Comments on sterilization.

Wim Renders

“Knowledge is the best medical device” (Jan Hoborn)

The road to the goal is the goal itself!

You may never:

• deviate from routine practice without proof that the new technique is an improvement,

• think that the grass is greener on the other side.

Evolutie ingrepen operatiekwartier - AZ Sint-Jan AV

13.560 13.76514.280

16.249

18.00217.107

15.154

0

2.000

4.000

6.000

8.000

10.000

12.000

14.000

16.000

18.000

20.000

2000 2001 2002 2003 2004 2005 2006

Jaartal

Aan

tal

Keep it simple !

Thyroiedectomy:• Farabeuf: 2 cfu• Needle holder: 6 cfu

Thrombectomy:• Suction tube: 14 cfu• Wound spreader: 3 cfu• Forceps: 40 cfu

http://www.intuitivesurgical.com/products/

Rinsing

Ultrasonic unit

Ultrason bath is:

• emptied in the evening and dried out. • The sides and the lid are sprayed with

alcohol 70°, and some alcohol is poured down the drain.

RKI recommendations:

• Detergents pH > 10• Disinfection 5 min 90°C• Sterilisation: 5’ 134°C

Disinfection parameters:• Ao = 600 sec (80°C , Z = 10°C): uncritical • Ao = 3000 sec : semi-critical & critical

Suction tubes are:

• first rinsed with cold water and • than treated with hydrogen peroxide 3

%, • next: normal procedure.

Thyroiedectomy: BeforeAfter• Farabeuf: 2 cfu 10 cfu• Needle holder: 6 cfu 6 cfu

Thrombectomy:• Suction tube: 14 cfu 6 cfu• Wound spreader: 3 cfu 6 cfu• Pincet: 40 cfu 7 cfu

Bowie Dick test

DPCD

THANK YOU