Multisociety guidance for sterilization and high-level disinfection

Area of Science:

• Healthcare-associated infection prevention
• Medical device reprocessing
• Infection control standards

Background:

• Sterilization and high-level disinfection (HLD) are critical for preventing healthcare-associated infections.
• Existing guidelines require updates based on scientific evidence and practical considerations.
• Multisociety collaboration is essential for comprehensive infection prevention guidance.

Purpose of the Study:

• To develop updated, evidence-based infection prevention guidance for sterilization and HLD.
• To provide practical recommendations for healthcare personnel and organizations involved in device reprocessing.
• To address specific challenges in sterilization and HLD, including device preparation, processing, and monitoring.

Main Methods:

• Synthesis of published scientific evidence.
• Consideration of theoretical rationale, current practices, and practical implementation.
• Consensus development among a writing group representing multiple professional societies.

Main Results:

• The guidance covers a comprehensive range of topics including Spaulding Classification, manufacturers' instructions for use (MIFUs), and point-of-use treatment.
• Specific recommendations are provided for sterilization, immediate use steam sterilization (IUSS), HLD of various devices, and processing of devices with special agents.
• The document also addresses monitoring, post-processing handling, alternatives to HLD, investigational devices, tracking, and implementation strategies.

Conclusions:

• This multisociety guidance offers a framework for optimizing sterilization and HLD practices.
• Adherence to these recommendations can enhance patient safety and reduce infection risks.
• The guidance serves as a valuable resource for healthcare facilities aiming to improve their reprocessing protocols.