Exogenous endoscopy-related infections, pseudo-infections, and toxic reactions: clinical and economic burden.

Abstract:

OBJECTIVES:The objective of this study was to analyze the characteristics and costs of exogenous endoscopy-related infections, pseudo-infections, and toxic reactions in the US. METHODS:A systematic review of the scientific literature published between 1966 and 2005 was conducted in Medline. Data collection was based on a prospective protocol developed by the authors. RESULTS:The literature review included 70 outbreaks described in 64 scientific articles. Bronchoscopy accounted for half of all reported outbreaks. Inadequate decontamination practices were the leading cause of contamination; equipment malfunction became the second leading cause of contamination during the period 1990-2004. More than 91% of the infections identified could be prevented by health care providers if quality control systems are improved and implemented. The available economic information concerning exogenous endoscope related events is very limited. A model for the analysis of the economic burden of exogenous endoscopy-related events is proposed. CONCLUSIONS:Proper decontamination practices, the use of protective sheaths, and the improvement of surveillance systems could reduce the clinical and economic burdens associated with exogenous endoscopy-related events.

journal_name

Curr Med Res Opin

authors

Seoane-Vazquez E,Rodriguez-Monguio R,Visaria J,Carlson A

doi

10.1185/030079906X121048

subject

Has Abstract

pub_date

2006-10-01 00:00:00

pages

2007-21

issue

10

eissn

0300-7995

issn

1473-4877

journal_volume

22

pub_type

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