柔性内窥镜：干燥储存的重要性以防止生物膜的形成.pdf

1、Importance of Dry Storage to preventbiofilm formationName:Dr.Michelle Alfa Ph.D.Affiliation:AlfaMed Consulting LtdDisclosuresDisclosures:Consulting services:Consulting services:Olympus America,Nanosonics,AustraliaRoyalties:Royalties:University of Manitoba for patent license to HealthmarkSponsoredSpo

2、nsored EducationalEducational Speaker:Speaker:Olympus,3M All publications mentioned are listed at the end of the presentationThe information presented today is based on published data and my opinion and is independent of any company to whom I provide consulting services.OBJECTIVES:OBJECTIVES:n Ident

3、ify key weaknesses in current reprocessing protocolsn Focus on the impact of inadequate drying on endoscope contamination-Reprocessing is a SYSTEMwith sequential stages-Breaches in any one stage can result in persistence of microbes and organic matter in the patient-ready endoscopes Leading Biofilm

4、formationManual or flushing pump assisted;brush/flush+detergentDRYING;-StorageBedside Pre-cleanLeak TestingManual cleaningAER:cleaning,HLD,final rinseDrying for storageStorageFINAL RINSE WATER;-Bacteria-freeEndoscope Reprocessing SystemBedside channel flush&exterior wipeWHAT STAGES IN REPROCESSING A

5、RE DIFFICULT FOR STAFF?WHAT STAGES IN REPROCESSING ARE DIFFICULT FOR STAFF?“70%of survey respondents felt pressure to work quickly and 17%of the respondents routinely skipped endoscope IFU steps due to time pressure.”Sivek A et al Healthcare worker feedback on duodenoscope reprocessing workflow and

6、ergonomics.AJIC 2022 https:/doi.org/10.1016/j.ajic.2022.01.012Alfa MJ,Sitter DL.In-hospital evaluation of contamination of duodenoscopes:a quantitative assessment of the effects of drying.J Hosp Infect 1991;19:89-98Forced Air Drying for 10 mins:N=19No detectable microbes at 2,24 or 48 HrsEvidence of