Monouso e pluriuso in endoscopia digestiva - EndoscopiaDigestiva.it
Monouso e pluriuso in endoscopia digestiva - EndoscopiaDigestiva.it Monouso e pluriuso in endoscopia digestiva - EndoscopiaDigestiva.it
&dirittidoveriGESTIONE19TAB. 3: VARIABILI DA ESAMINARE NELLA SCELTA DI ACCESSORIMONOUSO E PLURIUSOMONOUSOCosto dell’accessorioCosto di smaltimentoNumero di procedure/annoPLURIUSOCosto dell’investimento inizialeammortizzato per la durata dell’accessorioCosto di disinfezione e sterilizzazioneCosti di immagazzinamentoCosti di riparazioneNumero di procedure/annoCONCLUSIONILa scelta fra accessori monouso o riutilizzabilinon è facile e comporta un’analisi multifattorialeche deve tenere in considerazione primadi tutto la sicurezza per il paziente. Il problemadei costi non può essere l’unico criterio di sceltaè indispensabile pertanto porsi altre domande:12• Quante indagini vengono effettuate l’anno?• Quali tipologie di procedure viene eseguita?• Qual è l’outlay per il monouso per anno?• Viene rimborsato l’accessorio monouso?• Chi provvede al reprocessing?• Vi è uno spazio adeguato per lo stoccaggio?• Vi è un supporto per la gestione del rischio per il medico e gli operatori?• Qual è il costo del monouso?• Vi è un facile accesso ai processi di sterilizzazione?• Il budget per lo stoccaggio è sufficiente?• Vi sono criteri di valutazione dell’efficacia del reprocessing?• Vi è disponibilità di accessori in caso di rottura?• Qual’è il budget a disposizione per le riparazioni?
Monouso e pluriuso in endoscopia digestiva&dirittidoveriBIBLIOGRAFIA1. Rutala WA. APIC guideline for selection and use of disinfectants. Am J of Infection Control1990;18:99-1172.2. Rutala WA. APIC guideline for selection and use of disinfectants. Am J of Infection Control1996;24(4):313-342.3. Alvarado CJ, Reichelderfer M. APIC giudelines for infection prevention and control in flexibleendoscopy. Am J Infect Control 2000;28:128-55.4. Position statement. Multi-society guideline for reprocessing flexible gastrointestinal endoscopes.Gestrointestinal Endoscopy 2003;58:1-85. ESGE/ESGENA Technical note on cleaning and disinfection Endoscopy 2003;35:869-877.6. Raltz SL, Kozarek RA. Overview of the problem. Reprocessing versus disposal of endoscopicaccessories. Gastrointest Endosc Clinics of North America 2000;10 (2):329-339.7. Wolfsen HC. Advantages of reusable accessories. Gastrointest Endosc Clinics of NorthAmerica 2000;10(2):349-353.8. Petersen BT. Advantages of disposable endoscopic accessories. Gastrointest Endosc Clinicsof North America 2000;10(2):341-349.9. Wilcox CM. Methodology of reprocessing one-time use accessories. Gastrointest EndoscClinics of North America 2000;10(2):379-38310. Kozarek RA, Raltz SL, Merriam LD. et al. Disposable versus reusable biopsy forceps: aprospective evaluation of cost. Gastrointest Endosc 1996;43:10-13.11. Turk DJ, Kozarek RA, Botoman VA. et al. Disposable endoscopic biopsy forceps: comparisonwith standard forceps of sample size and adequacy of specimen. J Clin Gastroenterol1991;13:76-78.12. Yang R, Naritoku W, Laine L. Prospective randomized comparision of disposable andreusable biopsy forceps in gastrointestinal endoscopy. Gastrointest Endosc 1994;40:671-674.13. Yang R, Vuitch F, Wright K. et al. Adeguacy of disposable biopsy forceps for gastrointestinalendoscopy: a direct comparison with reusable forceps. Gastrointest Endosc 1990;36:379-381.14. Woods KL. Influence of endoscopic biopsy forceps characteristics on tissue specimens: resultsof a prospective randomised study Gastrointest Endosc 1999;49:11-183.15. Shaw D. Results of a multicenter trial using a mechanical lithotripter for the treatment oflarge common bile duct stones. Am. J. Gastroenterol 1993;88:730-73316. Cohen J, Haber GB, Kortan P. et al. A prospective study of the repeated use of sterilized papillotomesand retrieval baskets for ERCP: quality