Characteristics of Infections Associated with Endoscopic Procedures. An Overview of Causes and Prevention Strategies
https://doi.org/10.31146/2415-7813-endo-67-3-10-17
Abstract
Infections pose a serious problem in ensuring epidemiological safety during endoscopic interventions. The experience of the last two decades shows that changes in pathogens, with ESCAPE pathogens dominating, complicate control of outbreaks, increasing the number of affected patients and mortality rates. Unfortunately, in our country there is virtually no registration of infections associated with endoscopic interventions. The aim of this work is to summarize the world literature data on the prevalence and characteristics of infections associated with diagnostic and therapeutic endoscopic interventions. Materials and methods. We conducted a systematic review of 47 literature sources for the period from 1991 to 2025 from the PubMed and Embase databases to study the distribution of cases/outbreaks of HAI in endoscopy with an analysis of the causes of their occurrence and the most effective strategies for their relief. Results. The article presents data on the prevalence of HAI in therapeutic and diagnostic endoscopy. The features of the endogenous type of infection are analyzed, which is mainly determined by internal risk factors on the part of the patient, the complexity of the intervention, the competencies of the doctor and the effectiveness of antibiotic prophylaxis, if used. The leading risk factors for outbreaks in diagnostic endoscopy are analyzed. Discussions continued the effectiveness of high-level disinfection and the acceptability of endoscope sterilization, as well as the need to improve the effectiveness of microbiological quality control of endoscope processing. The place of the Epidemiological Safety System (ESS) of endoscopic interventions, developed in our country, in a set of measures to prevent HAI was determined.
About the Authors
T. A. Grenkova
G.N. Gabrichevsky Moscow Research Institute for Epidemiology and Microbiology
Russian Federation
Russian Federation
N. V. Gudova
G.N. Gabrichevsky Moscow Research Institute for Epidemiology and Microbiology
Russian Federation
Russian Federation
E. R. Mehtiev
G.N. Gabrichevsky Moscow Research Institute for Epidemiology and Microbiology
Russian Federation
Russian Federation
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For citations:
Grenkova T.A., Gudova N.V., Mehtiev E.R. Characteristics of Infections Associated with Endoscopic Procedures. An Overview of Causes and Prevention Strategies. Filin’s Clinical endoscopy. 2025;67(3):10-17. (In Russ.) https://doi.org/10.31146/2415-7813-endo-67-3-10-17
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