title: [Microbiological evaluation of cystoscope reprocessing at Brest university hospital from January 2007 through December 2014].
abstract: OBJECTIVE
  Flexible cystoscopes are high temperature sensitive devices that must undergo high-level disinfection according to Spaulding classification. The objective of this study is to provide epidemiological data on the monitoring of microbiological quality of cystoscopes used in a teaching hospital, in order to determine the compliance rate of disinfection and to describe the main identified microorganisms.
  
  
  METHODS
  Prospective study of all the results of microbiological samples taken for 8 years at the Brest teaching hospital. The analysis results were interpreted according to the ministerial recommendations.
  
  
  RESULTS
  During the study, 87 microbiological tests were performed. The rate of non-compliant samples was 19.5% (17/87). This rate reached 24.5% (12/49) of the programmed controls. The microorganisms identified were present in small amounts, corresponding mainly to bacteria from the environment.
  
  
  CONCLUSIONS
  The rate of non-compliance of the microbiological tests performed on cystoscopes is relatively high (19.5%), but the infectious risk seems limited. Hidden microorganisms are present in small quantities and identified germs are not known to be responsible for urinary tract infections. Educating professionals responsible for cystoscopes reprocessing and conducting regular audits may help to ensure a good level of cystoscope disinfection.
authors.affiliation: Équipe opérationnelle d'hygiène, service d'hygiène hospitalière, CHRU Morvan, 2, avenue Foch, 29200 Brest, France. Electronic address: philippe.saliou@chu-brest.fr.
authors.forename: P
authors.initials: P
authors.lastname: Saliou
authors.affiliation: Département de microbiologie, CHRU de Brest, 29200 Brest, France.
authors.forename: H
authors.initials: H
authors.lastname: Le Bars
authors.affiliation: Service de chirurgie urologique, CHRU de Brest, 29200 Brest, France; Université de Bretagne occidentale, 29200 Brest, France.
authors.forename: G
authors.initials: G
authors.lastname: Fournier
authors.affiliation: Équipe opérationnelle d'hygiène, service d'hygiène hospitalière, CHRU Morvan, 2, avenue Foch, 29200 Brest, France; Département de microbiologie, CHRU de Brest, 29200 Brest, France.
authors.forename: R
authors.initials: R
authors.lastname: Baron
mesh_terms: D020684:Cystoscopes / Q000382:microbiology*; D004203:Disinfection / Q000592:standards* / Q000706:statistics & numerical data; D017743:Equipment Reuse / Q000592:standards; D006785:Hospitals, University; D006801:Humans; D011446:Prospective Studies; D013997:Time Factors
keywords: Cystoscopes souples; Disinfection; Désinfection; Epidemiology; Flexible cystoscopes; Microbiological monitoring; Surveillance microbiologique; Épidémiologie