The study highlights that even when endoscope reprocessing follows current guidelines, contamination often persists. This includes the presence of viable microorganisms and organic residues, which pose a risk of infection transmission.

Many healthcare facilities struggle with consistent adherence to reprocessing protocols. Factors include inadequate training, time constraints, and lack of standardized procedures, which contribute to variability in outcomes.

The complex design of endoscopes, especially duodenoscopes, makes them difficult to clean thoroughly. Biofilms can form inside channels, shielding pathogens from disinfectants and increasing the risk of patient exposure.

The article calls for routine microbiological surveillance and verification testing (e.g., ATP testing, cultures) to ensure that reprocessing is effective. These practices are not yet widely adopted but are critical for patient safety.

The author urges infection preventionists and clinicians to advocate for improved training, better equipment design, and institutional investment in quality assurance programs. The goal is to shift from a compliance mindset to a safety-first culture.