Rutala and Weber publish editorial in JAMA

William A. Rutala, PhD, Director of Hospital Epidemiology, and David J. Weber, MD, MPH, Medical Director of Hospital Epidemiology and Associate Chief Medical Officer of UNC Health Care, discuss disinfection of gastrointestinal endoscopes in the Oct. 8, 2014 issue of the Journal of the American Medical Assocation.

In their editorial, William A. Rutala, PhD, Director of Hospital Epidemiology, and David J. Weber, MD, MPH, Medical Director of Hospital Epidemiology and Associate Chief Medical Officer of UNC Health Care, discuss a study published in the same issue of JAMA in which nine patients at a single hospital in Illinois tested positive for E coli after undergoing gastrointestinal endoscopy.

This study raises the key concern of "whether current U.S. endoscope processing guidelines are adequate to ensure a patient-safe gastrointestinal endoscope," Rutala and Weber wrote. They argue that more research is needed to determine the scope of the problem, and better approaches to measuring the effectiveness of endoscope cleaning are needed.

You can read the editorial -- Gastrointestinal Endoscopes:  A Need to Shift From Disinfection to Sterilization? -- at http://jama.jamanetwork.com/article.aspx?articleid=1911309.