High-level disinfection process for gastroscopes in a public hospital Ica, Peru 2021.

Abstract

Objective: To evaluate the process of High-Level Disinfection (HLD) of gastroscopes in a public hospital in Ica-Peru 2021. Materials and methods: Observational, cross-sectional descriptive study carried out in a sample of 60 high-level disinfection processes of gastroscopes selected at through discretionary non-probabilistic sampling in which scheduled gastroscopy procedures were included and emergency procedures were excluded, performed in the gastroenterology office of the Hospital Regional Level II-2 in the province of Ica, Peru. The data collection was carried out with the endoscope reprocessing observation guide validated by expert judgment and with a reliability according to the KR-20 Coefficient equal to 0.95, prepared based on the Sterilization Manual for health centers of the PAHO and the guidelines of the World Gastroenterology Organization, the instrument consists of 8 dimensions and 28 items. Results: According to the evaluation instrument applied, it is evident that the final drying, rinsing and drying procedures (n=60; 100%), pre-cleaning (n=54; 90%), rinsing (n=44; 73%), cleaning (n=34; 57%), storage (n=30; 50%), are inadequate procedures; while the disinfection procedure is adequate in (n=56; 93%) of the processes. Conclusion: The complete process of High Level Disinfection (HLD) of gastroscopes is inadequate in 100% of gastroscopy procedures.