Survey of techniques used for sterilization of facial implants

Policies need to be developed in each institution to ensure that OR personnel alert the CSS when implants are sent to CSS for sterilization so that a spore test can be processed with each implant regardless of the method of sterilization (steam, gas, or other). Implants should be quarantined for a 48-hour negative test result when possible. It is advisable to keep a log in CSS for items that require premature release with prior notification of the physician. In situations when implants and materials must be customized during surgery, OR personnel may sterilize the unwrapped implants and materials with a spore test. Under special circumstances, such materials may be released for use before obtaining the results of the 48-hour spore test, if the special circumstances are recorded in a log in the OR. If a spore test is subsequently found to show positive results, the physician and infection control personnel should be notified by telephone by OR personnel. Opposition to these policies in institutions that have implemented them has gradually diminished as surgeons have become used to the requirements and realize the rationale. OR nurses and infection control personnel need to understand that the procedures constitute safer patient care practices and that they are in full compliance with CDC guidelines.