Examinando por Materia "Disinfection"

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Actitud y cognición sobre gestión de residuos sólidos biomédicos en estudiantes de odontología de una clínica docente
(Universidad Privada Norbert Wiener, 2025-07-17) Hernández Anicama, Yessenia Jacqueline; Rojas Ortega, Raúl Antonio
El presente estudio tuvo como objetivo determinarla actitud y cognición sobre gestión de residuos sólidos biomédicos en estudiantes de odontología de una clínica docente. La metodología fue no experimental y transversal, siendo la población los estudiantes de odontología del 8avo y 9no ciclo, quienes se desempeñan en la clínica docente 2025-I y con una muestra de 124 estudiantes determinada por fórmula. Se tuvo un cuestionario con 20 interrogantes considerando tres dimensiones para la variable cognición sobre gestión de residuos sólidos que fueron residuos comunes, residuos bicontaminados y residuos especiales, para la variable actitud sobre gestión de residuos sólidos hubo 14 preguntas también con tres dimensiones cognitiva, afectiva y reactiva. Ambos instrumentos se validaron por expertos y tuvieron una confiabilidad de 0.889 y 0.930 determinadas mediante Alpha de Crombach. Respecto a la actitud en mayor porcentaje presentaron actitud negativa en un 81.5% (n °=101), seguido de actitud positiva en un 18.5% (n °=23); en cuanto a la cognición en mayor porcentaje presentaron conocimiento bajo en un 85.5% (n°=106), seguido de conocimiento regular en un 14.5% (n°=18). Lo que indica una deficiencia general en el conocimiento y disposición para manejar adecuadamente estos residuos.
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Cleaning and Disinfection of Surfaces in the Sterilization Center of the San Pablo Surco Clinic in Lima, Peru 2021
(Universidad Privada Norbert Wiener, 2021-08-29) Medrano Prado, Cinthia Denisse; Fernández Rengifo, Werther Fernando
Surface cleaning and disinfection practices play a very important role in avoiding hospital-acquired infections. The main objective is to identify the result of cleaning and disinfecting surfaces in the Sterilization Center of the San Pablo Surco Clinic in Lima, Peru 2021. The research method is deductive of an applied type, with a quantitative approach and descriptive observational design. . The population and sample to be taken into account are all the surfaces of the San Pablo Surco Clinic according to the inclusion and exclusion criteria set out, samples will be taken from 07 surfaces from the three areas of the Sterilization Center (Red Area, Blue Area and Area Green). The technique that will be used is observation and to identify the result, a checklist consisting of 03 phases will be used as an instrument. Samples will be taken during 06 weeks 01 time per week. Once the information is collected through the application of the instrument, the data will be entered. data to an Excel matrix and will be exported to the SPSS V25.0 program.
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Comparación del efecto del glutaraldehído al 2% e hipoclorito de sodio al 1% sobre la estabilidad dimensional de la silicona de condensación
(Universidad Privada Norbert Wiener, 2025-02-13) Calderón Zelaya, Jaime Cirilo; Vilchez Bellido, Dina
El objetivo del estudio fue comparar el efecto del glutaraldehído al 2% e hipoclorito de sodio al 1% sobre la estabilidad dimensional de la silicona de condensación, después de ser desinfectadas por inmersión durante 10 minutos. Se trabajó con una muestra conformada por 30 impresiones de silicona distribuidos en dos grupos, cada grupo formado por 15 cuerpos, el estudio realizado fue experimental debido a la manipulación de las variables, longitudinal, donde se tomaron las medidas de las dimensiones del molde en dos momentos distintos, y prospectivo; la prueba estadística usada fue Anova. Se encontró como resutado que tanto el glutaraldehído al 2% (p=0,034) y el hipoclorito de sodio al 1% (p=0,023) alteran significativamente la estabilidad dimensional de la silicona de condensación, existiendo diferencia significativa entre el efecto del glutaraldehído al 2% y el hipoclorito de sodio al 1% (p=0,015), con una mayor afectación de la estabilidad dimensional al exponerse al glutaraldehído al 2%. Se concluye que existe diferencia en el efecto del glutaraldehído al 2% e hipoclorito de sodio al 1% sobre la estabilidad dimensional de la silicona de condensación.
