Decontamination of Surgical Instruments by Hands in Clinical Settings and the Improvement

  • Fushimi Ryo
    Central Supply and Sterilization Department, Osaka University Hospital Division of Infection Prevention and Control, Postgraduate School, Tokyo Healthcare University
  • Kobayashi Hiroyoshi
    Division of Infection Prevention and Control, Postgraduate School, Tokyo Healthcare University
  • Okubo Takashi
    Division of Infection Prevention and Control, Postgraduate School, Tokyo Healthcare University
  • Takashina Masaki
    Central Supply and Sterilization Department, Osaka University Hospital

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Other Title
  • 用手洗浄における濯ぎの現状と導電率を指標とした簡便かつ効果的な濯ぎ方法の構築
  • ヨウシュ センジョウ ニ オケル ススギ ノ ゲンジョウ ト ドウデンリツ オ シヒョウ ト シタ カンベン カツ コウカテキ ナ ススギ ホウホウ ノ コウチク

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BACKGROUND. The decontamination procedure for reusable surgical instruments is usually performed by hands. The manual for them in clinical setting is wondered whether effectively recommended in details.<BR>PURPOSE. To know the actual situation of the manuals in clinical settings and to aid at the improvement.<BR>METHODS. The manuals for decontamination of reusable surgical instruments in forty-six hospitals have been investigated. Electrical conductivity was employed as indicator for the efficacy of decontamination procedure with water rinsing. The conductivity is increased by ionized chemicals in rinsing water. The methods of pouring tap water into rinsing container were evaluated by the conductivities. <BR>RESULTS. In more than 90% of the replied hospitals, they have no manuals on the details of decontaminating procedures. When the rinsing water in the container was fully exchanged, the conductivity showed the lower value.<BR>CONCLUSION. The simple method to exchange once the full water in rising container during the procedure is effective for high quality rinsing without waste excess water.

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