Bronchoscopy-Related Infection and the Development of Single-Use Bronchoscopy Technology

IF 1.1 Q4 RESPIRATORY SYSTEM Current pulmonology reports Pub Date : 2023-09-28 DOI:10.1007/s13665-023-00328-7
N. Logan, C. Yurosko, A. Mehta, M. Chhabria, M.P. Kennedy
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Abstract

Abstract Purpose of Review Bronchoscopy-related infection is recognized as a leading healthcare hazard, and this review delves into its incidence, causes, and prevention. Recent Findings Due to both the recognition of the scale of bronchoscopy-related infection and the COVID-19 pandemic, single-use or disposable bronchoscopy (SUFB) technology has progressed beyond the ICU setting to the bronchoscopy suite. A review of data related to currently available scopes, bench-top, and clinical data is also presented. Summary Not only does SUFB technology provide a portable and immediately accessible bronchoscope for procedures in the ICU and endoscopy suite, it also is a sterile option for standard bronchoscopy procedures thus avoiding infection related to scope contamination. Cost-effectiveness comparisons vary between single-use and reusable scopes depending on calculated incidence of scope-related infection. Although no one should suffer an infection related to bronchoscopy, SUFB technology lacks proper comparison to reusable scope quality. In the meantime, the most important intervention is proper cleaning and assessment of reusable scopes for damage.
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支气管镜相关感染及一次性支气管镜技术的发展
支气管镜相关感染是公认的主要健康危害,本综述探讨了其发病率、原因和预防。由于对支气管镜相关感染规模的认识和COVID-19大流行,一次性或一次性支气管镜(SUFB)技术已经从ICU环境发展到支气管镜套件。回顾了与目前可用的范围、台式和临床数据相关的数据。SUFB技术不仅为ICU和内窥镜室的手术提供了便携式且可立即使用的支气管镜,而且它也是标准支气管镜手术的无菌选择,从而避免了与镜镜污染相关的感染。单次使用镜架和可重复使用镜架的成本效益比较因镜架相关感染的计算发生率而异。虽然没有人应该遭受与支气管镜检查有关的感染,但SUFB技术缺乏与可重复使用的范围质量的适当比较。同时,最重要的干预措施是适当清洁和评估可重复使用的损坏范围。
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