內視鏡再處理之現況與挑戰

The Current Status and Challenges of Endoscopes Reprocessing

內視鏡是現今醫療診斷及治療不可或缺的工具之一，而重複使用的內視鏡再處理是避免內視鏡相關感染的重要關鍵。台灣消化道內視鏡醫學會參考各國內視鏡消毒滅菌指引，於2019年制定內視鏡再處理指引，於2023年更新，將流程標準化，以維護病人安全。然而，內視鏡再處理於臨床實務仍面臨諸多挑戰，本文參考美國醫療儀器促進學會及美國手術室護理協會之最新指引，透過跨領域跨學會專家討論，檢視國內內視鏡再處理現況，針對落差及挑戰提出改善策略，以期落實內視鏡再處理並期許未來推動內視鏡全面滅菌，保障醫療人員與病人的安全。

Endoscopes are indispensable tools for medical diagnosis and treatment, and reprocessing reused endoscopes is important to avoid endoscope-associated infections. The Digestive Endoscopy Society of Taiwan formulated endoscope reprocessing guidelines in 2019 after considering endoscope disinfection and sterilization guidelines from various countries, and updated them in 2023 to standardize processes to maintain patient safety. However, endoscope reprocessing still faces many challenges in clinical practice.
This article refers to the latest guidelines from the Association for the Advancement of Medical Instrumentation (AAMI) and the Association of Operating Room Nurses (AORN), and discussions with experts and scholars across fields that review the current status of domestic endoscope reprocessing. It proposes improvement strategies for the gaps and challenges , to thoroughly implement endoscope reprocessing and promote comprehensive sterilization of endoscopes in the future. Ultimately, the safety of the medical personnel and patients should be ensured.