{"id":"https://openalex.org/W2265038705","doi":"https://doi.org/10.1159/000443626","title":"Hygiene: The Looming Achilles Heel in Endoscopy","display_name":"Hygiene: The Looming Achilles Heel in Endoscopy","publication_year":2016,"publication_date":"2016-01-01","ids":{"openalex":"https://openalex.org/W2265038705","doi":"https://doi.org/10.1159/000443626","mag":"2265038705","pmid":"https://pubmed.ncbi.nlm.nih.gov/27588292","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/4988244"},"language":"en","primary_location":{"id":"doi:10.1159/000443626","doi":"https://doi.org/10.1159/000443626","is_oa":false,"landing_page_url":"https://doi.org/10.1159/000443626","pdf_url":null,"source":{"id":"https://openalex.org/S2765013292","display_name":"Visceral Medicine","issn_l":"2297-4725","issn":["2297-4725","2297-475X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-d","doyens","jufo-1","ki-jl-1","norway-1","poland-40","russia-white-list-2"],"host_organization":"https://openalex.org/P4310317820","host_organization_name":"Karger Publishers","host_organization_lineage":["https://openalex.org/P4310317820"],"host_organization_lineage_names":["Karger Publishers"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Visceral Medicine","raw_type":"journal-article"},"volume":null,"type":"review","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/4988244","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5021805163","display_name":"Michael Wilhelm Jung","orcid":"https://orcid.org/0000-0002-3398-1541","observed_orcids":["https://orcid.org/0000-0002-3398-1541"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Michael Jung","raw_affiliation_strings":["Klinik f\u00fcr Innere Medizin 2 (Gastroenterologie, Diabetologie, Onkologie), Katholisches Klinikum Mainz, Mainz, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Klinik f\u00fcr Innere Medizin 2 (Gastroenterologie, Diabetologie, Onkologie), Katholisches Klinikum Mainz, Mainz, Germany","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5074290284","display_name":"Ulrike Beilenhoff","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Ulrike Beilenhoff","raw_affiliation_strings":["Ulm, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ulm, Germany","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.2109,"has_fulltext":false,"cited_by_count":17,"citation_normalized_percentile":{"value":0.14213198,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":97},"biblio":{"volume":"32","issue":"1","first_page":"21","last_page":"28"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12744","display_name":"Medical Device Sterilization and Disinfection","score":0.9717000126838684,"subfield":{"id":"https://openalex.org/subfields/2404","display_name":"Microbiology"},"field":{"id":"https://openalex.org/fields/24","display_name":"Immunology and Microbiology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},"topics":[{"id":"https://openalex.org/T12744","display_name":"Medical Device Sterilization and Disinfection","score":0.9717000126838684,"subfield":{"id":"https://openalex.org/subfields/2404","display_name":"Microbiology"},"field":{"id":"https://openalex.org/fields/24","display_name":"Immunology and Microbiology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T11000","display_name":"Infection Control in Healthcare","score":0.027899999171495438,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11681","display_name":"Nosocomial Infections in ICU","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2706","display_name":"Critical Care and Intensive Care Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/endoscope-associated-infections","display_name":"endoscope-associated infections","score":0.703000009059906},{"id":"https://openalex.org/keywords/nosocomial-infections","display_name":"nosocomial infections","score":0.9210000038146973},{"id":"https://openalex.org/keywords/multidrug-resistant-organisms","display_name":"multidrug-resistant organisms","score":0.902999997138977},{"id":"https://openalex.org/keywords/endoscope-reprocessing","display_name":"endoscope reprocessing","score":0.9039999842643738},{"id":"https://openalex.org/keywords/endoscopic-retrograde-cholangiopancreatography","display_name":"endoscopic retrograde cholangiopancreatography","score":0.6399999856948853},{"id":"https://openalex.org/keywords/infectious-disease-outbreaks","display_name":"infectious