دورية أكاديمية
أعرض في EDS

Evaluation of cleaning process efficacy of instruments for robotic surgery using the adenosine triphosphate test.

التفاصيل البيبلوغرافية
العنوان: Evaluation of cleaning process efficacy of instruments for robotic surgery using the adenosine triphosphate test.
المؤلفون: Dolci ME; Sterile Supply Center, Hospital Sírio Libanês, São Paulo, Brazil., Lobo RD; Department of Infection Control, Hospital Sírio Libanês, São Paulo, Brazil., Nunes JA; Department of Infection Control, Hospital Sírio Libanês, São Paulo, Brazil., Acuna AA; Sterile Supply Center, Hospital Sírio Libanês, São Paulo, Brazil; Department of Surgery, Hospital Sírio Libanês, São Paulo, Brazil., Thimoteo Cavassin LG; Sterile Supply Center, Hospital Sírio Libanês, São Paulo, Brazil., Monte KM; Sterile Supply Center, Hospital Sírio Libanês, São Paulo, Brazil., Levin AS; Department of Infection Control, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil., Bozola FJD; Department of Infection Control, Hospital Sírio Libanês, São Paulo, Brazil., Oliveira MS; Department of Infection Control, Hospital Sírio Libanês, São Paulo, Brazil. Electronic address: masoliveira@hsl.org.br.
المصدر: Surgery [Surgery] 2023 Aug; Vol. 174 (2), pp. 296-300. Date of Electronic Publication: 2023 May 30.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Mosby Country of Publication: United States NLM ID: 0417347 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-7361 (Electronic) Linking ISSN: 00396060 NLM ISO Abbreviation: Surgery Subsets: MEDLINE
أسماء مطبوعة: Publication: St. Louis, MO : Mosby
Original Publication: St. Louis.
مواضيع طبية MeSH: Robotic Surgical Procedures* , Disinfection*/methods, Adenosine Triphosphate ; Humans ; Prospective Studies ; Cross-Sectional Studies ; Ultrasonics ; Luminescent Measurements
مستخلص: Background: Despite the advances in robotic surgery and its benefits for the patient and surgeon, there are difficulties and challenges in reprocessing surgical instruments, including with regard to patient safety, such as the risk of infection. The aim of this article is to evaluate the effectiveness of manual plus ultrasonic cleaning of EndoWrist devices used in robotic surgery using the adenosine triphosphate bioluminescence quantitative test.
Methods: A prospective cross-sectional study assessed the cleanliness of robotic instrumentals used in surgeries. Surgical instruments were collected immediately after the end of the surgery and sent for cleaning and disinfection following standard hospital procedures. The adenosine triphosphate test was done after visual evaluation. According to our hospital standard, instruments were classified as "approved" if the test found ≤50 relative light units.
Findings: We evaluated 279 EndoWrist instruments from 65 robotic surgeries. The most frequently used instruments were needle drivers (102; 39%), followed by bipolar instruments (65; 25%). Median relative light units were 49 (range = 4-13,095); 54% of instruments were classified as approved according to the hospital's threshold (relative light units ≤50) and 78% when the manufacturer's threshold (relative light units ≤150) was used. Monopolar instruments presented the best rate of approval (94% considering relative light units ≤50 and 100% with relative light units ≤150). The average relative light units did not vary with the number of reuses. There were no surgical site infections.
Conclusion: Manual plus automated cleaning processes reduced bioburden in all situations evaluated. It seems that instruments can be safely reprocessed ≤9 times and that monopolar instruments are the easiest to clean.
(Copyright © 2023 Elsevier Inc. All rights reserved.)
المشرفين على المادة: 8L70Q75FXE (Adenosine Triphosphate)
تواريخ الأحداث: Date Created: 20230601 Date Completed: 20240222 Latest Revision: 20240222
رمز التحديث: 20240222
DOI: 10.1016/j.surg.2023.04.024
PMID: 37263878
قاعدة البيانات: MEDLINE
الوصف
تدمد:1532-7361
DOI:10.1016/j.surg.2023.04.024