Flexible endoscopes are complex reusable instruments that require unique consideration with respect to decontamination. In addition to the external surface of endoscopes, their internal channels for air, water, aspiration and accessories are exposed to body fluids and other contaminants. In contrast to rigid endoscopes and most reusable accessories, flexible endoscopes are heat labile and cannot be autoclaved.

Summary:

- Introduction
- Transmission of Infection at Endoscopy
- Decontamination of endoscopes – general considerations.
- Special considerations: CJD and other prions
- Disinfectants
- Automated Endoscope Reprocessors
- Protecting the Operator
- Health and safety
- Practical Recommendations for Decontamination and Storage of Endoscopes
- Quality assurance of decontamination, drying and storage of endoscopes
- Cleaning and Disinfection of Accessories
- Staff training and competencies