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Reuse of hospital bedpans
Tamires Alessandra Mineli1, Denise de Andrade1, Simone de Godoy1
1Universidade de São Paulo. Ribeirão Preto, São Paulo, Brazil.
Objectives:
to evaluate the results of two methods of hospital bedpan reprocessing.
Methods:
cross-sectional study. Hospital bedpans containing a biological material contamination simulator or organic matter were submitted to manual cleaning followed by disinfection with 70% alcohol solution or thermodisinfection. Permanence of simulated contamination was evaluated by using the fluorescence technique and presence of organic matter was verified by carrying out the protein detection test.
Results:
the contamination simulator was found in bedpans submitted to both processes. The seat was dirtier after manual cleaning (p=0.044) in comparison with the result obtained with thermodisinfection. Automatized decontamination led to worse results when compared to the manual procedure for the scoop and external bottom (p=0.000). The protein detection test was positive in two items after thermodisinfection.
Conclusions:
manual cleaning followed by rubbing with 70% alcohol solution proved more effective than automatized cleaning in the reprocessing of hospital bedpans. There are relevant issues regarding reuse of hospital bedpans.
Insights
Manual cleaning with 70% alcohol solution is more effective for hospital bedpan reprocessing than automated methods. This study highlights critical issues concerning the reuse of hospital bedpans to ensure patient safety.
Area of Science:
- Healthcare
- Infection Control
- Medical Device Reprocessing
Background:
- Effective reprocessing of hospital bedpans is crucial for preventing healthcare-associated infections.
- Current automated disinfection methods may not adequately remove biological contaminants.
Purpose of the Study:
- To compare the efficacy of manual cleaning with 70% alcohol solution versus thermodisinfection for hospital bedpan reprocessing.
- To evaluate the effectiveness of two distinct bedpan decontamination procedures.
Main Methods:
- A cross-sectional study was conducted comparing manual cleaning and thermodisinfection.
- Hospital bedpans were contaminated with a biological simulator or organic matter.
- Fluorescence and protein detection tests assessed residual contamination after reprocessing.
Main Results:
- Simulated contamination persisted on bedpans after both manual and automated reprocessing.
- Manual cleaning followed by 70% alcohol was more effective than thermodisinfection, particularly for the seat area.
- Automated decontamination showed poorer results for the scoop and external bottom compared to manual cleaning.
Conclusions:
- Manual cleaning with 70% alcohol solution is superior to automated cleaning for hospital bedpan reprocessing.
- Significant challenges remain regarding the safe and effective reuse of hospital bedpans.
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