从"受污染"的手术仪器和立即使用的蒸汽杀菌对患者传播疾病的风险
William A Rutala1, David J Weber2
1Statewide Program for Infection Control and Epidemiology, University of North Carolina (UNC) School of Medicine, Chapel Hill, NC; Division of Infectious Diseases, UNC School of Medicine, Chapel Hill, NC.
American journal of infection control
|October 27, 2023
概括
手术部位感染 (SSI) 是一个问题,但手术仪器的适当再处理和验证的灭菌有效地消除了病原体风险. 这确保了手术过程中的患者安全.
科学领域:
- 在医疗保健机构的感染控制.
- 医疗器械再加工和灭菌 医疗设备再加工和灭菌
背景情况:
- 手术部位感染 (SSI) 可以源于患者自己的微生物群或外部来源,如空气,表面,人员和设备.
- 了解病原体来源对于预防SSI至关重要.
研究的目的:
- 批判性地审查有关手术仪器再加工和灭菌有效性的文献.
- 评估与受污染的手术仪器相关的感染风险,并立即使用蒸汽杀菌.
主要方法:
- 使用谷歌,谷歌学者和PubMed搜索英语出版物的全面文献搜索.
- 专注于再加工,杀菌效率,微生物负载,仪器污染频率和感染风险.
主要成果:
- 在仪器再加工过程中,多余的安全措施确保了病原体的不活化.
- 有效的手动清洁,机械清洁 (洗衣机-消毒器) 和强大的杀菌技术可降低风险.
- 使用后和清洗前仪器的微生物负载较低,有助于提高安全性.
结论:
- 当杀菌周期得到验证时,手术仪器引起的SSI的风险是可以忽略不计的.
- 经过验证的绝育过程对于手术环境中的患者安全至关重要.
关键词:
感染的风险感染的风险相关概念视频
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