{"id":6418,"date":"2023-12-12T14:13:48","date_gmt":"2023-12-12T13:13:48","guid":{"rendered":"https:\/\/choosingwiselyitaly.org\/?post_type=raccomandazione-prof&#038;p=6418"},"modified":"2026-05-04T21:49:53","modified_gmt":"2026-05-04T19:49:53","slug":"do-not-use-single-use-endoscopes-regularly-as-they-should-be-reserved-for-highly-selected-patients-on-a-case-by-case-basis-immunocompromised-patients-or-those-with-multidrug-resistant-bacteria","status":"publish","type":"raccomandazione-prof","link":"https:\/\/choosingwiselyitaly.org\/en\/raccomandazione-prof\/do-not-use-single-use-endoscopes-regularly-as-they-should-be-reserved-for-highly-selected-patients-on-a-case-by-case-basis-immunocompromised-patients-or-those-with-multidrug-resistant-bacteria\/","title":{"rendered":"Do not use single use endoscopes regularly as they should be reserved for highly selected patients, on a case-by-case basis (immunocompromised patients or those with multidrug-resistant bacteria)."},"content":{"rendered":"<p>In most studies the calculated minimum estimated endoscope-associated infection risk is low when reprocessing protocols are correctly applied. The carbon footprint of single-use endoscopes is substantial as recent studies estimates that releases of CO2 and consumes of energy are higher than with reusable one or with duodenoscope with disposable end caps. It has been proposed that immunocompromised patients or those with multidrug-resistant bacteria are likely to benefit from single-use endoscopes.<\/p>\n","protected":false},"featured_media":6327,"template":"","meta":{"_wpv_contains_gutenberg_views":[""],"_layouts_template":["modello-per-raccomandazioni-professionista"],"_wp_page_template":["default"],"_wpml_word_count":["120"],"_edit_lock":["1777925581:2"],"_edit_last":["2"],"_wpml_media_featured":["1"],"_wpml_media_duplicate":["1"],"_wpml_location_migration_done":["1"],"cmplz_hide_cookiebanner":[""],"_yoast_wpseo_primary_eta":["96"],"_yoast_wpseo_primary_disciplina":["102"],"_yoast_wpseo_primary_tipologia":["131"],"wpcf-pacchetto":["AIGO #3"],"wpcf-bibliografia":["1. Hernandez LV, Le NNT, Patnode C et al. Comparing the impact of reusable and single-use duodenoscopes using life cycle assessment. Gastrointest Endosc 2021;93:AB29.\r\n2. Repici A, Khalaf K, Troncone E et al. International Delphi Consensus Study on disposable single use endoscopy: a path to clinical adoption. Dig Liver Dis 2024;56:322-29.\r\n3. Lopez-Munoz P, Martin-Cabezuelo R, Lorenzo-Zuniga V et al. Environmental footprint and material composition comparison of single-use and reusable duodenoscopes. 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