The Korean Journal of Gastrointestinal Endoscopy ❙포스터 ❙ 포스터 011 내시경 소독기기 및 내시경 소독제 효과 비교: COOLENDO/SAN-Q vs. OER-A/Cydex-OPA 현종진ㆍ이홍식ㆍ최혁순ㆍ조혜진ㆍ김동진ㆍ강현석ㆍ김은선ㆍ금보라ㆍ서연석ㆍ김용식ㆍ진윤태ㆍ전훈재ㆍ엄순호 김창덕ㆍ류호상 고려대학교 의과대학 내과학교실 Comparison on the Efficacy of Endoscope Reprocessors: COOLENDO/SAN-Q vs. OER-A/Cydex-OPA Jong Jin Hyun, Hong Sik Lee, Hyuk Soon Choi, Hye Jin Cho, Dong Jin Kim, Hyun Seok Kang, Eun Sun Kim, Bora Keum, Yeon Seok Seo, Yong Sik Kim, Yoon Tae Jeen, Hoon Jai Chun, Soon Ho Um, Chang Duck Kim, Ho Sang Ryu Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea Background: Since endoscopes are reusable apparatus, thorough cleaning and disinfection is very important to minimize the spread of infection through endoscopes. Endoscopes are classified as semicritical item and thus high-level disinfection - removal of all bacteria except for resistant bacterial spores - is required. Many efforts are put into making newer disinfectants and improving the efficacy of endoscope reprocessing. Recently, a new endoscope reprocessor that uses polyhexamethylenebiguanide hydrochloride (PHMB) and alkyl dimethylbenzylammonium chloride (DBAC) as disinfectant and applies ultrasonographic cleansing to maximize reprocessing efficacy and shorten the duration of reprocessing has been released. We therefore aimed to compare the efficacy of two automated endoscope reprocessors: COOLENDO/SAN-Q vs. OER-A/Cydex OPA. Material and Methods: Random sampling was done on 60 endoscopes. Samples were taken from the tip of insertion tube with swab wetted with normal saline and also after rinsing the working channel with 30 mL of normal saline which was later filtered through a membrane filter of 0.22μm in size and then incubated onto blood agar plate. The presence of any cultured organism, including H.pylori, was assessed. Results: The culture-positive rate at the tip of insertion tube and working channel was 6.67% and 6.67% for COOLENDO and 13.3% and 6.67% for OER-A (Fig. 1). Culture-positive rate was highest for old endoscope (C). Cultured organisms are shown in Table 1. Conclusions: The reprocessing efficacy of COOLENDO/SAN-Q was comparable to that of OER-A/Cydex OPA. 색인단어: 내시경 소독, 소독제, 고수준 소독 Key Words: Endoscope reprocessing, Disinfectant, High-level disinfection Figure 1. Comparison on the culture-positive rate of two endoscopy reprocessors. 발표자 연락처. 현종진 고려대학교 의과대학 내과학교실 (136-705) 서울시 성북구 안암동5가, 전화: 02-920-6555, 팩스: 02-953-1943, 이메일: [email protected] Vol. 41 (Suppl 3), 2010 237