disease outbreaks","score":0.7279999852180481},{"id":"https://openalex.org/keywords/endoscope-cleaning","display_name":"endoscope cleaning","score":0.6790000200271606},{"id":"https://openalex.org/keywords/microlesions","display_name":"microlesions","score":0.7559999823570251},{"id":"https://openalex.org/keywords/microbiological-surveillance","display_name":"microbiological monitoring","score":0.7210000157356262},{"id":"https://openalex.org/keywords/infection-control","display_name":"infection control","score":0.6399999856948853},{"id":"https://openalex.org/keywords/patient-safety","display_name":"patient safety","score":0.6679999828338623}],"concepts":[{"id":"https://openalex.org/C142812007","wikidata":"https://www.wikidata.org/wiki/Q6675553","display_name":"Looming","level":2,"score":0.8962316513061523},{"id":"https://openalex.org/C2777248721","wikidata":"https://www.wikidata.org/wiki/Q174647","display_name":"Heel","level":2,"score":0.7906068563461304},{"id":"https://openalex.org/C547646559","wikidata":"https://www.wikidata.org/wiki/Q162297","display_name":"Hygiene","level":2,"score":0.6103389263153076},{"id":"https://openalex.org/C2778451229","wikidata":"https://www.wikidata.org/wiki/Q212809","display_name":"Endoscopy","level":2,"score":0.6054209470748901},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5710670948028564},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.4123656153678894},{"id":"https://openalex.org/C61434518","wikidata":"https://www.wikidata.org/wiki/Q932510","display_name":"General surgery","level":1,"score":0.35493841767311096},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.20540809631347656},{"id":"https://openalex.org/C105702510","wikidata":"https://www.wikidata.org/wiki/Q514","display_name":"Anatomy","level":1,"score":0.15551069378852844},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0846850574016571},{"id":"https://openalex.org/C180747234","wikidata":"https://www.wikidata.org/wiki/Q23373","display_name":"Cognitive psychology","level":1,"score":0.0}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.1159/000443626","doi":"https://doi.org/10.1159/000443626","is_oa":false,"landing_page_url":"https://doi.org/10.1159/000443626","pdf_url":null,"source":{"id":"https://openalex.org/S2765013292","display_name":"Visceral Medicine","issn_l":"2297-4725","issn":["2297-4725","2297-475X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-d","doyens","jufo-1","ki-jl-1","norway-1","poland-40","russia-white-list-2"],"host_organization":"https://openalex.org/P4310317820","host_organization_name":"Karger Publishers","host_organization_lineage":["https://openalex.org/P4310317820"],"host_organization_lineage_names":["Karger Publishers"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Visceral Medicine","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:4988244","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/4988244","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Visc Med","raw_type":"Text"},{"id":"pmid:27588292","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/27588292","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Visceral medicine","raw_type":"Journal Article"}],"best_oa_location":{"id":"pmh:oai:pubmedcentral.nih.gov:4988244","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/4988244","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Visc Med","raw_type":"Text"},"sustainable_development_goals":[{"score":0.9954000115394592,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":38,"referenced_works":["https://openalex.org/W37777463","https://openalex.org/W579987860","https://openalex.org/W978618501","https://openalex.org/W1775837280","https://openalex.org/W1779603033","https://openalex.org/W1966662622","https://openalex.org/W1972761962","https://openalex.org/W1977804241","https://openalex.org/W1998340265","https://openalex.org/W2007071282","https://openalex.org/W2010575856","https://openalex.org/W2013269137","https://openalex.org/W2013827337","https://openalex.org/W2015588726","https://openalex.org/W2015851042","https://openalex.org/W2028417137","https://openalex.org/W2033039399","https://openalex.org/W2054253598","https://openalex.org/W2066960888","https://openalex.org/W2070708441","https://openalex.org/W2071741238","https://openalex.org/W2083684073","https://openalex.org