دورية أكاديمية
أعرض في EDS

The Effect of Brush Motion and Rinsing When Manually Cleaning Cannulated Medical Devices.

التفاصيل البيبلوغرافية
العنوان: The Effect of Brush Motion and Rinsing When Manually Cleaning Cannulated Medical Devices.
المؤلفون: Bronzatti JAG, Laranjeira PR, Bruna CQM, Graziano KU
المصدر: AORN journal [AORN J] 2020 May; Vol. 111 (5), pp. 508-514.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Wiley Country of Publication: United States NLM ID: 0372403 Publication Model: Print Cited Medium: Internet ISSN: 1878-0369 (Electronic) Linking ISSN: 00012092 NLM ISO Abbreviation: AORN J Subsets: MEDLINE
أسماء مطبوعة: Publication: Hoboken, NJ : Wiley
Original Publication: [Denver, Colo., etc., Association of Operating Room Nurses]
مواضيع طبية MeSH: Adenosine Triphosphate/*analysis , Cannula/*adverse effects , Decontamination/*standards , Equipment Contamination/*prevention & control , Toothbrushing/*instrumentation, Cannula/microbiology ; Decontamination/instrumentation ; Decontamination/methods ; Equipment Contamination/statistics & numerical data ; Humans ; Toothbrushing/adverse effects ; Toothbrushing/nursing
مستخلص: Cleaning cannulated medical devices can be challenging for perioperative and sterile processing department personnel. We performed a laboratory experimental study to evaluate differences in cleaning effectiveness using either a back-and-forth or helical spinning brushing motion and the effect of rinsing the bristles at each reintroduction of the brush in the lumen. We also tested the lumen cleanliness after high-pressure water cleansing without brushing. We inspected the devices to determine whether visible soil remained, and we measured the amount of residual organic matter using adenosine triphosphate testing to determine cleaning method effectiveness. The results showed that rinsing the brush during cleaning decreased the amount of organic material that remained in the lumen. A helical spinning motion with brush rinsing at each reintroduction of the brush may be more effective than back-and-forth brushing with rinsing, but additional testing with a larger sample size is required to determine whether this result is replicable.
(© AORN, Inc, 2020.)
References: Association for the Advancement of Medical Instrumentation. ANSI/AAMI ST79:2017. Comprehensive Guide to Steam Sterilization and Sterility Assurance in Health Care Facilities. Arlington, VA: AAMI; 2017.
World Health Organization, Pan American Health Organization. Decontamination and Reprocessing of Medical Devices for Health-care Facilities. Geneva, Switzerland: WHO Press; 2016. https://apps.who.int/iris/bitstream/handle/10665/250232/9789241549851-eng.pdf?sequence=1. Accessed March 24, 2020.
Rutala WA, Weber DJ, Healthcare Infection Control Practices Advisory Committee (HICPAC). Guideline for Disinfection and Sterilization in Healthcare Facilities, 2008. Atlanta, GA: Centers for Disease Control and Prevention. https://www.cdc.gov/infec​tionc​ontro​l/pdf/guide​lines/​disin​fecti​on-guide​lines-H.pdf. Updated May 2019. Accessed January 6, 2020.
Bajolet O, Ciocan D, Vallet C, et al. Gastroscopy-associated transmission of extended-spectrum beta-lactamase-producing Pseudomonas aeruginosa. J Hosp Infect. 2013;83(4):341-343.
Young M. Lumens and endoscopes: meeting cleaning basics. OR Manager. 2012;28(8):22-25.
Charlton TS. A comparison of the efficacy of lumen-cleaning devices for flexible gastrointestinal endoscopes. Aust Infect Control. 2007;12(3):81-90.
Gillespie E, Sievert W, Swan M, Kaye C, Edridge I, Stuart RL. Adenosine triphosphate bioluminescence to validate decontamination of endoscopes. J Hosp Infect. 2017;97(4):353-356.
Alfa MJ, Nemes R. Manual versus automated methods for cleaning reusable accessory devices used for minimally invasive surgical procedures. J Hosp Infect. 2004;58(1):50-58.
Guideline for cleaning and care of surgical instruments. In: Guidelines for Perioperative Practice. Denver, CO: AORN, Inc; 2020:387-426.
Carter A, Biering H, Gebel J, et al. Guideline for validation of manual cleaning and manual chemical disinfection of medical devices [supplement]. Zentralsterilisation (Wiesb). Wiesbaden, Germany: mhp-Verlag GmbH; 2013. http://www.krank​enhau​shygi​ene.de/ccUpl​oad/uploa​d/files/​leitl​inien/​2013_Guide​line_for_valid​ation_of_manual_clean​ing_and_manual_chemi​cal_disin​fecti​on_of_medic​al_devic​es.pdf. Accessed January 6, 2020.
فهرسة مساهمة: Keywords: adenosine triphosphate; brushes; cannulated medical devices; helical spinning motion; manual cleaning
المشرفين على المادة: 8L70Q75FXE (Adenosine Triphosphate)
تواريخ الأحداث: Date Created: 20200429 Date Completed: 20210401 Latest Revision: 20210401
رمز التحديث: 20240628
DOI: 10.1002/aorn.13014
PMID: 32343381
قاعدة البيانات: MEDLINE
الوصف
تدمد:1878-0369
DOI:10.1002/aorn.13014