{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T14:23:25Z","timestamp":1790346205542,"version":"4.1.0"},"reference-count":18,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2017,8,16]],"date-time":"2017-08-16T00:00:00Z","timestamp":1502841600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2018,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Nasopharyngoscopes are an essential instrument to otolaryngologists; reprocessing them in a high\u2010value manner is paramount. Although several different techniques for reprocessing exist, all methods yield similar effectiveness. Given equivalent effectiveness outcomes, a cost analysis of four nasopharyngoscope reprocessing techniques was performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Cost\u2010minimization analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Four techniques were evaluated: 1) an automated reprocessor using peracetic acid (Steris System 1; Steris Canada Inc., Mississauga, Canada), 2) an automated reprocessor using ortho\n                      <jats:italic>\u2010<\/jats:italic>\n                      phthalaldehyde (OPA) (Cidex OPA; Advanced Sterilization Products, Johnson and Johnson Inc., Markham, Canada), 3) a manually performed accelerated hydrogen peroxide bath (Revital\u2010Ox; Steris Canada Inc.), and 4) a chlorine dioxide wipe (Tristel Trio Wipes System; Tristel plc, Cambridgeshire, U.K.). The costing perspective was a third\u2010party payer that was adjusted to 2014 Canadian dollars. The base\u2010case scenario used an annual volume of 4,153 reprocessing events in a tertiary care setting, and a scenario analysis assessed the impact of volume and capital expense.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The cost per reprocessing event for the Steris (Steris Canada Inc.) automated endoscope reprocessing, Cidex OPA (Advanced Sterilization Products), Revital\u2010Ox (Steris Canada Inc.), and Tristel Trio Wipes (Tristel plc) were $20.58, $14.20, $9.57, and $13.14, respectively. Scenario analysis demonstrated the Tristel Trio Wipes System (Tristel plc) was the least expensive method in practices with low reprocessing volumes (a threshold of less than 6 events per day, or 22 per week), whereas the Revital\u2010Ox (Steris Canada Inc.) system was least expensive at higher volumes and became substantially more so as volumes increased.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A manual accelerated hydrogen peroxide bath offers the least costly approach to nasopharyngoscope reprocessing. The convenience and portability of the Tristel Trio (Tristel plc) system may be a good alternative for low reprocessing volumes, or when rapid turnaround is necessary.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>\n                      NA.\n                      <jats:italic>Laryngoscope<\/jats:italic>\n                      , 128:64\u201371, 2018\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.26770","type":"journal-article","created":{"date-parts":[[2017,8,17]],"date-time":"2017-08-17T03:41:28Z","timestamp":1502941288000},"page":"64-71","source":"Crossref","is-referenced-by-count":15,"title":["The cost of being clean: A cost analysis of nasopharyngoscope reprocessing techniques"],"prefix":"10.1002","volume":"128","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5825-2759","authenticated-orcid":false,"given":"Leigh J.","family":"Sowerby","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, Schulich School of Medicine and Dentistry Western University London Ontario"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luke","family":"Rudmik","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Otolaryngology\u2013Head and Neck Surgery, Cumming School of Medicine University of Calgary Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,8,16]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"RutalaWA WeberDJ WeinsteinRA et al.Guideline for disinfection and sterilization in healthcare facilities 2008. Available athttps:\/\/www.cdc.gov\/hai\/pdfs\/disinfection_nov_2008.pdf. Accessed May 4 2017."},{"key":"e_1_2_6_3_1","unstructured":"Alberta Health.Standards for cleaning disinfection and sterilization of reusable medical devices for healthcare facilities and settings.2012. Available athttp:\/\/www.health.alberta.ca\/documents\/IPC-Medical-Device-Cleaning-2012.pdf. Accessed May 4 2017."},{"key":"e_1_2_6_4_1","unstructured":"Provincial Infectious Diseases Advisory Committee (PIDAC).Best practices for cleaning disinfection and sterilization of medical equipment\/devices in all health care settings 3rd edition.2013. Available athttp:\/\/www.publichealthontario.ca\/en\/eRepository\/PIDAC_Cleaning_Disinfection_and_Sterilization_2013.pdf. Accessed May 4 2017."},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.12968\/bjon.2014.23.15.850"},{"key":"e_1_2_6_6_1","doi-asserted-by":"crossref","first-page":"649","DOI":"10.1086\/666345","article-title":"Results from a large\u2010scale epidemiologic look\u2010back investigation of improperly reprocessed endoscopy equipment","volume":"33","author":"Holodniy M","year":"2012","journal-title":"Infect Control Hosp Epidemiol"},{"key":"e_1_2_6_7_1","first-page":"131","article-title":"Time\u2010driven activity\u2010based costing","volume":"82","author":"Kaplan RS","year":"2004","journal-title":"Harvard Bus Rev"},{"key":"e_1_2_6_8_1","volume-title":"Tristel Trio Wipes System User Guide","author":"Tristel plc","year":"2012"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1479-666X(06)80015-6"},{"key":"e_1_2_6_10_1","volume-title":"Health Care Finance: An Introduction to Accounting and Financial Management","author":"Gapenski LC","year":"2012"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2004.04.031"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.2332\/allergolint.C-06-51"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.25421"},{"key":"e_1_2_6_14_1","first-page":"134","article-title":"How safe is your endoscope disinfectant?","volume":"15","author":"Gray J","year":"2005","journal-title":"Brit J Perioper Nurs"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(97)00218-5"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2007.0181"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.21051"},{"key":"e_1_2_6_18_1","volume-title":"Infection Prevention and Control Guideline for Flexible Gastrointestinal Endoscopy and Flexible Bronchoscopy","author":"Public Health Agency of Canada","year":"2010"},{"key":"e_1_2_6_19_1","unstructured":"Swift AC.Guidance on the decontamination and sterilization of rigid and flexible endoscopes.2010. ENT UK. Available at:http:\/\/www.tristel.com\/sites\/default\/files\/ent_uk_guidelines_2010.pdf. Accessed May 4 2017."}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Flary.26770","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.26770","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,29]],"date-time":"2023-09-29T16:02:28Z","timestamp":1696003348000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.26770"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,8,16]]},"references-count":18,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2018,1]]}},"alternative-id":["10.1002\/lary.26770"],"URL":"https:\/\/doi.org\/10.1002\/lary.26770","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,8,16]]}}}