/W2101477502","https://openalex.org/W2101754925","https://openalex.org/W2121467306","https://openalex.org/W2126313920","https://openalex.org/W2143954045","https://openalex.org/W2145835547","https://openalex.org/W2150813815","https://openalex.org/W2155820482","https://openalex.org/W2291005605","https://openalex.org/W2432325124","https://openalex.org/W4241199319","https://openalex.org/W4241415710","https://openalex.org/W4245459484","https://openalex.org/W4245525793","https://openalex.org/W4249508937","https://openalex.org/W4301496656"],"related_works":["https://openalex.org/W978618501","https://openalex.org/W2082816559","https://openalex.org/W2519434505","https://openalex.org/W941246376","https://openalex.org/W1964643289","https://openalex.org/W3042444997","https://openalex.org/W2344778619","https://openalex.org/W2896579823","https://openalex.org/W3164284187","https://openalex.org/W2420585036"],"abstract_inverted_index":{"BACKGROUND:":[0],"Since":[1,30],"the":[2,47,52,58,95,98,105,123,132,160],"late":[3],"1970s":[4],"there":[5],"have":[6,22,35],"been":[7,36],"sporadic":[8],"reports":[9],"of":[10,41,100,119,125,134,156,174,207,235,249],"nosocomial":[11],"infections":[12],"linked":[13],"to":[14,68,70,192,238],"endoscopic":[15,42],"procedures.":[16],"Infections":[17],"by":[18,183,203],"multidrug-resistant":[19],"organisms":[20],"(MDRO)":[21],"an":[23,184],"increasing":[24],"impact":[25],"on":[26,116],"healthcare":[27],"systems":[28],"worldwide.":[29],"2010":[31],"outbreaks":[32,60,102,214],"involving":[33],"MDRO":[34],"reported":[37],"as":[38,81],"a":[39,65,82,117,129,153,164,171,216],"result":[40],"retrograde":[43],"cholangiopancreatography":[44],"(ERCP)":[45],"from":[46],"USA,":[48],"France,":[49],"Germany":[50],"and":[51,61,63,76,127,152,178,186,210,222,230],"Netherlands.":[53],"METHODS:":[54],"This":[55],"article":[56],"evaluates":[57],"recent":[59],"developments":[62],"demonstrates":[64],"structural":[66,161,243],"approach":[67,244],"how":[69],"prevent":[71],"future":[72],"infections.":[73,251],"Current":[74],"national":[75],"international":[77],"guidelines":[78],"were":[79,114],"used":[80],"basis":[83],"for":[84,131,163],"discussions.":[85],"RESULTS:":[86],"In":[87,97],"some":[88],"cases":[89],"insufficient":[90],"cleaning":[91,173],"or":[92],"drying":[93],"supported":[94,122],"outbreak.":[96],"majority":[99],"cases,":[101],"occurred":[103],"despite":[104],"apparently":[106],"appropriate":[107],"reprocessing":[108,150,188,208],"protocols":[109],"being":[110],"in":[111,247],"use.":[112],"Microlesions":[113],"identified":[115],"number":[118,155],"endoscopes,":[120],"which":[121],"growth":[124],"bacteria":[126],"represented":[128],"vehicle":[130],"transmission":[133],"infectious":[135],"material.":[136],"National":[137],"official":[138,220],"bodies":[139,221],"responded":[140],"with":[141,219],"warnings.":[142],"Manufacturers":[143],"informed":[144],"their":[145,236],"customers":[146],"accordingly.":[147],"Separate,":[148],"purpose-designed":[149],"rooms":[151],"sufficient":[154],"competent":[157],"staff":[158],"provide":[159],"quality":[162,169,199],"safe":[165],"reprocessing.":[166],"The":[167,197],"process":[168],"includes":[170],"thorough":[172],"all":[175],"endoscope":[176],"channels":[177],"crucial":[179],"instrument":[180],"components,":[181],"followed":[182],"automated":[185],"validated":[187],"procedure.":[189],"Strict":[190],"adherence":[191],"manufacturers'":[193],"recommendations":[194],"is":[195,224,245],"essential.":[196,225],"outcome":[198],"should":[200,232],"be":[201,233],"evaluated":[202],"regular":[204],"audits,":[205],"validation":[206],"procedures":[209],"microbiological":[211],"surveillance.":[212],"If":[213],"occur,":[215],"close":[217],"co-operation":[218],"manufacturers":[223,231],"CONCLUSION:":[226],"Health":[227],"care":[228],"professionals":[229],"aware":[234],"responsibility":[237],"ensure":[239],"patient":[240],"safety.":[241],"A":[242],"key":[246],"prevention":[248],"endoscopy-associated":[250]},"counts_by_year":[{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":1},{"year":2022,"cited_by_count":3},{"year":2021,"cited_by_count":4},{"year":2020,"cited_by_count":2},{"year":2019,"cited_by_count":2},{"year":2017,"cited_by_count":3},{"year":2016,"cited_by_count":1}],"updated_date":"2026-10-28T10:33:24.094632","created_date":"2016-06-24T00:00:00"}
