Endoscope infection transmission state-of-the-art: Beyond duodenoscopes to a culture of infection prevention

Susan Hutfless

Research output: Contribution to journalReview articlepeer-review

1 Scopus citations


Purpose of reviewThe elevator mechanism of the duodenoscope was the focus of endoscopically transmitted infections prior to the COVID-19 pandemic. Since that time, the 'suspicious suspects' in the endoscopy unit have grown in number in the eyes of both patients and endoscopists.Recent findingsThis review summarizes the existing guidelines related to infection control in the endoscopy unit and emerging technologies to address gaps, identifies recommendations proposed during the COVID-19 pandemic, and reminds the reader that infection prevention has not changed since the emergence of COVID-19, only the importance of infection prevention has increased in visibility.SummaryInfection prevention has been and will always be necessary in the gastrointestinal endoscopy unit. Although outbreaks of antibiotic-resistant organisms and infectious diseases like COVID-19 raise the profile of infection control, there have been no major changes to infection control practice recommendations because of the global pandemic. The history of lapses in infection control, persistent contamination of reprocessed endoscopes, and failure of many endoscopy units to identify certain endoscopic procedures as aerosol-generating procedures prior to the pandemic emphasize the need for better knowledge and implementation of infection control practices within endoscopy units.

Original languageEnglish (US)
Pages (from-to)366-369
Number of pages4
JournalCurrent opinion in gastroenterology
Issue number5
StatePublished - Sep 1 2020


  • coronavirus
  • duodenoscopes
  • endoscopy
  • gastroenterology
  • infection control

ASJC Scopus subject areas

  • Gastroenterology


Dive into the research topics of 'Endoscope infection transmission state-of-the-art: Beyond duodenoscopes to a culture of infection prevention'. Together they form a unique fingerprint.

Cite this