建议对可重复使用的医疗器械进行清洁分类系统,以补充Spaulding分类
T Kremer1, N J Rowan2, G McDonnell3
1Centre for Sustainable Disinfection and Sterilization, Bioscience Research Institute, Technological University of the Shannon Midlands Midwest, Athlone, Ireland; Microbiological Quality and Sterility Assurance, Johnson & Johnson, Raritan, NJ, USA.
The Journal of hospital infection
|December 16, 2023
概括
一个新的清洁分类系统补充了Spaulding系统,以改善医疗器械再加工. 这解决了清洁复杂设备的挑战,提高了患者安全和感染预防策略.
科学领域:
- 医疗保健感染预防预防 医疗保健感染预防
- 医疗设备再加工 医疗设备再加工
- 微生物学与杀菌的研究
背景情况:
- 在20世纪50年代建立的Spaulding分类系统,指导医疗器械再处理基于患者接触水平 (关键,半关键,非关键).
- 虽然Spaulding系统对微生物无活化有效,但其重点不足,忽视了清洁在预防医疗相关感染中的关键作用.
- 微生物学的进步和复杂的医疗器械设计需要重新评估再处理协议,强调除菌和杀菌之外的清洁效率.
研究的目的:
- 为可重复使用的医疗器械引入一种新的,量化基于风险的清洁分类系统.
- 通过应对现代再加工挑战来补充现有的Spaulding分类系统.
- 加强制造商和医疗保健机构之间与医疗器械清洁相关的沟通和做法.
主要方法:
- 开发医疗器械清洁的基于风险的定量分类系统.
- 根据设备的复杂性和特性评估清洁方面的挑战.
- 整合新的清洁分类与传统的Spaulding分类.
主要成果:
- 拟议的清洁分类系统根据设备的复杂性量化清洁挑战.
- 它为改善有关可重复使用医疗器械清洁风险的沟通提供了一个框架.
- 该系统旨在通过确保足够的清洁性来提高抗微生物过程的有效性.
结论:
- 一个新的清洁分类系统对于解决现代医疗保健环境中Spaulding系统的局限性至关重要.
- 有效的清洁对医疗器械安全至关重要,影响抗微生物药物的有效性和患者的福祉.
- 这种分类系统将支持改进再处理实践,设备设计和安全医疗器械再利用的创新.
更多相关视频
07:00Failure of Cleaning Verification in Pharmaceutical Industry Due to Uncleanliness of Stainless Steel Surface
Published on: August 11, 2017
8.2K
14:17The Portable Chemical Sterilizer PCS, D-FENS, and D-FEND ALL: Novel Chlorine Dioxide Decontamination Technologies for the Military
Published on: June 29, 2014
14.6K
相关概念视频
01:30Cleaning, Sterilization, and Disinfection
6.8K
Cleaning, disinfection, and sterilization are the methods that help to break the infection chain and prevent disease.
Cleaning
The cleaning process usually involves using water with detergents or enzymatic cleaner and removing foreign material from objects and surfaces, including organic material such as body fluids or inorganic material like soil. Cleaning is performed before high-level disinfection and sterilization because foreign materials on the cover of the devices interfere with process...
Cleaning
The cleaning process usually involves using water with detergents or enzymatic cleaner and removing foreign material from objects and surfaces, including organic material such as body fluids or inorganic material like soil. Cleaning is performed before high-level disinfection and sterilization because foreign materials on the cover of the devices interfere with process...
6.8K
01:30Methods of Sterilization II: Chemical Methods
6.3K
In healthcare, the chemical method of sterilization uses chemical sterilants to treat surgical instruments and medical supplies to help prevent the transmission of infectious pathogens to patients. Due to heat sensitivity, most medical supplies and equipment should not be exposed to high temperatures. These parts include rubber, plastic, glass, and other similar elements.
Using chemical sterilization rather than heat to clean out equipment is recommended. It eradicates and removes all bacteria,...
Using chemical sterilization rather than heat to clean out equipment is recommended. It eradicates and removes all bacteria,...
6.3K
01:26Standard Precaution
1.9K
Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
1.9K
01:18Handwashing I: Introduction and Types of Equipment
4.1K
Handwashing is hand hygiene with plain or antimicrobial soap and water to physically remove dirt, organic material, and microorganisms. However, it may not kill all microorganisms. The handwashing procedure requires a hand wash basin, liquid soap, paper towels, a domestic waste bin, and disposable nail cleaner as optional equipment.
Hand wash basins in clinical areas should have faucets that can be turned on and off without using the hands; that is, they should be non-touch or lever-operated....
Hand wash basins in clinical areas should have faucets that can be turned on and off without using the hands; that is, they should be non-touch or lever-operated....
4.1K
01:10PPE Use in Healthcare Settings II: Doffing
916
The sequence of removing or doffing PPE starts with the gloves, as they are the most contaminated. Next is removal of the face shield or goggles, as they would interfere with removing other PPE. Then remove the gown, followed by the mask or respirator. Perform hand hygiene between steps if hands become contaminated and immediately after removing all PPE. Generally, the outside front and sleeves of the isolation gown, the goggles or the mask, the respirator, and the face shield are contaminated.
916
01:28Asepsis
2.1K
The condition of being free from disease-causing living pathogens is asepsis. Aseptic techniques include a set of standard practices to achieve asepsis. An example is the regular environmental cleaning of all parts of the healthcare facility and hand hygiene at home before preparing or eating food. Medical and surgical asepsis in healthcare practice protects patients from harmful pathogens, minimizes the risk of contamination of susceptible sites, and reduces the risk of infection transmission.
2.1K