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Multiple endoscope associated bacterial infections have been traced to duodenoscopes.
Inadequate cleaning or incomplete disinfection of elevator equipped endoscopes is
suspected. 70% isopropyl alcohol is rapidly bactericidal against non-spore forming
microbes and logically should greatly decrease any remaining microbes from the endoscope
biopsy channel and elevator mechanism. We have added a final AFFP immediately prior
to endoscope insertion to diminish or eliminate possible residual microbes.
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