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Comparison of the efficacy of four disinfection techniques, in dental impressions with condensation silicone 2023
(Universidad Privada Norbert Wiener, 2023-12-01) Velazco Malpartida, Faride Melissa; Rojas Ortega, Raúl Antonio
The objective of this study was to compare the effectiveness of four disinfection techniques in dental impressions with condensation silicone in 2023. Materials and Methods: A total of 50 dental impressions obtained from patients were divided into 5 groups for treatment. Control group: ten impressions using condensation silicone, without disinfection, only immersed in distilled water for 10 minutes. Group 1: ten individual impressions passed through distilled water, then swabbed and immersed in 2% glutaraldehyde for 10 minutes, followed by swabbing and inoculating on agar-agar. Group 2: ten dental impressions passed through distilled water, then immersed in 0.5% sodium hypochlorite, followed by swabbing and inoculating on agar-agar. Group 3: ten dental impressions passed through distilled water, then immersed in 2% chlorhexidine, followed by swabbing and inoculating on agar-agar. Group 4: ten dental impressions passed through distilled water, then exposed to ultraviolet light for 10 minutes, followed by swabbing and inoculating on agar-agar. Results: It was observed that distilled water does not completely eliminate microorganisms, only reducing them, and no significant difference was found (p>0.05). Glutaraldehyde 2% had a p-value = 0.004, showing a significant difference (p<0.05) compared to the control group. Chlorhexidine 2% had a p-value = 0.002, showing a significant difference (p<0.05) compared to the control group. Sodium hypochlorite 0.5% had a p-value = 0.004, showing a significant difference (p<0.05) compared to the control group, while ultraviolet light had a p-value = 0.114, showing no significant difference (p>0.05) compared to the control group. Conclusion: It was concluded that the most effective agent for disinfection of dental impressions with condensation silicone is 2% chlorhexidine immersed for 10 minutes.
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Conocimiento sobre esterilización y manejo del instrumental quirúrgico en licenciados de enfermería en un hospital EsSalud III Juliaca-2025
(Universidad Privada Norbert Wiener, 2025-11-02) Cama Barreda, Mayra Ysabel; Reyes Quiroz, Marcos Antonio
La desinfección y la administración del material quirúrgico están estrechamente relacionados, ya que ambos procesos son fundamentales para garantizar la seguridad del paciente en el entorno quirúrgico. Un adecuado manejo del instrumental contribuye a mantener su esterilidad, evitando infecciones y complicaciones postoperatorias. Por ello, la eficiencia en ambos aspectos es clave para asegurar procedimientos quirúrgicos seguros y de calidad. Objetivo: “Determinar la relación entre conocimiento sobre esterilización y manejo del instrumental quirúrgico en licenciados de enfermería en un hospital EsSalud III Juliaca”. Metodología: se empleará el procedimiento hipotético-deductivo, cuantitativo, aplicado, observacional, correlacional, no experimental y transeccional en un grupo de estudio de 80 licenciados en enfermería. Para recolectar la información, se emplearán un cuestionario y una lista de cotejo, ambos previamente validados. El análisis se realizará aplicando la prueba de normalidad para conocer el patrón de variabilidad para posteriormente realizar la prueba de correlación utilizando el coeficiente Spearman o Pearson, según corresponda.
