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Published on: March 18, 2020
Microbial adherence to and disinfection of laryngoscopes used in office practice
A L Abramson1, E Gilberto, V Mullooly
1Department of Otolaryngology and Communicative Disorders, Long Island Jewish Medical Center, New Hyde Park, NY 11042-1433.
Abstract:
This study reports the appropriate disinfection methods for flexible and rigid laryngoscopes when used in an outpatient setting. This investigation presents evidence that an appreciable number of laryngoscopes are contaminated during use. A brief tap water rinse serves to eliminate gross soil of host origin known to interfere with disinfectant efficacy. Disinfection with 3.2% glutaraldehyde (Cidexplus) for 10 minutes effectively eliminated microbial contaminants. Since potentially harmful microorganisms were included among the more than 100 isolates during our baseline experiments, the need to eliminate bacteria, viruses, fungi, and protozoa from laryngoscopes is obvious and can be attained readily.
Insights
Proper disinfection of laryngoscopes is crucial in outpatient settings. A 10-minute rinse with 3.2% glutaraldehyde effectively eliminates microbial contaminants from these medical instruments.
Area of Science:
- Microbiology
- Infection Control
- Medical Device Disinfection
Background:
- Laryngoscopes are frequently contaminated with microorganisms after patient use in outpatient settings.
- Gross soil on laryngoscopes can reduce the efficacy of disinfection procedures.
- Ensuring adequate disinfection is vital to prevent pathogen transmission.
Purpose of the Study:
- To identify appropriate disinfection methods for flexible and rigid laryngoscopes in outpatient environments.
- To evaluate the effectiveness of a specific disinfection protocol in eliminating microbial contaminants.
Main Methods:
- Baseline experiments identified over 100 microbial isolates from used laryngoscopes.
- A preliminary tap water rinse was employed to remove gross soil.
- Disinfection was performed using 3.2% glutaraldehyde (Cidexplus) for a 10-minute duration.
Main Results:
- A brief tap water rinse effectively removed gross organic soil.
- Disinfection with 3.2% glutaraldehyde for 10 minutes demonstrated complete elimination of microbial contaminants.
- The study included a wide range of potentially harmful microorganisms.
Conclusions:
- A 10-minute disinfection with 3.2% glutaraldehyde is an effective method for cleaning laryngoscopes in outpatient settings.
- This protocol successfully eliminates bacteria, viruses, fungi, and protozoa.
- Appropriate disinfection is readily achievable and essential for patient safety.
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