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  • #72853
    Corinne Egan-Hirst
    Participant

    Author:
    Corinne Egan-Hirst

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    Good morning,

    Just trying to trace some evidence around biopsy forceps in gastroscopy being used in colonoscopy for the same patient. Does anyone have any information for or against in regard to infection?

    Corinne Egan-Hirst
    Quality and Safety Manager
    Rosemont Endoscopy Centre
    42265499

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    #72855
    Michael Wishart
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    Author:
    Michael Wishart

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    NSW

    Hi Corinne

    I do know that using the same scope for a diagnostic gastroscopy then colonoscopy on the same patient has been a common practice. But it would very much surprise me if using the same biopsy forceps, where there is actual invasion of mucosa, would be clinically appropriate. Not just from an infection control perspective of spreading viral/bacterial particles around within different body sites, but also the risk of spreading malignant cells around to different body sites. I don’t recall having seen any definitive practice guidelines to refute this practice, but would question the safety of it. Also, if biopsy tissue from various body sites is all collected with the same biopsy forceps, is there not risk of tissue contamination and not then being sure of what is actually where if positive pathology is found?

    Would be keen to here form some endoscopy experts about this.

    Cheers
    Michael

    Michael Wishart
    Infection Control Coordinator

    A 627 Rode Road, Chermside QLD 4032
    P (07) 3326 3068 | F (07) 3607 2226 | E michael.wishart@svha.org.au | W http://www.hsnph.org.au
    [cid:image001.png@01D01926.61F1C2B0]
    P Please consider the environment before printing this email

    Good morning,

    Just trying to trace some evidence around biopsy forceps in gastroscopy being used in colonoscopy for the same patient. Does anyone have any information for or against in regard to infection?

    Corinne Egan-Hirst
    Quality and Safety Manager
    Rosemont Endoscopy Centre
    42265499

    ______________________________________________________________________
    This email has been scanned by the Symantec Email Security.cloud service.
    For more information please visit http://www.symanteccloud.com
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    #72857
    Anonymous
    Inactive

    Author:
    Anonymous

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    State:

    Hi Everyone,

    I completely agree with Michael’s assessment of risks.

    GENCA used to have a position statement about this practice on their website
    – but a quick look at the site revealed it is no longer there?

    Anyway – this is what it used to say –
    http://www.genca.org/public/5/files/PS_Single_Procedure.pdf

    However you will find many endoscopists disagree and qualify this by stating
    that the GI tract is one continuous organ and that they should be able to
    use the biopsy forceps for both ends.

    Kind Regards

    Terry McAuley

    Sterilisation & Infection Prevention and Control Consultant

    STEAM Consulting Pty Ltd ACN 604 439 698

    E: terry@steamconsulting.com.au

    W: http://www.steamconsulting.com.au

    A: PO BOX 779

    Endeavour Hills

    VIC Australia 3802

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    Of Michael Wishart

    Hi Corinne

    I do know that using the same scope for a diagnostic gastroscopy then
    colonoscopy on the same patient has been a common practice. But it would
    very much surprise me if using the same biopsy forceps, where there is
    actual invasion of mucosa, would be clinically appropriate. Not just from an
    infection control perspective of spreading viral/bacterial particles around
    within different body sites, but also the risk of spreading malignant cells
    around to different body sites. I don’t recall having seen any definitive
    practice guidelines to refute this practice, but would question the safety
    of it. Also, if biopsy tissue from various body sites is all collected with
    the same biopsy forceps, is there not risk of tissue contamination and not
    then being sure of what is actually where if positive pathology is found?

    Would be keen to here form some endoscopy experts about this.

    Cheers

    Michael

    Michael Wishart

    Infection Control Coordinator

    A 627 Rode Road, Chermside QLD 4032
    P (07) 3326 3068 | F (07) 3607 2226 | E
    michael.wishart@svha.org.au | W
    http://www.hsnph.org.au
    cid:image001.png@01D01926.61F1C2B0
    P Please consider the environment before printing this email

    Of Corinne Egan-Hirst

    Good morning,

    Just trying to trace some evidence around biopsy forceps in gastroscopy
    being used in colonoscopy for the same patient. Does anyone have any
    information for or against in regard to infection?

    Corinne Egan-Hirst

    Quality and Safety Manager

    Rosemont Endoscopy Centre

    42265499

    ______________________________________________________________________
    This email has been scanned by the Symantec Email Security.cloud service.
    For more information please visit http://www.symanteccloud.com
    ______________________________________________________________________

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