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The correct cleaning method guarantees the disinfection and/or sterilization process
(Universidad Privada Norbert Wiener, 1905-07-09) Mendoza Vásquez, Jaqueline; Vasquez Herrera, Fiorella Eliana; Gómez Gonzales, Walter Edgar
Objective: Determine whether manual cleaning or automated cleaning reduces greater microbial bioload of surgical medical material. Material and methods: Systematic Review, the search has been restricted to articles with full text, and the selected articles were subjected to a critical reading, using Jover's evaluation to identify their degree of evidence. Results: In the final selection, 10 articles were chosen, we found that 50% (05) correspond to Brazil, with 20% (02) we find the United States, while with 10% (01) we find Cuba, Mexico and Peru respectively. Mostly experimental and quasi-experimental studies have been studied, mainly in all countries. Where of the total number of articles analyzed, 100% affirm that manual cleaning in addition to automated cleaning reduces a greater microbial load of medical-surgical material. Conclusions: The 10 articles reviewed show us that the correct cleaning method is achieved with the application of an adequate procedure and automated methods are the most effective, in addition to the fact that an incorrect cleaning method interferes with the disinfection or sterilization process.
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Corrosion of surgical instruments due to the use of common water vs distilled water
(Universidad Privada Norbert Wiener, 1905-07-09) Castillo Sánchez, Rosa María; Gómez Gonzales, Walter Edgar
Objective: Determine if the corrosion of surgical instruments is produced by the use of common water vs. distilled water. Materials and Methods: Systematic Reviews are an observational and retrospective research design, which synthesizes the results of multiple primary investigations. They are an essential part of evidence-based nursing due to their rigorous methodology, identifying relevant studies to answer specific questions of clinical practice. Results: In the final selection, 13 articles were chosen, we found that 31% (4) correspond to Spain, 14% (2) correspond to Colombia and Chile, with 7% (1) Cuba, Mexico, Peru were found. , Venezuela and Brazil respectively. 69% were experimental studies from the countries of Spain, Peru, Mexico, Colombia, Venezuela and Chile. With 31% we have cross-sectional studies belonging to Brazil, Chile, Spain, and Cuba. Of the total number of articles analyzed, 80% concluded that plain water causes corrosion in surgical instruments. It was evident in the reviewed research that stainless steel instruments should not be subjected to cleaning, disinfection and sterilization processes, whose dilution component is common water, nor should they be immersed in a physiological salt solution. Prolonged contact and immersion in the solution causes corrosion pitting and forms stress corrosion cracking. Conclusion: It is recommended to use distilled water to avoid corrosion of surgical instruments, especially for final rinsing, after cleaning and disinfection.
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Determination of the safe disinfectant Orthophthaldehyde versus Glutaraldehyde used by nurses in the High Level Disinfection Process
(Universidad Privada Norbert Wiener, 1905-07-09) Idrogo Maita, Zaida Karina; Ruiz Campos, Deysi; Gómez Gonzales, Walter Edgar
Objectives: Determine the safe disinfectant Orthophthaldehyde vs glutaraldehyde to be used by nurses in the high-level disinfection process. Materials and Methods: Observational and retrospective systematic review, the search has been restricted to 8 articles with full text, and the selected articles were subjected to critical reading. Published and indexed in scientific databases, dating back to the year 2000 and responding to articles published in Spanish, English and Portuguese. In the final selection, 4 articles were chosen, we found that 25% (01) corresponds to England, with 25% (01) to Spain, with 25% (01) to Brazil and while another 25% (01) we find Japan; Two systematic reviews and two cross-sectional studies were included. Results: 80% of the articles reviewed show that glutaraldehyde, compared to orthophthaldehyde, is the one that produces the most cytotoxicity at work, but that orthophthalaldehyde is still toxic. Orthophthaldehyde vs glutaraldehyde, in both cases its greatest adverse reaction when used is in the respiratory tract Conclusion: of the liquid chemical substances used as high-level disinfectants Orthophthaldehyde vs Glutaraldehyde It was evident that Glutaraldehyde is a volatile product that emanates cytotoxic substances causing effects adverse effects on the person who handles it, while Orthophthaldehyde, being exposed through inhalation, turns out to be a sensitizing this. The direct handling of high-level disinfectant substances focuses exposure on the inhalation route, requiring the use of personal protective equipment.
