Medical instrument reprocessing: current issues with cleaning and cleaning monitoring - 29/05/19
Highlights |
• | Reprocessing of medical devices requires a quality management system. |
• | Contaminated surgical instruments and endoscopes have caused infection transmission. |
• | Cleaning of all reusable medical devices is a critical step that should be monitored. |
• | Inadequate cleaning can result in failure of sterilization and/or high-level disinfection. |
• | Proactive gap analysis is critical for optimal medical device reprocessing. |
Résumé |
The complexity of medical devices has increased over the past 10 years, and outbreaks of infections due to contaminated devices have focused attention on the need to adequately clean medical devices in order to ensure the adequacy of disinfection and sterilization. There has been a paradigm shift in reprocessing of medical devices, with increased emphasis on a quality management systems approach that requires validated cleaning instructions from manufacturers and ongoing monitoring by reprocessing personnel to ensure adequacy of cleaning. This article reviews the current issues related to medical device reprocessing and summarizes the approaches used for monitoring cleaning efficacy for surgical instruments and flexible endoscopes.
Le texte complet de cet article est disponible en PDF.Key Words : Flexible endoscopes, Adenosine triphosphate, Organic residuals, Washer-disinfectors, Total organic carbon, Protein
Plan
| Conflicts of interest: None to report. |
Vol 47 - N° S
P. A10-A16 - juin 2019 Retour au numéro
Article précédent
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