210 Alcohol Flush and Flex Protocol (Affp) to Decrease the Risk of Residual Bacterial Colonization Prior to Eus or Duodenoscope Insertion: Report of Use in 2915 Cases

      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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