Examinando por Materia "Equipos y Suministros de Hospitales"

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Acceso abierto
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.
Acceso abierto
Effectiveness of saturated steam sterilization with pre-vacuum and gravity systems in optimizing sterilization of medical instruments
(Universidad Privada Norbert Wiener, 2018-08-04) Delgado Camones, Jenny Margot; Suclla Sanchez, Juliane Patricia; Matta Solis, Hernán Hugo
Objective: To systematically analyze the evidence of the effectiveness of the saturated steam sterilization process with pre-vacuum and gravity systems in optimizing the sterilization of instruments for medical use. Materials and Methods: Systematic review design, population of 10 articles, sample of 6 scientific articles. Results: 6 articles were selected, coming from the United Kingdom, the United States, Mexico, Brazil, Spain, and China, respectively; being that 100% of studies (n=6/6) show that the sterilization method using saturated steam autoclaves is effective; 33% of studies used gravity equipment, 83.3% (n=5/6) used pre-vacuum equipment. 66.6% (n=4/6) were monitored, they measured effectiveness: 50% used biological indicators negative for the growth of microorganisms; 16.6% used the thermometric method, failing the gravity equipment, in 83.3% that used pre-vacuum equipment it was 100% effective. 16.6% ensure effectiveness of sterilization of armed laparoscopic material; 16.6% evidence that medical instruments should be sterilized, not chemically disinfected. Conclusions: Research shows that the physical method of sterilization with saturated steam autoclaves, with pre-vacuum and gravity systems are effective, optimizing the sterilization of material for medical use.
Acceso abierto
Efficacy of single-use disposable medical devices that are reprocessed
(Universidad Privada Norbert Wiener, 2019-01-06) Guzmán Alfaro, Henry Augusto; Arrunátegui Bernal, Marlene Yvette; Matta Solis, Hernán Hugo
A descriptive observational study was carried out, the design was a systematic review, the data collection was done through a bibliographic review of international research articles whose main objective was to systematize the evidence on the effectiveness of single-use disposable medical devices. reprocessed. 10 studies published in scientific databases were reviewed. The selected articles underwent evaluation using the GRADE method, which made it possible to evaluate the quality of evidence and grade the strength of the recommendations. Of the 10 studies reviewed, 70% show that the reprocessing of single-use disposable medical devices is effective and safe in terms of sterilization and efficacy, therefore, they can be reused in procedures, 30% show that Reprocessing of single-use disposable medical devices is not effective and safe in terms of sterilization and efficacy. It is concluded that the academic work evidences and concludes in the largest proportion of the included studies that the reprocessing of single-use disposable medical devices is effective and safe, however, this must be accompanied by a correct sterilization process. that guarantees said use.