biopsy forceps

[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
______________________________________________________________________

MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

[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

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
______________________________________________________________________

______________________________________________________________________
For the purposes of protecting the integrity and security of the SVHA network and the information held on it, all emails to and from any email address on the “svha.org.au” domain (or any other domain of St Vincent’s Health Australia Limited or any of its related bodies corporate) (an “SVHA Email Address”) will pass through and be scanned by the Symantec.cloud anti virus and anti spam filter service. These services may be provided by Symantec from locations outside of Australia and, if so, this will involve any email you send to or receive from an SVHA Email Address being sent to and scanned in those locations.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

[Anonymous]

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

cid:image002.jpg@01D0615C.7E521B20

CONFIDENTIAL COMMUNICATION: The information contained in this message may
contain confidential information intended only for the use of the individual
or entity named above. If the reader of this message is not the intended
recipient, you are hereby notified that any dissemination, distribution or
duplication of this transmission is strictly prohibited. If you have
received this communication in error, please notify us by telephone or email
immediately and return the original message to us or destroy all printed and
electronic copies. Nothing in this transmission constitutes an agreement of
any kind unless otherwise expressly indicated.

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
______________________________________________________________________

______________________________________________________________________
For the purposes of protecting the integrity and security of the SVHA
network and the information held on it, all emails to and from any email
address on the “svha.org.au” domain (or any other domain of St Vincent’s
Health Australia Limited or any of its related bodies corporate) (an “SVHA
Email Address”) will pass through and be scanned by the Symantec.cloud anti
virus and anti spam filter service. These services may be provided by
Symantec from locations outside of Australia and, if so, this will involve
any email you send to or receive from an SVHA Email Address being sent to
and scanned in those locations.

MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO
NOT REPRESENT THE OPINION OF ACIPC.

The use of trade/product/commercial brand names through the list is
discouraged by ACIPC. If you wish to discuss specific reference to products
or services by brand or commercial names, please do this outside the list.

Archive of all messages are available at http://aicalist.org.au/archives –
registration and login required.

Replies to this message will be directed back to the list. To create a new
message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without
the quotes) to listserv@aicalist.org.au

______________________________________________________________________
For the purposes of protecting the integrity and security of the SVHA
network and the information held on it, all emails to and from any email
address on the “svha.org.au” domain (or any other domain of St Vincent’s
Health Australia Limited or any of its related bodies corporate) (an “SVHA
Email Address”) will pass through and be scanned by the Symantec.cloud anti
virus and anti spam filter service. These services may be provided by
Symantec from locations outside of Australia and, if so, this will involve
any email you send to or receive from an SVHA Email Address being sent to
and scanned in those locations.

MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO
NOT REPRESENT THE OPINION OF ACIPC.

The use of trade/product/commercial brand names through the list is
discouraged by ACIPC. If you wish to discuss specific reference to products
or services by brand or commercial names, please do this outside the list.

Archive of all messages are available at http://aicalist.org.au/archives –
registration and login required.

Replies to this message will be directed back to the list. To create a new
message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without
the quotes) to listserv@aicalist.org.au

MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

[Author]

Posts