Table 4.
Overview of evidence-based guidelines for processing flexible endoscopes, focusing on the use of peracetic acid during the cleaning step
| Institution | Guidelines | Year | Use of peracetic acid for cleaning |
| AORN | Recommended practices for cleaning and processing endoscopes and endoscope accessories[221,222] | 2012 | No recommendation |
| APIC | APIC guidelines for infection prevention and control in flexible endoscopy. Association for Professionals in Infection Control[223] | 2000 | No recommendation |
| APSIC | The ASEAN Guidelines for disinfection and sterilization of instruments in health care facilities[224] | 2012 | No recommendation |
| ASGE | Multisociety guidelines on reprocessing flexible gastrointestinal endoscopes: 2011[225,226] | 2011 | No recommendation |
| BC Ministry of Health | Best Practice Guidelines For Cleaning, Disinfection and Sterilization of Critical and Semi-critical Medical Devices[227] | 2011 | No recommendation |
| BSG | BSG Guidelines for Decontamination of Equipment for Gastrointestinal Endoscopy[228] | 2008 | No recommendation |
| CDC | Guidelines for Disinfection and Sterilization in Healthcare Facilities, 2008[229] | 2008 | No recommendation |
| ESGE/ESGENA | 1ESGE/ESGENA Technical Note on Cleaning and Disinfection[230] | 2003 | Recommended |
| ESGE/ESGENA | ESGE-ESGENA guideline: Cleaning and disinfection in gastrointestinal endoscopy, update 2008[231] | 2008 | No recommendation |
| HPS | Endoscope Reprocessing: Guidance on the Requirements for Decontamination Equipment, Facilities and Management[232] | 2007 | No recommendation |
| JGETS | Guidelines for cleaning and disinfecting endoscopes - Second edition[233] | 2004 | No recommendation |
| Public Health Agency of Canada | Infection Prevention and Control Guideline for Flexible Gastrointestinal Endoscopy and Flexible Bronchoscopy[234] | 2010 | No recommendation |
| RKI | 2Hygiene requirements for reprocessing of medical devices[235] | 2001 | No recommendation |
| RKI | Hygiene requirements for reprocessing of medical devices[236] | 2012 | Not recommended |
| SGNA | Standards of Infection Control in Reprocessing of Flexible Gastrointestinal Endoscopes[237] | 2013 | No recommendation |
| WGO/OMED | WGO/OMED Practice Guideline Endoscope Disinfection[238] | 2005 | Recommended |
| WGO/WEO | Endoscope disinfection - a resource-sensitive approach[239] | 2011 | No recommendation |
These guidelines were updated in 2008 by guidelines[231];
These guidelines were updated in 2012 by guidelines[236]. AORN: Association of periOperative Registered Nurses; APIC: Association for Professionals in Infection Control and Epidemiology; APSIC: Asia Pacific Society of Infection Control; ASGE: American Society for Gastrointestinal Endoscopy; BSG: British Society of Gastroenterology; CDC: Centers for Disease Control and Prevention; ESGE: European Society of Gastrointestinal Endoscopy; ESGENA: European Society of Gastroenterology and Endoscopy Nurses and Associates; HPS: Health Protection Scotland; JGETS: Japanese Gastroenterological Endoscopy Technicians Society; OMED: Organisation Mondiale d'Endoscopie Digestive/World Organization for Digestive Endoscopy; RKI: Robert Koch Institute; SGNA: Society of Gastroenterology Nurses and Associates, Inc; WEO: World Endoscopy Organization (former OMED); WGO: World Gastroenterology Organisation.