再处理半关键物品:从HLD转向内镜灭菌的概述和更新
William A Rutala1, David J Weber2
1Statewide Program for Infection Control and Epidemiology, University of North Carolina Hospitals, Chapel Hill, NC; Division of Infectious Diseases, UNC School of Medicine, Chapel Hill, NC.
重制半临界医疗器械,如内镜,需要严格遵守指南. 从高水平消毒转向灭菌对于预防与这些设备相关的感染至关重要.
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
- 在内镜检查中患者的安全性
背景情况:
- 半临界医疗器械接触粘膜或非完整的皮肤.
- 例如胃肠道内镜和内腔探针.
- 这些设备至少需要高水平的消毒.
研究的目的:
- 分析目前用于半临界医疗器械的再加工方法.
- 确定有效的战略和新技术,以减少感染风险.
- 评估特定设备从消毒过渡到灭菌的情况.
主要方法:
- 对医疗器械再加工现有的文献和指导方针进行审查.
- 与半关键项目相关的感染爆发的分析.
- 对照明内镜的消毒和杀菌技术的评估.
主要成果:
- 描述了半关键物品的当前再加工方法.
- 观察到一种趋势,即对光照内镜进行灭菌.
- 不充分的消毒被确定为严重的感染风险.
结论:
- 严格遵守当前的再加工指南是必不可少的.
- 建议对内镜进行过渡至灭菌.
- 改进的再处理协议对于预防医疗保健相关感染至关重要.
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