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A Survey of the Costs of Flexible Endoscope Cleaning and Disinfection

A questionnaire was developed and sent to the 860 members of the Society of Gastroenterology Nurses and Associates Lab Management Special Interest Group. Of the 98 (11%) completed responses, the average per-procedure price for cleaning one flexible endoscope was $39.13 for manual disinfecting and $40.56 using an automatic disinfector. Staff costs, including those attributable to cleaning-related delays, accounted for the largest single component of the overall cleaning costs (44%). Cleaning-related damage and maintaining an inventory of endoscopes to offset the effects of reprocessing on procedure scheduling were also found to significantly contribute to cleaning costs.