Sterilization/Disinfection

Latest Issue of OR Manager
April 2020
Home Sterilization/Disinfection

Persistence of coronaviruses on inanimate surfaces, inactivation with biocidal agents

Editor's Note A new novel coronavirus (SARS-CoV-2), which causes the disease COVID-19, is the third highly pathogenic human coronavirus that has emerged in the last two decades. The other two are the Severe Acute Respiratory Syndrome (SARS) and Middle East Respirtory Syndrome (MERS) coronaviruses. This analysis of 22 studies finds…

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By: Judy Mathias
March 17, 2020
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OR business leaders anticipate growth and opportunities in 2020

Planning for volume growth and adopting best business practices for the perioperative environment were overarching themes at the 2020 OR Business Management Conference (ORBMC) in late January. Leading healthcare industry clinicians and experts offered fresh insights into competing in the burgeoning outpatient surgery market and persuading stakeholders to switch to…

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By: Elizabeth Wood
March 16, 2020
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Study: Anesthetic management of patients with suspected COVID-19 during emergency surgical procedures

Editor's Note This retrospective, multicenter study from four hospitals in Wuhan, China, found that Novel Coronavirus 2019 (COVID-19) specific guidelines for emergency surgical procedures in patients with confirmed or suspected COVID-19 infection can effectively prevent cross-infection in the OR. The guidelines include: negative pressure ORs level 3 protective measures for…

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By: Judy Mathias
March 5, 2020
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Endoscope drying effectiveness, microbial levels in automated drying vs standard storage cabinets

Editor's Note An automated drying and storage cabinet with forced filtered air is advantageous for rapid drying of endoscope internal and external surfaces and reducing the risk of microbial growth after reprocessing, this study finds. Using the automated drying cabinet, internal channels of all bronchoscopes, colonoscopes, and duodenoscopes studied were…

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By: Judy Mathias
February 27, 2020
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Study: Inadequate precleaning can jeopardize sterilization of surgical tools

Editor's Note This study by William A. Rutala, PhD, MPH, and colleagues at the University of North Carolina at Chapel Hill, which compared three low-temperature sterilization technologies to steam sterilization of simulated inadequately precleaned surgical tools, found steam sterilization to be the most effective and with the largest margin of…

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By: Judy Mathias
February 26, 2020
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Challenges in achieving high-level endoscope disinfection

Editor's Note In this review article, Cori L. Ofstead, MSPH, and associates highlight the reasons endoscope reprocessing is often ineffective and microbes frequently remain on endoscopes after high-level disinfection. Among the reasons: non-adherence to guidelines use of damaged endoscopes use of insoluble products during endoscopy insufficient cleaning contaminated rinse water…

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By: Judy Mathias
February 25, 2020
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Latest sterilization packaging guideline backed by evidence

In October 2019, AORN released its updated Guideline for Sterilization Packaging, which is based on evidence from peer-reviewed literature. This article includes recommendations from that guideline and addresses common misconceptions about sterilization packaging. Other resources for proper use of sterilization packaging include the Association for the Advancement of Medical Instrumentation…

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By: Susan Klacik, BS, CRCST, ACE, CIS, FCS
February 21, 2020
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Medline’s Illinois ethylene oxide sterilization facility hopes to reopen end of January

Editor's Note Medline Industries has not operated its Waukegan, Illinois, sterilization facility since December 13, 2019, when it was temporarily closed because it couldn’t meet Illinois’ new state standards for ethylene oxide, the January 21 MedTech Dive reports. A Lake County Health Department update on January 17 says Medline began…

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By: Judy Mathias
January 23, 2020
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Boston Scientific receives FDA clearance for single-use duodenoscope

Editor's Note Boston Scientific announced December 13 that it had received Food & Drug Administration (FDA) 510(k) clearance for the EXALT Model D Single-Use Duodenoscope for use in endoscopic retrograde cholangiopancreatography (ERCP) procedures. The EXALT Model D, which was granted Breakthrough Device Designation from the FDA, eliminates the need for…

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By: Judy Mathias
December 17, 2019
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Sterilization trumps high-level disinfection for semicritical items

In the never-ending quest to improve patient care, we are always seeking better ways to process medical devices. Many leading experts now recommend transitioning from high-level disinfection (HLD) to sterilization for semicritical items. Semicritical items are instruments or objects that contact mucous membranes or nonintact skin of a patient, but…

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By: Susan Klacik, BS, CRCST, ACE, CIS, FCS
November 18, 2019
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