Sterilization & Disinfection

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June 2016
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Risk factors linked to CRE transmission via contaminated duodenoscopes

Editor's Note In patients having endoscopic retrograde cholangiopancreatography (ERCP) with a contaminated duodenoscope, biliary stent placement, a diagnosis of bile duct cancer, and hospital inpatient status were independently associated with an increased risk of carbapenem-resistant Enterobacteriaceae (CRE) transmission, this study finds. The findings were based on data from a 2015…

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By: aadeleke
May 27, 2016
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Peer-to-peer assessment of endoscope reprocessing

Editor's Note In this study, a nonpunitive and collaborative peer methodology for assessing endoscope reprocessing at five Johns Hopkins GI endoscopy sites (three hospital based and two ASCs) was successful in capturing and sharing best practices for cleaning, disinfection, and sterilization of endoscopes. The assessments showed that 20 (42%) of…

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By: aadeleke
May 17, 2016
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Low-temperature sterilization: A disinfection alternative

Some complex medical devices cannot withstand high-temperature sterilization. An alternative is low-temperature sterilization, which works for heat- and moisture-sensitive devices. There are different types of low-temperature sterilizers, and this article will review them.   Spaulding classification A deciding factor in whether an instrument can undergo high-level disinfection is the Spaulding…

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By: OR Manager
May 16, 2016
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FDA drops recall of Custom Ultrasonics’ System 83 Plus endoscope reprocessor

Editor's Note The Food and Drug Administration (FDA) has dropped its recall of approximately 2,800 Custom Ultrasonics’ System 83 Plus automated endoscope reprocessors. This action comes despite the FDA's finding last year that the recall was “necessary to protect public health,” the May 6 Kaiser Health News reports. The FDA…

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By: aadeleke
May 9, 2016
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Infections from contaminated duodenoscopes higher than previously estimated

Editor's Note A new congressional investigation shows that the number of infections from contaminated duodenoscopes is much higher than previously estimated, the April 15 Los Angeles Times reports. The Food and Drug Administration (FDA) told investigators that from 300 to 350 patients at 41 facilities in the US and abroad…

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By: aadeleke
April 18, 2016
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Do You Have What It Takes? Current Best Practices for Sterilization and High-Level Disinfection

Many healthcare facilities risk safe patient care as well as denial of accreditation and certification because of noncompliance with current published standards. Don’t be one of them! Sterilization and high-level disinfection (HLD) is at the core of the national focus on patient safety, so it is imperative that nurse leaders…

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FDA: Reprocessing instructions validated for Olympus duodenoscope models TJF-160F and TJF-160VF

Editor's Note The Food and Drug Administration (FDA) on March 15 announced that Olympus (Center Valley, Pennsylvania) has issued updated, validated manual reprocessing instructions for the TJF-160F and TJF-160 VF duodenoscope models to replace those provided in the original device labeling. The FDA reviewed the updated reprocessing instructions and the…

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By: aadeleke
March 16, 2016
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FDA: Pentax validates reprocessing instructions for ED-3490 TK Video Duodenoscope

Editor's Note The Food and Drug Administration (FDA) on February 19 announced that it had reviewed updated reprocessing instructions and validation data issued by Pentax Medical (Montvale, New Jersey) for its ED-3490 Video Duodenoscope. The FDA recommends that facilities train staff on the updated instructions and implement them as soon…

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By: aadeleke
February 22, 2016
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Proper packaging ensures integrity of sterilization

Sterilization packaging is considered a medical device and thus it must undergo validation testing before being used in healthcare facilities. To ensure proper packaging that will maintain the integrity of sterilization, consult the packaging manufacturers’ instructions for use (IFU) and follow the sterilization standards and guidelines from the Association for…

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By: OR Manager
February 19, 2016
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FDA posts updated information on duodenoscope reprocessors

Editor's Note The Food and Drug Administration (FDA) on February 1 posted updated information on which manufacturers of automated endoscope reprocessors (AERs) for duodenoscopes have completed validation testing with adequate results. There are five companies in the US that manufacture AERs labeled to reprocess duodenoscopes. Companies that have completed their…

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By: aadeleke
February 2, 2016
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Nearly 300 colonoscopy patients possibly exposed to HIV, hepatitis

Editor's Note Nearly 300 patients who had colonoscopies at Baystate Noble Hospital in Westfield, Massachusetts, may have been exposed to HIV and hepatitis because of a lack of adequate disinfection measures used to clean endoscopes, the January 23 Tech Times reports. The hospital started using new equipment that required a…

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By: aadeleke
January 25, 2016
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Special Report: Sterilization & Disinfection [Download]

Infection prevention was the top strategy cited by respondents to the 2015 OR Manager Salary/Career Survey for curbing readmissions. According to a 2015 study in JAMA, surgical site infection was the most common reason for 30-day readmission in patients who had bariatric procedures, colectomy or proctectomy, hysterectomy, total hip or knee arthroplasty, ventral hernia repair,…

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