify the improper use of enzymatic detergent, and in 27 (45.0%) cases, the brushing of internal channels was not performed. All 60 endoscopes were submitted to this disinfectant. However, for 33 (55.0%) of the cases the internal channels was not filled. The total immersion of endoscope in the glutaraldehyde was not performed in 39 (65.0%) cases. The recommended minimum total immersion time for exposure to 2% glutaraldehyde solution was followed only for 12 (20.0%) endoscopes. There was no filter for water treatment used in the rinse of most endoscopes 54 (90.0%) and to dry the internal channels only 6 (10.0%) of them used compressed air. Adequate storing conditions were identified.
  
  
  CONCLUSIONS
  Considering the particularities of the endoscope and its reprocessing, it is imperative to establish protocols to ensure the quality of the disinfection and the prevention of cross-contamination.
authors.affiliation: Municipal Secretary of Goiânia, Ribeirão Preto, SP, Brazil. jackelinemaciel@uol.com.br
authors.forename: Jackeline Maciel
authors.initials: JM
authors.lastname: Barbosa
authors.forename: Adenicía Custódia Silva
authors.initials: AC
authors.lastname: Souza
authors.forename: Anaclara Ferreira Veiga
authors.initials: AF
authors.lastname: Tipple
authors.forename: Fabiana Cristina
authors.initials: FC
authors.lastname: Pimenta
authors.forename: Lara Stefania Netto de Oliveira
authors.initials: LS
authors.lastname: Leão
authors.forename: Silvia Rita Marin Caninni
authors.initials: SR
authors.lastname: Silva
mesh_terms: D001938:Brazil; D003428:Cross Infection / Q000517:prevention & control; D004202:Disinfectants / Q000494:pharmacology*; D004203:Disinfection / Q000379:methods* / Q000592:standards; D020776:Endoscopes, Gastrointestinal / Q000382:microbiology*; D004866:Equipment Contamination / Q000517:prevention & control*; D017743:Equipment Reuse / Q000592:standards; D005976:Glutaral / Q000494:pharmacology*
chemical_list: D004202:Disinfectants; D005976:Glutaral