STERIS SYSTEM 1 in Germany

Daschner, F; Kralovic, Raymond C.

doi:10.1086/646914

Cited by 2 publications

(3 citation statements)

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“…Sterilization of a flexible endoscope may, on occasion, be possible, but the medical literature suggests it cannot be achieved reliably and consistently. [12][13][14][15][16][17][18][19][20][21][22][23][24]47 No standardized method for verifying either sterilization or disinfection in the internal channels of intact flexible endoscopes is available currently. 18 Without dismantling the endoscope to collect microbiologic samples from all of its inner surfaces, the validity of the data used to evaluate the effectiveness (or ineffectiveness) of either process may be questioned.…”

Section: Resultsmentioning

confidence: 99%

“…9-11 Any disinfection or sterilization process is likely to fail if the instrument is not cleaned thoroughly first. 3,[12][13][14][15][16][17] Heat and ethylene oxide gas (EtO) are the two most commonly used sterilizing agents for reprocessing medical instruments. Pressurized steam is the optimal choice for sterilization because of its reliability, availability, and cost-effectiveness.…”

Section: High-level Disinfection and Sterilizationmentioning

confidence: 99%

“…While each of these agents may, on occasion, sterilize instruments, none guarantees that all of a complex instrument's inaccessible inner surfaces will be even low-level disinfected. 16,17 Sterilizing all of a contaminated instrument's internal surfaces can be more challenging than often appreciated. 12,14-20 To be effective, EtO and LCGs must come in direct contact with all of the instrument's external and internal surfaces.…”

Section: The Reliability Of Different Decontamination Processesmentioning

confidence: 99%

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High-Level Disinfection or “Sterilization” of Endoscopes?

Muscarella

1996

Infect. Control Hosp. Epidemiol.

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Controversy has surrounded the use of liquid chemical germicides to reprocess medical instruments that are damaged by heat sterilization. A review of the literature was performed to assess and compare the efficacy of disinfection and sterilization processes. The results of this review demonstrate that high-level disinfection of thoroughly cleaned endoscopes is not associated with a higher infection rate than is “sterilization.” While there may be a theoretical distinction between the highest level of disinfection and sterilization, thorough cleaning eliminates clinical differences between the two. High-level disinfection is quick, effective, inexpensive, and recommended whenever heat sterilization is not feasible. A low-temperature sterilization process should be considered only if it is comparable in cost to disinfection or if it offers demonstrated advantages without damaging the instrument. Neither disinfection nor sterilization is likely to be effective if the instrument is not cleaned thoroughly after use.

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