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Follow-up and management of patients exposed to a flawed automated endoscope washer-disinfector in a digestive diseases unit.
Authors:Philippe Vanhems  Angele Gayet-Ageron  Thierry Ponchon  Claude Bernet  Jean-Alain Chayvialle  Christine Chemorin  Leone Morandat  Marie-Ange Bibollet  Philippe Chevallier  Jacques Ritter  Jacques Fabry
Affiliation:Unite d'Epidemiologie et d'Hygiene Hospitaliere, Hopital Edouard Herriot, Lyon, France. Philipva@lyon-sud.univ-lyon1.fr
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.
Keywords:
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