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Effectiveness of 70% alcohol as a method for disinfecting hospital surfaces
(Universidad Privada Norbert Wiener, 2018-12-16) Blacido Pascual, Tania Andrea; Chun Hoyos, Magali Milagros; Bonilla Asalde, César Antonio
OBJECTIVE: Analyze the evidence on the effectiveness of 70% Alcohol to achieve low microbiological growth and adequate relative light units in bioluminescence, in the disinfection of hospital surfaces. MATERIAL AND METHOD: systematic review, observational and retrospective design, the search has been restricted to articles with full text, and the selected articles were subjected to critical reading, using the GRADE system to assign the strength of recommendation. RESULTS: In the selection, 08 articles were chosen, of which the results obtained show that in 62.5% (n=05/08) 70% alcohol is effective in disinfecting hospital surfaces, however 12.5% ( n=01/08) evidence that it is not effective and 25% (n=02/08) indicates that effectiveness could be achieved but not on all surfaces. CONCLUSIONS: The articles reviewed systematically show that disinfection with 70% alcohol is effective for disinfecting hospital surfaces.
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Effectiveness of alcohol gel for hand disinfection among healthcare workers
(Universidad Privada Norbert Wiener, 2019-06-30) Marín Tello, Magali Lizeth; Vargas Puclla, Luz; Rivera Lozada De Bonilla, Oriana
Objective: Systematize the effectiveness of the use of alcohol gel for hand disinfection in health personnel. Material and Method: Quantitative study, systematic review. The population consisted of 25 reviewed articles, of which only 10 scientific articles were selected, located in scientific pages such as Pubmed, Cochrane, Scielo and Google academic. All examined according to the Grade scale, allowing their strength and quality of evidence to be defined. The 100% quantitative study (n=10/10) according to the methodological design (4/10) are quasi-experimental, (5/10) experimental and (1/10) systematic review. The countries where the investigations were carried out correspond to Colombia 10%, Korea 10%, Iran 10%, Guatemala 10%, United States 20%, Israel 10%, Mexico 10% and Brazil 20% Results: The review was carried out at 100% ( n=9/10) of the scientific articles examined showed the total effectiveness of the use of alcohol gel for hand disinfection in health personnel and (n= 1/10) shows weakness in its results due to some factors that altered the results (application technique, amount of alcohol gel and drying time.) Conclusions: After having investigated the 10 selected articles on the subject, it is concluded that 90% respond affirmatively about the effectiveness of the use of alcohol gel for hand disinfection in health personnel and only 10%, one could say, do not give full confirmation due to poor handling of the technique, insufficient amount of alcohol gel and drying time. what is needed for such aseptic practice.
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Effectiveness of chlorine use in disinfecting surfaces of hospital equipment and furniture in reducing contamination and preventing hospital-acquired infections
(Universidad Privada Norbert Wiener, 2018-12-04) Castro Quispe, Jannet Marcelina; Maita Barzola, Yerson Jesús; Calsin Pacompia, Wilmer
Systematize evidence on the effectiveness of the use of chlorine in the disinfection of surfaces of hospital equipment and furniture in reducing contamination and preventing in-hospital infections. Materials and Methods: The present study was quantitative and designed a systematic review, the population consisted of 20 articles and a sample of 10 articles, the instrument was a database search, PubMed, Medline, Lilacs, Scielo, Cochrane Plus; For analysis of articles, the GRADE Method was used, which evaluated the quality of consistency and strength of recommendation. Results: of the 10 scientific articles reviewed, 9 confirmed the effectiveness of chlorine in its antimicrobial action and use in cleaning surfaces; example: effectiveness of sodium hypochlorite against the Ebola virus used in a concentration of 1.0% resulted in a complete reduction in the viral titer after a contact time of 5 minutes while the concentrations of 0.1% and 0.01% It was not effective in reducing viral titer during 10 min contact time. Likewise, in another result we can see that disinfection with chlorine is effective in aminoglycoside resistant or susceptible strains.
