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Thermal disinfection,
Disinfection Water,
Surgical Instrument Disinfection,
Properly designed automated surgical instrument washers and automated endoscope washers can deliver the proper endoscope disinfecting temperatures and provide cleaner surgical instruments and cleaner endoscopes with less damage. Always refer to manufacturers specifications prior to establishing your surgical instrument and endoscope reprocessing protocol. The thermal disinfection of the water for the final rinse is the safest and most easily validated method to eliminate any germs which may be in the water system.
Decontamination entails subjecting the soiled articles to a combination of processes - including cleaning, disinfection and sterilization - that will remove or destroy micro-organisms and other contaminants. Water plays a pivotal role in every aspect of the decontamination process. For instance, cleaning is a vital prerequisite for both disinfection and sterilization, and often involves initial flushing with water to remove the gross contamination, followed by washing with detergents or enzyme cleaners to remove residual dirt.
Other roles for water include acting as a carrier for cleaning agents, and serving as a suspension medium to prevent dislodged particulate contaminants from being redeposited on clean surfaces. Of particular importance is the need for high-purity water both to act as a final rinsing agent to remove any remaining traces of dirt or detergent from WDs, and to provide steam for thermal disinfection and steam sterilization.
Thermal disinfection entails exposing the articles to moist heat at a particular temperature for a specified time. Although disinfection destroys or removes virtually all the pathogenic micro-organisms present, it may not deactivate certain viruses and bacterial spores. By contrast, steam sterilization destroys all micro-organisms, including spores, and is widely used as a final sterilization stage for items that have already been cleaned and disinfected. The process is normally carried out in an autoclave using dry, saturated steam under pressure.
Ultrasonic surgical instrument cleaning provides no reliable means of validation, and their use for instrument decontamination is, at best, questionable as they do not provide the full and proper sequence of surgical instrument cleaning treatments.
Heating Water for Disinfecting Endoscopes
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