中国消化内镜再处理专家共识（2024，重庆）

Chinese expert consensus on gastrointestinal endoscope reprocessing (2024, Chongqing)

摘要:

消化内镜再处理是一个多步骤过程，涵盖从预处理到储存的各个环节，任何环节的操作不当都可能导致病原体存活并引发感染。近年来，多重耐药菌导致的消化内镜感染暴发事件频发，规范消化内镜再处理的重要性不容忽视。本共识参考国内外文献、指南、临床实践，并结合我国国情，对消化内镜再处理流程再次进行了梳理总结和更新，经讨论最终确定了预处理、转运、测漏、手工清洗、漂洗、消毒/灭菌、干燥、储存等17个关键临床问题，并为相关从业人员进行消化内镜再处理提供了28条详细的操作推荐意见，旨在确保消化内镜再处理的效果。

Abstract:

Gastrointestinal endoscope reprocessing is a complex multi?step process, encompassing various stages from pre?cleaning to storage. Improper operation at any stage may lead to pathogens survival and infections. In recent years, outbreaks of gastrointestinal endoscope?related infections caused by multi?drug resistant bacteria occurred frequently, highlighting the importance of standardized reprocessing of gastrointestinal endoscopes. The consensus has reviewed and updated the reprocessing procedures for gastrointestinal endoscopy, referring to domestic and international literature, guidelines, and clinical practices, while also taking into the specific conditions in China. The consensus identifies 17 key clinical issues, including pre?cleaning, transportation, leak testing, manual cleaning, rinsing, disinfection/sterilization, drying, and storage, and provides 28 detailed operational recommendations for relevant professionals to ensure the effectiveness of gastrointestinal endoscope reprocessing.