We read with interest the letter from Han et al about our study1 and we thank those authors for underlining points to be discussed about the real place of single use and reusable endoscope strategies. Although the benefits for reducing cross-infections seem significant, assessing the positive indirect environmental impact is difficult, as the number of patients involved in high-infection risk2 care remains very low compared with the daily endoscopy practice evaluated in this study, with conventional gastroscopes, disinfected in the standard way, in a routine activity and not in intensive care units with high-level disinfection processes.3 Moreover, this study focused on gastroscopes, with low risk of cross-infections in opposition to duodenoscopes. Of course, the weight of the endoscope’s plastic is an important element in the analysis, explaining the difference between our results and those …

中文翻译：

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在某些情况下，一次性使用内窥镜可能会减少胃镜检查对环境的各种影响，但在内窥镜检查装置的常规实践中可能不会


我们饶有兴趣地阅读了 Han 等人关于我们研究的来信1，我们感谢这些作者强调了关于一次性使用和可重复使用内窥镜策略的真正位置需要讨论的要点。尽管减少交叉感染的好处似乎很大，但评估积极的间接环境影响是困难的，因为与本研究中评估的日常内窥镜检查实践相比，参与高感染风险2护理的患者数量仍然非常少，使用传统胃镜，以标准方式消毒，在日常活动中，而不是在具有高级消毒过程的重症监护病房中。 本研究侧重于胃镜，与十二指肠镜相反，交叉感染的风险较低。当然，内窥镜塑料的重量是分析中的一个重要因素，解释了我们的结果与那些结果之间的差异......