Bacterial exposure risk to the endoscopist's face while performing endoscopy

Abstract Objectives Gastrointestinal endoscopy increases the risk of bacterial exposure to endoscopists. However, before 2019, most endoscopists did not pay attention to microorganism transmission from patients. This study aimed to investigate the incidence of bacterial exposure to endoscopists’ fac...

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Main Authors: Kentaro Hoshi, Hidezumi Kikuchi, Koji Narita, Yukari Fukutoku, Taka Asari, Kuniaki Miyazawa, Yasuhisa Murai, Yohei Sawada, Tetsuya Tatsuta, Keisuke Hasui, Hiroto Hiraga, Daisuke Chinda, Tatsuya Mikami, Phawinee Subsomwong, Krisana Asano, Akio Nakane, Shinsaku Fukuda, Hirotake Sakuraba
Format: Article
Language:English
Published: Wiley 2023-04-01
Series:DEN Open
Subjects:
Online Access:https://doi.org/10.1002/deo2.209
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author Kentaro Hoshi
Hidezumi Kikuchi
Koji Narita
Yukari Fukutoku
Taka Asari
Kuniaki Miyazawa
Yasuhisa Murai
Yohei Sawada
Tetsuya Tatsuta
Keisuke Hasui
Hiroto Hiraga
Daisuke Chinda
Tatsuya Mikami
Phawinee Subsomwong
Krisana Asano
Akio Nakane
Shinsaku Fukuda
Hirotake Sakuraba
author_facet Kentaro Hoshi
Hidezumi Kikuchi
Koji Narita
Yukari Fukutoku
Taka Asari
Kuniaki Miyazawa
Yasuhisa Murai
Yohei Sawada
Tetsuya Tatsuta
Keisuke Hasui
Hiroto Hiraga
Daisuke Chinda
Tatsuya Mikami
Phawinee Subsomwong
Krisana Asano
Akio Nakane
Shinsaku Fukuda
Hirotake Sakuraba
author_sort Kentaro Hoshi
collection DOAJ
description Abstract Objectives Gastrointestinal endoscopy increases the risk of bacterial exposure to endoscopists. However, before 2019, most endoscopists did not pay attention to microorganism transmission from patients. This study aimed to investigate the incidence of bacterial exposure to endoscopists’ faces during gastrointestinal endoscopic procedures using the bacterial culture method. Methods This was a single‐centered, retrospective study including endoscopists who performed various gastrointestinal endoscopy procedures at the Division of Endoscopy, Hirosaki University Hospital between August 31 and October 6, 2020. Endoscopists wore surgical masks and affixed pre‐sterilized films over them. Following the gastrointestinal endoscopic procedures, attached microbes were collected from the endoscopists’ surface films using sterilized swabs. Collected microorganisms were cultured on tryptic soy agar and 5% sheep blood agar, and the incidence of bacterial exposure was determined by bacterial culture positivity. Cultured bacteria were identified by gram staining and 16S rRNA gene sequencing. Results Bacterial culture positivity was 12.6%, and it was significantly higher in therapeutic than in diagnostic endoscopy. Notably, therapeutic endoscopy increased bacterial culture positivity in colonoscopy, but not in esophagogastroduodenoscopy. Staphylococci, including Staphylococcus epidermidis and Staphylococcus capitis, were the most commonly found bacteria in samples identified through 16S rRNA gene sequencing. Conclusions The risk of bacterial exposure to the endoscopist's face was increased in colonoscopy treatment procedures. Therefore, endoscopists should be aware of the significant risk of microbial infection from scattering fluid that comes from the endoscopy's working channel.
