Degradation of ultrasound probes caused by disinfection with alcohol

Koibuchi, Harumi; Fujii, Yasutomo; Kotani, Kazuhiko; Konno, Kunihiko; Matsubara, Hiroaki; Miyamoto, Michiaki; Taniguchi, Nobuyuki

doi:10.1007/s10396-010-0296-1

Cited by 28 publications

(28 citation statements)

References 5 publications

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“…Our previous study also investigated the degree of deterioration of ultrasound probes that results from their disinfection with alcohol [8]. That study used convex array-probe and linear array-probe to clarify the degree of deterioration of ultrasound probes that results from their disinfection with alcohol.…”

Section: Deterioration Of Ultrasound Probes Caused By Disinfection Wimentioning

confidence: 99%

“…Again, frequent alcohol disinfection can cause ultrasound probes to break down and impaired imaging [8], so wiping probes with alcohol-soaked paper towel after every examination may be a limited driving-force in clinical practice. Ultraviolet C may provide a useful method for reducing the bacteria [22], but this may also cause damage.…”

Section: Procedures For Decontaminating Ultrasound Probesmentioning

confidence: 99%

“…We have studied these topics as a unique and important field [6][7][8]. In this review, we briefly summarize our knowledge of ultrasound probe-related bacterial transmission.…”

Section: Introductionmentioning

confidence: 99%

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Ultrasound probes as a possible vector of bacterial transmission

2013

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Ultrasound probes are usually in a direct contact with the skin when used for detecting pathologic abnormalities. The probe could be a vector of bacterial transmission, but there have been few studies on this topic. We have made such studies, briefly reviewing 1) the conditions governing a possible bacterial transmission by probe, 2) the deterioration of an ultrasound probe by alcohol disinfection, 3) a suitable method for evaluating bacterial contamination of an ultrasound probe, and 4) the best procedure for decontaminating such probes. This paper may lead to a formal consideration of the relationship between ultrasound probes and their roles in bacterial transmission in clinical practice.

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Section: Deterioration Of Ultrasound Probes Caused By Disinfection Wimentioning

confidence: 99%

Section: Procedures For Decontaminating Ultrasound Probesmentioning

confidence: 99%

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Ultrasound probes as a possible vector of bacterial transmission

2013

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“…It is well known that repetitive, aggressive (alcoholic solutions) disinfection of the probe produces irreversible damage translated into impaired ultrasound images [25,26]. Therefore, efficient but safe (non-alcoholic) probe cleaning and skin disinfection protocols together with a correct injection technique which implies a security distance of minimum 0.5 cm between the footprint and injection site are mandatory in avoiding septic side effects.…”

Section: Discussionmentioning

confidence: 99%

“…Repetitive use of the same transducer in different anatomic areas or between different patients, the small distance between the transducer and injection site raises the question for the true risk of septic complications when performing these kinds of manoeuvres [22][23][24][25][26]. On the other hand, sophisticated disinfection protocols are time consuming and expensive and, at the end, may limit the number of performing physicians.…”

Section: Introductionmentioning

confidence: 99%

Musculoskeletal ultrasound guided manoeuvres – security profile

Micu¹,

Vlad

Bolboacă

et al. 2014

Med Ultrason

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Background: In daily rheumatology clinical practice, routine interventional musculoskeletal ultrasound (MSUS) guided maneuvers such as aspiration, intraarticular or periarticular drug injections require efficient cleaning and disinfection methods for both transducer and patient's skin. Aim: To study the efficacy of probe and skin disinfection measures after using simple protocols, to identify the prevalence of septic and other drug related side effects after MSUS guided interventions and to quantify the total procedure time. Material and methods: Recruitment of consecutive patients with different joint/ periarticular MSUS guided interventions was made in 3 medical centers. Bacterial load was determined on the transducers footprint after dry cleaning with the removal of any gel trace and on patient's skin after rigorous skin disinfection with either Bethadine or alcohol 70° and Bethadine. Non-sterile gel was used as an ultrasound transmission medium. The time spent for some of the invasive procedures was quantified. Results: Nine hundred and ninety eight MSUS guided interventional maneuvers were performed in 945 patients with inflammatory and degenerative musculoskeletal pathologies. Staphylococcus epidermidis was identified in 13.33% cases of the skin bacterial load analysis and in 37.50% cases of the footprint analysis. In two patients pathogenetic germs were detected on the skin. No septic post-procedural complications were reported. In 0.6% of the cohort other side effects occurred: aseptic osteonecrosis, skin depigmentation at injection site and iatrogenic microcristaline reactions. The median time frame dedicated to the intervention was 6 minutes. Conclusion: Rigorous transducer dry cleaning and Bethadine/ Bethadine and alcohol 70° skin disinfection are efficacious methods. The risk for septic complications and other drug related side effects related to MSUS guided injections is very low in this context. A correct injection technique must accompany the previous requests. Rapid and safe interventional maneuvers reduce the risks and control the costs of the healthcare system.

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CLEAR: A Novel Approach to Ultrasound Equipment Homeostasis

Prats

Nelson

Gold

et al. 2018

J of Ultrasound Medicine

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Protocols for the sanitation and maintenance of point-of-care ultrasound (US) equipment are lacking. This study introduces the CLEAR protocol (clean, locate, energize, augment supplies, and remove patient identifiers) as a tool to improve the readiness of US equipment, termed US equipment homeostasis. The state of US equipment homeostasis in the emergency department of a single academic center was investigated before and after implementing this protocol, with an improvement in outcomes. These findings demonstrate that the CLEAR protocol can improve US homeostasis. CLEAR can function as a teaching tool to promote homeostasis as well as a checklist to assess compliance.

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Degradation of ultrasound probes caused by disinfection with alcohol

Cited by 28 publications

References 5 publications

Ultrasound probes as a possible vector of bacterial transmission

Ultrasound probes as a possible vector of bacterial transmission

Musculoskeletal ultrasound guided manoeuvres – security profile

CLEAR: A Novel Approach to Ultrasound Equipment Homeostasis

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