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Correspondence
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Volume 337:1848-1849 December 18, 1997 Number 25
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Transmission of Hepatitis C Virus during Colonoscopy

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 by Bronowicki, J.-P.
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To the Editor: Bronowicki et al. (July 24 issue)1 report the probable transmission of hepatitis C virus infection from a seropositive patient to a husband and wife at the time of colonoscopy. They clearly demonstrate the necessity of proper reprocessing of flexible gastrointestinal endoscopes and accessories by pointing out the multiple breaches of established recommendations for the reprocessing of colonoscopes. These breaches included failing to clean the endoscope's air, water, and biopsy-suction channels manually and limiting the glutaraldehyde soak to five minutes, as well as failing to steam-sterilize (autoclave) the biopsy forceps between uses.

The American Society for Gastrointestinal Endoscopy's . . . [Full Text of this Article]

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