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spelling doaj.art-d066a65258e44655881fc09e82dadfb82023-04-29T05:12:58ZengWileyDEN Open2692-46092023-04-0131n/an/a10.1002/deo2.209Bacterial exposure risk to the endoscopist's face while performing endoscopyKentaro Hoshi0Hidezumi Kikuchi1Koji Narita2Yukari Fukutoku3Taka Asari4Kuniaki Miyazawa5Yasuhisa Murai6Yohei Sawada7Tetsuya Tatsuta8Keisuke Hasui9Hiroto Hiraga10Daisuke Chinda11Tatsuya Mikami12Phawinee Subsomwong13Krisana Asano14Akio Nakane15Shinsaku Fukuda16Hirotake Sakuraba17Department of Gastroenterology and Hematology Hirosaki University Graduate School of Medicine Aomori JapanDepartment of Gastroenterology and Hematology Hirosaki University Graduate School of Medicine Aomori JapanDepartment of Microbiology and Immunology Hirosaki University Graduate School of Medicine Aomori JapanDepartment of Gastroenterology and Hematology Hirosaki University Graduate School of Medicine Aomori JapanDepartment of Gastroenterology and Hematology Hirosaki University Graduate School of Medicine Aomori JapanDepartment of Gastroenterology and Hematology Hirosaki University Graduate School of Medicine Aomori JapanDepartment of Gastroenterology and Hematology Hirosaki University Graduate School of Medicine Aomori JapanDepartment of Gastroenterology and Hematology Hirosaki University Graduate School of Medicine Aomori JapanDepartment of Gastroenterology and Hematology Hirosaki University Graduate School of Medicine Aomori JapanDepartment of Gastroenterology and Hematology Hirosaki University Graduate School of Medicine Aomori JapanDepartment of Gastroenterology and Hematology Hirosaki University Graduate School of Medicine Aomori JapanDepartment of Gastroenterology and Hematology Hirosaki University Graduate School of Medicine Aomori JapanDepartment of Preemptive Medicine Hirosaki University Graduate School of Medicine Aomori JapanDepartment of Microbiology and Immunology Hirosaki University Graduate School of Medicine Aomori JapanDepartment of Microbiology and Immunology Hirosaki University Graduate School of Medicine Aomori JapanDepartment of Biopolymer and Health Science Hirosaki University Graduate School of Medicine Aomori JapanDepartment of Gastroenterology and Hematology Hirosaki University Graduate School of Medicine Aomori JapanDepartment of Gastroenterology and Hematology Hirosaki University Graduate School of Medicine Aomori JapanAbstract Objectives Gastrointestinal endoscopy increases the risk of bacterial exposure to endoscopists. However, before 2019, most endoscopists did not pay attention to microorganism transmission from patients. This study aimed to investigate the incidence of bacterial exposure to endoscopists’ faces during gastrointestinal endoscopic procedures using the bacterial culture method. Methods This was a single‐centered, retrospective study including endoscopists who performed various gastrointestinal endoscopy procedures at the Division of Endoscopy, Hirosaki University Hospital between August 31 and October 6, 2020. Endoscopists wore surgical masks and affixed pre‐sterilized films over them. Following the gastrointestinal endoscopic procedures, attached microbes were collected from the endoscopists’ surface films using sterilized swabs. Collected microorganisms were cultured on tryptic soy agar and 5% sheep blood agar, and the incidence of bacterial exposure was determined by bacterial culture positivity. Cultured bacteria were identified by gram staining and 16S rRNA gene sequencing. Results Bacterial culture positivity was 12.6%, and it was significantly higher in therapeutic than in diagnostic endoscopy. Notably, therapeutic endoscopy increased bacterial culture positivity in colonoscopy, but not in esophagogastroduodenoscopy. Staphylococci, including Staphylococcus epidermidis and Staphylococcus capitis, were the most commonly found bacteria in samples identified through 16S rRNA gene sequencing. Conclusions The risk of bacterial exposure to the endoscopist's face was increased in colonoscopy treatment procedures. Therefore, endoscopists should be aware of the significant risk of microbial infection from scattering fluid that comes from the endoscopy's working channel.https://doi.org/10.1002/deo2.209bacteriaendoscopyfaceinfection controlStaphylococcus
spellingShingle Kentaro Hoshi
Hidezumi Kikuchi
Koji Narita
Yukari Fukutoku
Taka Asari
Kuniaki Miyazawa
Yasuhisa Murai
Yohei Sawada
Tetsuya Tatsuta
Keisuke Hasui
Hiroto Hiraga
Daisuke Chinda
Tatsuya Mikami
Phawinee Subsomwong
Krisana Asano
Akio Nakane
Shinsaku Fukuda
Hirotake Sakuraba
Bacterial exposure risk to the endoscopist's face while performing endoscopy
DEN Open
bacteria
endoscopy
face
infection control
Staphylococcus
title Bacterial exposure risk to the endoscopist's face while performing endoscopy
title_full Bacterial exposure risk to the endoscopist's face while performing endoscopy
title_fullStr Bacterial exposure risk to the endoscopist's face while performing endoscopy
title_full_unstemmed Bacterial exposure risk to the endoscopist's face while performing endoscopy
title_short Bacterial exposure risk to the endoscopist's face while performing endoscopy
title_sort bacterial exposure risk to the endoscopist s face while performing endoscopy
topic bacteria
endoscopy
face
infection control
Staphylococcus
url https://doi.org/10.1002/deo2.209
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