WHO_Best_Practices_for_Cleaning_Disinfection_Teleclass_Slides_资料.ppt

Semicritical Items Endoscopes Respiratory therapy equipment Anesthesia equipment Endocavitary probes Tonometers Diaphragm fitting rings Endoscopes/AERS ENDOSCOPE REPROCESSINGMulti-Society Guideline on Endoscope Reprocessing, 2011 PRECLEAN-point-of-use remove debris by wiping exterior and aspiration of detergent through air/water and biopsy channels CLEAN-mechanically cleaned with water and enzymatic cleaner HLD/STERILIZE-immerse scope and perfuse HLD/sterilant through all channels for exposure time (2% glut at 20m at 20oC). If AER used, review model-specific reprocessing protocols from both the endoscope and AER manufacturer RINSE-scope and channels rinsed with sterile water, filtered water, or tap water. Flush channels with alcohol and dry DRY-use forced air to dry insertion tube and channels STORE-hang in vertical position to facilitate drying; stored in a manner to protect from contamination High-Level Disinfection of “Semicritical Objects” Exposure Time 8m-45m (US), 20oC Germicide Concentration_____ Glutaraldehyde 2.0% Ortho-phthalaldehyde 0.55% Hydrogen peroxide* 7.5% Hydrogen peroxide and peracetic acid* 1.0%/0.08% Hydrogen peroxide and peracetic acid* 7.5%/0.23% Hypochlorite (free chlorine)* 650-675 ppm Accelerated hydrogen peroxide 2.0% Glut and isopropanol 3.4%/26% Glut and phenol/phenate** 1.21%/1.93%___ *May cause cosmetic and functional damage; **efficacy not verified Noncritical Items Surface DisinfectionNoncritical Patient Care-CDC, 2008 Disinfecting Noncritical Patient-Care Items Process noncritical patient-care equipment with a EPA-registered disinfectant at the proper use dilution and a contact time of at least 1 min. Category IB Ensure that the frequency for disinfecting noncriti