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To the Editor In their study, Dr Epstein and colleagues1 found that multiresistant bacterial strains were transmitted via endoscopic instruments, even though proper cleaning and disinfecting procedures were being followed. In an accompanying Editorial, Drs Rutala and Weber2 raised the question of whether such findings imply that sterilization rather than high-level disinfection should become the standard for the processing of complex, multichannel devices.
Mattke S. Sterilization of Endoscopic Instruments. JAMA. 2015;313(5):524. doi:10.1001/jama.2014.17581