and cost analysis. Gastrointest Endosc1997;45:211-213.17. Deprez PH. Disposable versus reusable biopsy forceps: a prospective cost evaluation. GastrointestinalEndosc 2000;51(3):363-5.18. Bond W.W. Overview of infection control problems. Principles in gastrointestinal Endoscopy.Gastroint Endosc Clinics of North America 2000;10 (2):199-213.19. Birnie GG, Quigley EM, Clements G.B. et al. Endoscopic transmission of hepatitis B virus.Gut 1983;24:171-174.20. Bronowicki JP, Venard V, Botte C. et al. Patient-to-patient transmission of hepatitis C virusduring colonscopy. N Engl J Med 1997;337:237-240.21. American Society for Gastrointestinal Endoscopy. Trasmission of infection by gastrointestinalendoscopy. Gastrointest Endosc 2001;54 (6):824-828.22. Andrieu J, Barny S, Colardelle P. et al. Prevalence and risk factors for hepatitis C infection ina hospitalised population in gastroenterology. Role of perendoscopic biopsies. GastroenterolClin Biol 1995;19:340-345.23. Gaudin JL, Bobichon R, Dumont O. et al. Systematic hepatitis C virus screening in patientssubmitted to ambulatory endoscopic procedures. Endoscopy 1996;28:42S.24. Kim-Deobald J, Kozarek RA, Ball TJ. et al. Prospective evaluation of costs disposable accessoriesin diagnostic and therapeutic ERCP. Gastrointest Endosc 1993;39:763-765.25. Walker RS, Vanagunas AD, Williams P. et al. Therapeutic ERCP: a cost-prohibitive procedure?Gastrointest Endosc 1997;46:143-146.26. Bourguignon C, Destrumelle AS, Koch S,Grumblat A, Carayon P, Chopard C, Woronoff-Lemsi M.C. Disposable versus reusable in GI endoscopy: A cost-minimization analysis.Gastrointest Endosc 2003;58,226-29.27. Prat F, Spieler JF, Paci S, Pallier C, Fritsch J, Pelletier G, Raspaud S, Nordman P, Buffet C. Reliability,cost-effectiveness, and safety of reuse of ancillary devices for ERCP. GastrointestEndosc 2004;60,246-52.13
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<strong>Monouso</strong> e <strong>pluriuso</strong> <strong>in</strong> <strong>endoscopia</strong> <strong>digestiva</strong>&dir<strong>it</strong>tidoveriBIBLIOGRAFIA1. Rutala WA. APIC guidel<strong>in</strong>e for selection and use of dis<strong>in</strong>fectants. Am J of Infection Control1990;18:99-1172.2. Rutala WA. APIC guidel<strong>in</strong>e for selection and use of dis<strong>in</strong>fectants. Am J of Infection Control1996;24(4):313-342.3. Alvarado CJ, Reichelderfer M. APIC giudel<strong>in</strong>es for <strong>in</strong>fection prevention and control <strong>in</strong> flexibleendoscopy. Am J Infect Control 2000;28:128-55.4. Pos<strong>it</strong>ion statement. Multi-society guidel<strong>in</strong>e for reprocess<strong>in</strong>g flexible gastro<strong>in</strong>test<strong>in</strong>al endoscopes.Gestro<strong>in</strong>test<strong>in</strong>al Endoscopy 2003;58:1-85. ESGE/ESGENA Technical note on clean<strong>in</strong>g and dis<strong>in</strong>fection Endoscopy 2003;35:869-877.6. Raltz SL, Kozarek RA. Overview of the problem. Reprocess<strong>in</strong>g versus disposal of endoscopicaccessories. Gastro<strong>in</strong>test Endosc Cl<strong>in</strong>ics of North America 2000;10 (2):329-339.7. Wolfsen HC. Advantages of reusable accessories. Gastro<strong>in</strong>test Endosc Cl<strong>in</strong>ics of NorthAmerica 2000;10(2):349-353.8. Petersen BT. Advantages of disposable endoscopic accessories. Gastro<strong>in</strong>test Endosc Cl<strong>in</strong>icsof North America 2000;10(2):341-349.9. Wilcox CM. Methodology of reprocess<strong>in</strong>g one-time use accessories. Gastro<strong>in</strong>test EndoscCl<strong>in</strong>ics of North America 2000;10(2):379-38310. Kozarek RA, Raltz SL, Merriam LD. et al. Disposable versus reusable biopsy forceps: aprospective evaluation of cost. Gastro<strong>in</strong>test Endosc 1996;43:10-13.11. Turk DJ, Kozarek RA, Botoman VA. et