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Effectiveness of cleaning and disinfecting the laryngoscope in a surgical center to reduce complications due to infections
(Universidad Privada Norbert Wiener, 2020-02-08) Acuña Guerzoni, Liliana Patricia; Espinoza Cordero, Tula del Carmen; Pretell Aguilar, Rosa María
Objective: Systematize evidence on the Effectiveness of cleaning and disinfection of the laryngoscope in a Surgical Center to reduce complications due to infections. Materials and Methods: The systematic review consists of 10 scientific articles. According to the type of study design, 50% (n=5/10) is a systematic review, 30% (n=3/10) is an experimental study, 10% (n=1/10) is a cohort study and 10% is a cohort study. (n=1/10) descriptive study, which agrees with the expected result in the present study. According to the quality of evidence, it was found to be high in 80%, moderate in 10% and low in another 10%, depending on the country where the investigations were carried out, they were 30% in Brazil, 30% in the United States, 30% India and 10% Turkey. To find these studies, the following scientific research search engines were used: Epistemonikos, Researchgate, Pubmed and Google academic. Results: Of the 10 investigations analyzed, it is evident that 70% (7/10) demonstrate the Effectiveness of cleaning and disinfecting the laryngoscope in the Surgical Center to reduce complications due to infections. Conclusions: According to the research analyzed, it was obtained that 70% (n = 7/10) of the 10 articles demonstrate that there is effectiveness of cleaning and disinfection of the laryngoscope in the Surgical Center for the reduction of complications due to infections and 30% ( n=3/10) show the cleaning and disinfection of the laryngoscope in the Surgical Center as ineffective in reducing complications due to infections, therefore, it is recommends using disposable laryngoscope blades to help reduce the spread of nosocomial infections, thus avoiding complications.
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Effectiveness of high-level disinfection as a safe reprocessing method for endoscopes
(Universidad Privada Norbert Wiener, 1905-07-09) Soto Espinoza, Miriam Giovanna; Aranguren Hernandez, Nacy Melania; Gómez Gonzales, Walter Edgar
Objective: Determine the effectiveness of high-level disinfection as a safe reprocessing method for endoscopes. Materials and Methods: A systematic review was carried out, which synthesizes the results of multiple primary investigations. They are an essential part of evidence-based medicine due to their rigorous methodology, identifying relevant studies to answer specific questions of clinical practice. Results: The systematic review of the 06 scientific articles on the effectiveness of high-level disinfection as a safe reprocessing method for endoscopes correspond to the Lipecs, Lilacs, Scielo and Medline databases. The DAN in an endoscope after having been used when there are traces of organic secretions is not sufficient. Conclusion: Every endoscope, after having been used, when there are organic secretions, must be sterilized after high-level disinfection has been carried out.
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Effectiveness of high-level disinfection in flexible endoscopes for the prevention of infections
(Universidad Privada Norbert Wiener, 2021-08-29) Quintana Garcia, Susan Estefanie; Zurita Mendoza, Richard Alfredo; Mori Castro, Jaime Alberto
Objective: Determine the effectiveness of high-level disinfection in flexible endoscopes for the prevention of infections. Methodology: The work is a systematic review consisting of 10 published and indexed scientific articles, data collection was carried out through Pubmed, Sciencedirect, Redalyc, Cochrane, Researchgate, the analysis was developed using a summary table which evaluates the quality of the evidence and strength of recommendation of each scientific article chosen according to the established technical criteria and guaranteeing compliance with ethical principles. Conclusion: The systematic review shows that high-level disinfection is not enough to avoid infections caused by the use of reprocessed flexible endoscopes, and it is also concluded that cleaning is the most important step in this process and the most difficult in correct compliance.
