endoscope cleaning before high-level disinfection takes place.
However, points out Mr. Myers, the FDA has not tested any of the cur-
rently available test strips for effectiveness in detecting the presence
of live microbes inside an endoscope's internal channels.
Last August, the FDA called for ATP strip manufacturers to submit
data to support the clearance of their strips for this use. In the mean-
time, the FDA warns against relying on test strips to assess endoscope
cleaning. Mr. Myers says off-label use of ATP testing is a piece of infor-
mation that facilities can decide on their own to use, but they need to
be aware of the FDA's recent guidance.
If it's universally known that endoscope cleaning is difficult to do
and it's now harder to validate, why aren't all reprocessing techs using
borescopes to see inside channels to confirm they're free of bioburden
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