{"id":48198,"date":"2025-09-18T10:35:02","date_gmt":"2025-09-18T08:35:02","guid":{"rendered":"https:\/\/sssh.ch\/forum\/bonnes-pratiques-suisses-de-retraitement-des-endoscopes-flexibles-thermolabiles-bpre\/"},"modified":"2025-09-24T07:09:57","modified_gmt":"2025-09-24T05:09:57","slug":"bonnes-pratiques-suisses-de-retraitement-des-endoscopes-flexibles-thermolabiles-bpre","status":"publish","type":"forum","link":"https:\/\/sssh.ch\/it\/forum\/bonnes-pratiques-suisses-de-retraitement-des-endoscopes-flexibles-thermolabiles-bpre\/","title":{"rendered":"Bonnes pratiques suisses de retraitement des endoscopes flexibles, thermolabiles (BPRE)"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"48198\" class=\"elementor elementor-48198 elementor-48178\" data-elementor-post-type=\"forum\">\n\t\t\t\t<div class=\"elementor-element elementor-element-fce438f e-flex e-con-boxed e-con e-parent\" data-id=\"fce438f\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a92f447 elementor-widget elementor-widget-text-editor\" data-id=\"a92f447\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>En 2010, la premi\u00e8re directive suisse commune pour le retraitement des endoscopes flexibles a \u00e9t\u00e9 publi\u00e9e par les soci\u00e9t\u00e9s de gastroent\u00e9rologie (SSG), de pneumologie (SGP) et d\u2019hygi\u00e8ne hospitali\u00e8re (SSSH) ainsi que par l\u2019Association Suisse du Personnel en Endoscopie (ASPE). Cette directive se basait sur la recommandation alors en vigueur \u00abExigences en mati\u00e8re d\u2019hygi\u00e8ne lors du retraitement des endoscopes flexibles et des instruments endoscopiques compl\u00e9mentaires\u00bb (Institut Robert Koch ; 2002), mais contenait en outre de nombreuses proc\u00e9dures d\u00e9taill\u00e9es et pratiques.<\/p><p>L\u2019\u00e9volution technique et les r\u00e9sultats d\u2019\u00e9tudes r\u00e9centes ont rendu n\u00e9cessaire une r\u00e9vision compl\u00e8te de la directive suisse en 2020. Le groupe de travail charg\u00e9 de la r\u00e9viser s\u2019est largement appuy\u00e9 sur la prise de position publi\u00e9e en 2018 par l\u2019European Society of Gastrointestinal Endoscopy (ESGE) et l\u2019European Society of Gastroenterology Nurses and Associates (ESGENA) concernant le retraitement des endoscopes flexibles, tout en adaptant les contenus aux conditions et aux directives en vigueur en Suisse.<\/p><p>La grande complexit\u00e9 des endoscopes flexibles, respectivement thermolabiles, qui ne sont g\u00e9n\u00e9ralement pas utilis\u00e9s de mani\u00e8re st\u00e9rile sur les patients, rend l\u2019ensemble du circuit de retraitement extr\u00eamement exigeant avec ses diff\u00e9rents proc\u00e9d\u00e9s manuels et m\u00e9caniques. Pour \u00e9viter la transmission d\u2019agents infectieux potentiels et les infections dues \u00e0 des endoscopes flexibles contamin\u00e9s, il faut donc des instructions et des r\u00e8gles clairement d\u00e9finies.<\/p><p>La strat\u00e9gie nationale suisse de surveillance, de pr\u00e9vention et de lutte contre les infections associ\u00e9es aux soins (strat\u00e9gie NOSO) oblige les \u00e9tablissements de sant\u00e9 \u00e0 prendre des mesures cibl\u00e9es pour r\u00e9duire les infections nosocomiales.<\/p><p>La litt\u00e9rature fait \u00e9tat de transmissions nosocomiales dues \u00e0 des endoscopes mal retrait\u00e9s. Des infections par des virus de l\u2019h\u00e9patite B et C, des salmonelles, des mycobact\u00e9ries, des pseudomonas, des Helicobacter, des protozoaires, des champignons, des vers ainsi que des \u00e9pid\u00e9mies dues \u00e0 des agents pathog\u00e8nes multir\u00e9sistants ont \u00e9t\u00e9 mises en \u00e9vidence.