Abstract

BIGOT, María et al. Encuesta sobre prácticas de prevención de infecciones asociadas a la broncoscopía en la República Argentina 2014. Rev. am. med. respir. [online]. 2016, vol.16, n.1, pp.37-45. ISSN 1852-236X.

Background and objective: Nationwide surveys about bronchoscopic practice have been carried out for three decades over the world. In Argentina, bronchoscopy has a long history; however, little information is available about this practice. The aim of this study is to obtain information regarding specific characteristics of practices to prevent in the bronchoscopy-associated infections. Methods: In 2014, we carried out a survey addressed to bronchoscopists and bronchoscopy assistants at the annual meeting of lung specialists. Results: 41 persons were surveyed. 68% did not receive any specific training in infection prevention practices. 85% were pulmonologists. 7% recorded infections, pseudoepidemics or pseudoinfections. 80% knew how to manage bronchoscopy-related accidents. 97% used enzymatic detergents in the cleaning process. 40% knew when to reuse the detergent. 95% used orthophthaldehyde, glutaraldehyde, or both of them as a high level disinfection agent (HLD). 75% used always HLD to clean the bronchoscope while 9% did it sometimes, and 14% never did it. 87% used HLD or sterilization for reusable materials. 77% sterilized reusable accessories (biopsy forceps or brushes), 77% reprocessed them with HLD, and 12% exposed them to mid level cleaning. 78% used a single device. 84% reprocessed the materials. 5% had an automatic processor. Conclusions: Local specific characteristics on the practice to prevent infections in the bronchoscopic procedures were identified.

Keywords : Bronchoscopy; Infection control; Reprocessing; Survey.

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