Multiple studies have documented a high rate of contaminated colonoscopes after reprocessing. Contaminated reusable colonoscopes may increase the risk of device-related patient infections. As disposable colonoscopes enter the market, they may play a role in infection prevention and may be cost-effective at some facilities or in high-risk patients. Using a micro-costing approach, this study found that the cost per colonoscopy including purchase, maintenance and reprocessing ranges from US$188.64 at high volume centres (3000 annual procedures) to US$501.16 at low volume centres (1000 annual procedures). Accordingly, per-procedure capital costs range from US$87.48 to US$262.45; repair costs range from US$68.77 to US$206.32; cleaning supplies and labour costs US$32.39 and infections requiring hospitalisation cost US$20.12 to US$46.52. As disposable colonoscopes enter the market, low volume centres are most likely to achieve cost savings. Determining if post-procedural infection rates differ with reusable vs disposable colonoscopes is needed. ### In more detail Each year more than 15 million colonoscopy procedures are performed in the USA and the number is increasing.1 Colonoscopy is generally thought to be safe; however, patients are sometimes hospitalised afterwards, due to infections that may have been transmitted via contaminated colonoscopes (MAUDE Adverse Event Report).2 3 Colonoscopy-related infections and complications have been reported in multiple studies, although at lower rates compared with endoscopic retrograde cholangiopancreatography (ERCP).1 4 5 Guideline revisions in response to endoscope-associated infections require healthcare institutions to invest more resources in the high-level disinfection process or conversion to sterilisation (Ofstead et al ).5,6 Despite colonoscopy being the highest volume GI procedure, the true cost and time associated with reusable colonoscopes are unknown. The purpose of this study was to explore real-world costs associated with …

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结肠镜检查的隐性成本，包括再处理成本和感染率：对一次性结肠镜的影响

多项研究表明，再处理后结肠镜的污染率很高。受污染的可重复使用结肠镜可能会增加与设备相关的患者感染的风险。随着一次性结肠镜进入市场，它们可能在预防感染方面发挥作用，并且在某些机构或高危患者中可能具有成本效益。本研究使用微观成本计算方法发现，包括购买、维护和再处理在内的每次结肠镜检查的成本从高流量中心的 188.64 美元（每年 3000 次手术）到低流量中心的 501.16 美元（每年 1000 次手术）不等。因此，每个程序的资本成本从 87.48 美元到 262.45 美元不等；维修费用从 68.77 美元到 206.32 美元不等；清洁用品和人工费用为 32.39 美元，需要住院治疗的感染费用为 20.12 美元至 46.52 美元。随着一次性结肠镜进入市场，小批量中心最有可能实现成本节约。需要确定可重复使用和一次性结肠镜的术后感染率是否不同。### 详细信息 每年在美国进行的结肠镜检查超过 1500 万次，而且这个数字还在增加。1 结肠镜检查通常被认为是安全的；然而，由于感染可能通过受污染的结肠镜传播（MAUDE 不良事件报告），患者有时会事后住院治疗。2 3 多项研究报告了结肠镜相关感染和并发症，尽管与内窥镜逆行胰胆管造影相比发生率较低(ERCP)。1 4 5 针对内窥镜相关感染的指南修订要求医疗机构在高水平消毒过程或转换为灭菌过程中投入更多资源（Ofstead 等）。5,6 尽管结肠镜检查是最大量的 GI 程序，但真正的与可重复使用结肠镜相关的成本和时间未知。这项研究的目的是探索与……相关的现实世界成本。