Examinando por Autor "Alvarez Avalos, Hiozime"

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    Effectiveness of alternative disinfectants: peracetic acid and ortho-phthalaldehyde compared to glutaraldehyde for achieving optimal and damage-free disinfection in flexible endoscopes
    (Universidad Privada Norbert Wiener, 2018-08-25) Alvarez Avalos, Hiozime; Matta Solis, Hernán Hugo
    Objective: To systematically analyze the evidence on the effectiveness of alternative disinfectants: peracetic acid and ortho-phthalaldehyde compared to glutaraldehyde for achieving optimal and damage-free disinfection of flexible endoscopes. Materials and Methods: Systematic review of 06 articles from international studies and research, including the most relevant ones according to the level of evidence, restricted to full-text articles. Of the 06 articles reviewed systematically, 50% are systematic reviews, 33% are controlled clinical trials, and 16% are experimental studies. The articles underwent critical reading using the GRADE scale. Results: Of the 60% of reviewed articles, 20% demonstrate that the disinfectants studied are effective in inactivating vegetative microorganisms under the established conditions of use, 20% of the articles demonstrate that preconditions are important for ensuring proper disinfection, and 30% of articles indicate that the use of ortho-phthalaldehyde, like glutaraldehyde and peracetic acid, has been cited in relation to its toxicity, making it unsafe as an alternative. No studies were found reporting damage to endoscopes caused by the disinfectants. Conclusions: Of the 06 articles reviewed, it is evident that the disinfectants peracetic acid and ortho-phthalaldehyde are effective in inactivating microorganisms. Preconditions must exist to ensure proper disinfection. The disinfectants have been cited for their toxicity, and no studies report damage to endoscopes.