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Exogenous endoscopy-related infections, pseudo-infections, and toxic reactions: clinical and economic burden
Current Medical Research & Opinion (2006)
  • E. Seoane-Vazquez
  • Rosa Rodriguez-Monguio, University of Massachusetts - Amherst
  • J. Visaria
  • A. Carlson

OBJECTIVES: The objective of this study was to analyze the characteristics and costs of exogenous endoscopy-related infections, pseudo-infections, and toxic reactions in the US. METHODS: A systematic review of the scientific literature published between 1966 and 2005 was conducted in Medline. Data collection was based on a prospective protocol developed by the authors. RESULTS: The literature review included 70 outbreaks described in 64 scientific articles. Bronchoscopy accounted for half of all reported outbreaks. Inadequate decontamination practices were the leading cause of contamination; equipment malfunction became the second leading cause of contamination during the period 1990-2004. More than 91% of the infections identified could be prevented by health care providers if quality control systems are improved and implemented. The available economic information concerning exogenous endoscope related events is very limited. A model for the analysis of the economic burden of exogenous endoscopy-related events is proposed. CONCLUSIONS: Proper decontamination practices, the use of protective sheaths, and the improvement of surveillance systems could reduce the clinical and economic burdens associated with exogenous endoscopy-related events.

Publication Date
October, 2006
Citation Information
E. Seoane-Vazquez, Rosa Rodriguez-Monguio, J. Visaria and A. Carlson. "Exogenous endoscopy-related infections, pseudo-infections, and toxic reactions: clinical and economic burden" Current Medical Research & Opinion Vol. 22 Iss. 10 (2006)
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