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Effectiveness of high-level disinfection of semi-critical medical materials to reduce microbial load
(Universidad Privada Norbert Wiener, 2018-11-25) Humán Flores, Pamela; Rivera Lozada De Bonilla, Oriana
Objective: Systematize the evidence on the effectiveness of high-level disinfection in semi-critical materials to reduce the microbial load. Methodology: systematic descriptive review, to collect the articles those that present full text have been taken and those that were selected were subjected to a critical reading where the GRADE evaluation is used to verify the degree of evidence. Results: 10 articles have been definitively selected, we found that 40% (04) correspond to Brazil, 30% (3) correspond to the United States, 20% (2) correspond to Peru and 10% (1) correspond to Argentina. Where 40% (n=04/10) of these state, they show that high-level disinfection in semi-critical materials is not effective and recommended for this type of medical materials as long as it is not done and a correct process is not followed. due to lack of knowledge or commitment on the part of the working staff; also for not knowing how to use the correct DAN following the technical specifications recommended by the manufacturer, 20% (n=02/10) of these mention that the DAN is effective, 20% (n=02/10) mention that The personnel who are going to use the semi-critical materials must have prior training for the good management of the DAN, 10% (n=01/10) refer and emphasize that the use of the DAN in materials is necessary. semi-critical and 10% (n=01/10) do not report data due to lack of evidence. Conclusions: Based on the scientific articles reviewed, it is concluded that DAN is effective as long as the cleaning and disinfection steps are correctly followed, follow the manufacturer's recommendations, establish protocols in health institutions and have knowledge of DAN good practices.
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Effectiveness of mechanical washing compared to manual washing of contaminated surgical instruments.
(Universidad Privada Norbert Wiener, 2017-11-12) Calderón Salas, Cecilia Maritza; Coaquira Justo, Gloria Lidia; Mendigure Fernández, Julio
Materials and methods: This is a systematic review of 10 full-text articles, which were selected and subjected to critical reading to identify their level of evidence. The articles were extracted from databases such as Scielo, LILACS, Cochrane Plus, books, PubMed, and projects, published in the last 10 years. Results: Of the 10 articles analyzed, 100% agree that cleaning contaminated instruments is the primary step to ensure the effectiveness of sterilization. 90% of the articles demonstrate that mechanical washing is effective in eliminating microbial load because it is a complete and standardized process. 80% improve the effectiveness of cleaning, 70% minimize the risks to staff from pathogenic microorganisms, and manual washing is required for delicate and complex instruments. Conclusion: Mechanical washing is the most effective method compared to manual washing.
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Effectiveness of reprocessing with laboratory validation and ATP to optimize high-level disinfection of endoscopes
(Universidad Privada Norbert Wiener, 2018-08-25) Apaza Idme, Olga Beatriz; Calsina Diaz, Yrma Renida; Matta Solis, Hernán Hugo
Objective: To systematically analyze the evidence on the effectiveness of reprocessing with laboratory validation and ATP, to optimize high-level disinfection in endoscopes. Material and Methods: Systematic review of experimental, cohort studies, randomized controlled and uncontrolled trials, subjected to critical selection, found in the following databases: PubMed, Cochrane, Scielo, Wiley Online Library, Elsevier, Redalyc. Results: In the final selection, 10 articles were chosen, we found that 60% (06) correspond to the USA, with 20% (2) correspond to Brazil and 10% to Mexico and Chile. Likewise, among the studies, it was obtained that 50% indicate that the Bioluminescence test is quick and economical for the identification of microorganisms, also 10% indicate that ATP cannot replace cultures performed with endoscopes in the laboratory, for 100 % of studies Cleaning is essential for adequate endoscope reprocessing and thus avoiding cross infections. Conclusions: According to the articles reviewed, there is no effectiveness of reprocessing with laboratory validation and ATP, to optimize high-level disinfection in endoscopes, since in most cases the endoscopes are not adequately cleaned; Automated washing is more effective than manual washing of endoscopes. Keywords:
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Efficacy of 2% glutaraldehyde in the high-level disinfection process.
