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Table 3 Analysis of the reasons for unqualified water used for the final rinsing of flexible endoscopes and corresponding measures in 290 medical institutions

From: Management and microbial monitoring of final rinse water for flexible endoscopes in 290 hospitals in Jiangsu Province, China: a multicenter cross-sectional study

Content

Total (n=269)

Tertiary hospital (n=125)

Secondary Hospital (n=144)

Quantity

Percentage (%)

Quantity

Percentage (%)

Quantity

Percentage (%)

Reasons for unqualified results of final rinse water for endoscope

 Ineffective disinfection of water supply pipeline

226

84.01

108

86.40

118

81.94

 Terminal filter membrane not installed

94

34.94

43

34.40

51

35.42

 Terminal filter membrane not replaced

204

75.84

90

72.00

114

79.17

 Biofilm formed at the faucet end of the water supply pipeline

200

74.35

96

76.80

104

72.22

 Sampling contamination

203

75.46

96

76.80

107

74.31

 Inoculation contamination

129

47.96

70

56.00

59

40.97

Measures to be taken if the water used for final rinsing of endoscope unqualified

 Flush the water supply pipeline

189

70.26

92

73.60

97

67.36

 Disinfect water supply pipeline

222

82.53

105

84.00

117

81.25

 Replace the terminal filter membrane

229

85.13

103

82.40

126

87.50

 Other measures a

13

4.83

6

4.80

7

4.86

 No measures taken if endoscopic test qualified

47

17.47

19

15.20

28

19.44

 No measures taken (regardless of endoscopic examination results)

48

17.84

20

16.00

28

19.44

  1. aOther measures include re-sampling to remove contamination, disinfection of faucets, multi-sectoral joint meetings, etc.