<\/p><p>La propagation de nouvelles r\u00e9sistances aux antibiotiques, en particulier de germes intestinaux produisant des carbap\u00e9n\u00e9mases et des b\u00eatalactamases \u00e0 spectre \u00e9largi (BLSE) ainsi que des ent\u00e9rocoques r\u00e9sistant \u00e0 la vancomycine (VRE ou ERG), est importante. Les cons\u00e9quences possibles qui en d\u00e9coulent pour la sant\u00e9 des patients concern\u00e9s soulignent l\u2019importance d\u2019un retraitement correct des endoscopes thermolabiles, afin d\u2019\u00e9viter les infections associ\u00e9es \u00e0 l\u2019endoscopie par des germes r\u00e9sistants aux antibiotiques.<\/p><p>L\u2019ordonnance sur les dispositifs m\u00e9dicaux de 2021 (ODim, RS 812.213) exige explicitement une validation du proc\u00e9d\u00e9 de retraitement et un syst\u00e8me de gestion de la qualit\u00e9 associ\u00e9, afin de pouvoir prouver l\u2019efficacit\u00e9 et la reproductibilit\u00e9 des proc\u00e9d\u00e9s utilis\u00e9s.<\/p><p>Ces nouvelles Bonnes pratiques suisses de retraitement des endoscopes flexibles, thermolabiles (BPRE) reprennent de nombreux aspects de la directive suisse de 2020, mais ont \u00e9t\u00e9 compl\u00e9t\u00e9es par des dispositions l\u00e9gales et une description pr\u00e9cise des obligations.<\/p><p>Ce document offre aux cabinets m\u00e9dicaux, aux services ambulatoires et aux h\u00f4pitaux une compilation d\u2019informations bas\u00e9es sur l\u2019\u00e9tat le plus r\u00e9cent de la science et de la technique. Il doit aider les personnes responsables du retraitement des endoscopes flexibles dans leur t\u00e2che, \u00e0 savoir mettre \u00e0 disposition des endoscopes flexibles s\u00fbrs et fonctionnels.<\/p><p>En application de l\u2019art. 71, al. 4 ODim, Swissmedic s\u2019appuiera sur ce document dans le cadre de ses activit\u00e9s d\u2019inspection. Tout \u00e9cart par rapport aux exigences qu\u2019il pr\u00e9sente devra \u00eatre justifi\u00e9 ou corrig\u00e9.<\/p><p>Des sp\u00e9cialistes de la SSHH, de la SSG, de la SSSH, de la fibs, de l\u2019ASPE et d\u2019IG-WiG ont \u00e9t\u00e9 impliqu\u00e9s dans l\u2019\u00e9laboration de la pr\u00e9sente version. D\u2019autres organisations ont \u00e9t\u00e9 consult\u00e9es.<\/p><p>Un grand merci \u00e0 tous ceux qui ont contribu\u00e9 \u00e0 l\u2019\u00e9laboration de ce document.<\/p><p style=\"text-align: right;\"><em>Les membres du groupe de travail<br \/><\/em><em>\u00ab Bonnes pratiques suisses de retraitement des endoscopes flexibles, thermolabiles (BPRE) \u00bb<\/em><\/p><p>Les BPRE et la check-list correspondante viennent d\u2019\u00eatre publi\u00e9es. Ces documents sont disponibles sur le site de Swissmedic <a href=\"https:\/\/www.swissmedic.ch\/swissmedic\/fr\/home\/dispositifs-medicaux\/retraitement-et-maintenance\/retraitement.html\" target=\"_blank\" rel=\"noopener\">www.swissmedic.ch<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"featured_media":0,"template":"","meta":{"_acf_changed":false,"site-sidebar-layout":"no-sidebar","site-content-layout":"page-builder","ast-site-content-layout":"full-width-container","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}}},"forum_cat":[1362],"parution":[],"page_sommaire":[],"class_list":["post-48198","forum","type-forum","status-publish","hentry","forum_cat-forum-3-2025-it"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - 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