(Universidad Privada Norbert Wiener, 2018-08-25) Silva Almeron, Juanita Victoria; Veliz Duarte, Yosselin Jesgoy; Matta Solis, Hernan Hugo
Objective: To analyze the evidence on the effectiveness of 2% Glutaraldehyde in the high-level disinfection process. Material and Methods: Observational and retrospective systematic review of a quantitative nature, subjected to critical selection, using the Grade evaluation system to identify the level of evidence, with reviews found in databases such as Scielo, Lilacs, Lipecs, Google Scholar, Cochrane, Elsevier. Results: It was found that 70% of the articles demonstrate the toxicity of 2% Glutaraldehyde through high-level disinfection, leading to adverse consequences based on the research findings, in addition to the emergence of new high-level disinfection alternatives to achieve effectiveness in invasive contamination. 30% of studies on Glutaraldehyde for disinfection have been prepared and adapted according to advancements in the field for patients who require the mentioned process. Conclusion: Correct use of 2% Glutaraldehyde ensures proper and effective high-level disinfection, while improper methods and timing in the cleaning process interfere with the disinfection process.
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Efficacy of equipment and furniture surface disinfectants in reducing contamination and preventing infections
(Universidad Privada Norbert Wiener, 1905-07-09) Lindo Véliz, Maribel Lilia; Rosas Cayetano, Jackie Myrian; Gómez Gonzales, Walter Edgar
Objective: Determine the effectiveness of surface disinfectants on equipment and furniture in reducing contamination and preventing infections. Materials and Methods: Systematic Reviews are an experimental quantitative research design, the population is made up of the bibliographic review of 4 scientific articles published and indexed in scientific databases, all of them are of high quality. Results: In the systematic review, the comparison study of hypochlorite against quaternary ammonium, hydrogen peroxide, povidone-iodine, 4% chlorhexidine is observed, hypochlorite showing superior disinfection action on surfaces. In the second article reviewed, the disinfectant effectiveness of 70% alcohol is demonstrated when applied directly to contaminated surfaces, observing a microbial reduction. From the third article, it is observed that hypochlorous acid is 100% effective on surfaces. From the fourth article, it is concluded that hydrogen peroxide and acetic acid are effective for cleaning surfaces. Conclusions: The reviewed articles show that sodium hypochlorite showed superior action in disinfecting furniture surfaces compared to 70% alcohol, quaternary ammonium, hydrogen peroxide, hypochlorous acid, peracetic acid, but it is necessary to consider its toxicity and corrosion during the use.
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Efficacy of high-level disinfection in safe disinfection of endoscopes
(Universidad Privada Norbert Wiener, 1905-07-09) Rubio Ampuero, Rosa Elena; Gómez Gonzales, Walter Edgar
Objective: Determine the effectiveness of High Level Disinfection (HLD) in the safe disinfection of endoscopes. Methodology: Systematic review whose population is made up of 06 published and indexed scientific articles, data collection was carried out through Lilacs, Scielo, Cochrane Plus, Medline, the analysis was carried out through a summary table, evaluating the quality of evidence and strength of recommendation in a critical and intensive manner for each article according to the established technical criteria, guaranteeing compliance with ethical principles. Results: At the national level, the Herediana Medical Journal concludes that the bacterial load before the cleaning and disinfection process of 50 endoscopes was positive in 88% and after the process positive in 26%. At the international level, the Chilean Journal of Infectology refers to infections exogenous pneumonias such as post-bronchoscopy pneumonia, which reach incidence rates, according to the authors, between 0.6% and 6.9% of the procedures.(6).The Spanish Society of Gastroenterology refers in 02 studies that DAN is not sufficient, both for endoscopes and accessories. The predominant bacteria in the positive cultures were Pseudomona Aeruginosa and Klebsiella Pneumoniae. Conclusion: The systematic review shows that DAN is not sufficient for the safe disinfection of endoscopes in sterilization centers.