al. Disposable endoscopic biopsy forceps: comparisonw<strong>it</strong>h standard forceps of sample size and adequacy of specimen. J Cl<strong>in</strong> Gastroenterol1991;13:76-78.12. Yang R, Nar<strong>it</strong>oku W, La<strong>in</strong>e L. Prospective randomized comparision of disposable andreusable biopsy forceps <strong>in</strong> gastro<strong>in</strong>test<strong>in</strong>al endoscopy. Gastro<strong>in</strong>test Endosc 1994;40:671-674.13. Yang R, Vu<strong>it</strong>ch F, Wright K. et al. Adeguacy of disposable biopsy forceps for gastro<strong>in</strong>test<strong>in</strong>alendoscopy: a direct comparison w<strong>it</strong>h reusable forceps. Gastro<strong>in</strong>test Endosc 1990;36:379-381.14. Woods KL. Influence of endoscopic biopsy forceps characteristics on tissue specimens: resultsof a prospective randomised study Gastro<strong>in</strong>test Endosc 1999;49:11-183.15. Shaw D. Results of a multicenter trial us<strong>in</strong>g a mechanical l<strong>it</strong>hotripter for the treatment oflarge common bile duct stones. Am. J. Gastroenterol 1993;88:730-73316. Cohen J, Haber GB, Kortan P. et al. A prospective study of the repeated use of sterilized papillotomesand retrieval baskets for ERCP: qual<strong>it</strong>y and cost analysis. Gastro<strong>in</strong>test Endosc1997;45:211-213.17. Deprez PH. Disposable versus reusable biopsy forceps: a prospective cost evaluation. Gastro<strong>in</strong>test<strong>in</strong>alEndosc 2000;51(3):363-5.18. Bond W.W. Overview of <strong>in</strong>fection control problems. Pr<strong>in</strong>ciples <strong>in</strong> gastro<strong>in</strong>test<strong>in</strong>al Endoscopy.Gastro<strong>in</strong>t Endosc Cl<strong>in</strong>ics of North America 2000;10 (2):199-213.19. Birnie GG, Quigley EM, Clements G.B. et al. Endoscopic transmission of hepat<strong>it</strong>is B virus.Gut 1983;24:171-174.20. Bronowicki JP, Venard V, Botte C. et al. Patient-to-patient transmission of hepat<strong>it</strong>is C virusdur<strong>in</strong>g colonscopy. N Engl J Med 1997;337:237-240.21. American Society for Gastro<strong>in</strong>test<strong>in</strong>al Endoscopy. Trasmission of <strong>in</strong>fection by gastro<strong>in</strong>test<strong>in</strong>alendoscopy. Gastro<strong>in</strong>test Endosc 2001;54 (6):824-828.22. Andrieu J, Barny S, Colardelle P. et al. Prevalence and risk factors for hepat<strong>it</strong>is C <strong>in</strong>fection <strong>in</strong>a hosp<strong>it</strong>alised population <strong>in</strong> gastroenterology. Role of perendoscopic biopsies. GastroenterolCl<strong>in</strong> Biol 1995;19:340-345.23. Gaud<strong>in</strong> JL, Bobichon R, Dumont O. et al. Systematic hepat<strong>it</strong>is C virus screen<strong>in</strong>g <strong>in</strong> patientssubm<strong>it</strong>ted to ambulatory endoscopic procedures. Endoscopy 1996;28:42S.24. Kim-Deobald J, Kozarek RA, Ball TJ. et al. Prospective evaluation of costs disposable accessories<strong>in</strong> diagnostic and therapeutic ERCP. Gastro<strong>in</strong>test Endosc 1993;39:763-765.25. Walker RS, Vanagunas AD, Williams P. et al. Therapeutic ERCP: a cost-prohib<strong>it</strong>ive procedure?Gastro<strong>in</strong>test Endosc 1997;46:143-146.26. Bourguignon C, Destrumelle AS, Koch S,Grumblat A, Carayon P, Chopard C, Woronoff-Lemsi M.C. Disposable versus reusable <strong>in</strong> GI endoscopy: A cost-m<strong>in</strong>imization analysis.Gastro<strong>in</strong>test Endosc 2003;58,226-29.27. Prat F, Spieler JF, Paci S, Pallier C, Fr<strong>it</strong>sch J, Pelletier G, Raspaud S, Nordman P, Buffet C. Reliabil<strong>it</strong>y,cost-effectiveness, and safety of reuse of ancillary devices for ERCP. Gastro<strong>in</strong>testEndosc 2004;60,246-52.13
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