Factors related to exchange of disinfection solutions of endoscopic devices

Authors

  • Adriana Cristina de Oliveira Pós-doutora pela Universidade de Nova York. Coordenadora do Núcleo de Estudo e Pesquisa em Infecção Relacionada ao Cuidar em Saúde (NEPIRCS /CNP q). Professora Associada do Departamento de Enfermagem Básica da Escola de Enfermagem da Universidade Federal de Minas Gerais (UFMG).
  • Maria Letícia de Miranda Mati Enfermeira da Unidade de Referência Secundária Campos Sales (SUS) de Belo Horizonte.

Keywords:

Endoscopy, gastrointestinal. Disinfection. Peracetic acid. Sanitizing products.

Abstract

Objective: To identify the factors related to the replacement of disinfection solutions of endoscopes devices. Method: A quantitative study carried out at an endoscopy service in the city of Belo Horizonte, belonging to the Brazilian National Health System, in the period from March 28, 2012 to March 20, 2013. It was carried out a documentary analysis of test records for daily monitoring of chemical disinfection processes in that particular sector. Descriptive statistics were used with frequency distribution and central trend measurements. Results: The following factors related to the replacement of the disinfecting solution of peracetic acid were identified: minimum solution concentration inferior to the required (75%), volume below the ideal amount (15%), presence of deposits and accidental solution spillage, both at 5%. The extra cost estimated on the unnecessary exchanges reached 66.6%. Conclusion: There is a prior need to review the planning and protocols of the service.

References

Beilenhoff U, Neumann CS, Rey JF, Biering H, Blum R, Cimbro M, et al. ESGE-ESGENA guideline: cleaning and disinfect in gastrointestinal endoscopy. Endoscopy. 2008;40(11):939-57. 10.1055/s-2008-1077722

C hapman W. The principles of decontamination in gastrointestinal endoscopy. Br J Nurs. 2010;19(11):698-704. PMid: 20622776

Rutala WA, Weber DJ. Reprocessing endoscopes: United States perspective. J Hosp Infect. 2004;56(suppl 2):S27-39.

Chair DBN, Barkun AN , Block KP, Burdick JS, Ginsberg GG, Greenwald DA, et al. Transmission of infection by gastrointestinal endoscopy. Gastrointest Endosc. 2001;54(8):824-8.

Favero MS, Bond WW. Chemical disinfection of medical and surgical materials. In: Block SS, editor. Disinfection, sterilization and preservation. 5th edition. Philadelphia: Lea & Febiger; 2000. p.617-41.

Bond WW, Ott BJ, Franke KA, McCracken JE . Effective use of liquid chemical germicides on medical devices: instrument design problems. In: Block SS, editor. Disinfection, sterilization and preservation. 5th edition. Philadelphia: Lea & Febiger; 2000. p. 1097-106.

C enters for Disease Control and Prevention. Guideline for disinfection and sterilization in health-care facilities. Atlanta: CDC; 2008.

Food and Drug Administration. Cleared sterilants and high level disinfectants with general claims for reusable medical and dental devices. Silver Spring: FDA; 2009.

Brasil. Agência Nacional de Vigilância Sanitária. Resolução RDC nº 14, de 28 de fevereiro de 2007. Aprova o Regulamento Técnico para Produtos Saneantes com Ação Antimicrobiana harmonizado no âmbito do Mercosul através da Resolução GMC nº 50/06, que consta em anexo à presente Resolução. Diário Oficial da União. Brasília, 05 de março de 2007 [acesso em: 2015 Abr 01]. Disponível em: http://portal.anvisa.gov.br/wps/wcm/connect/a450e9004ba03d47b973bbaf8fded4db/RDC+14_2007.pdf?MOD=AJPERES

Brasil. Agência Nacional de Vigilância Sanitária. Resolução RDC nº 34, de 16 de agosto de 2010. Dispõe sobre o Regulamento Técnico para produtos saneantes desinfetantes. Diário Oficial da União, 18 de agosto de 2010 [acesso em: 2015 Abr 01]. Disponível em: http://www.diariodasleis.com.br/busca/exibelink.php?numlink=214998

C arrara D, Shirahige CA, Braga ACPV, Ishioka S, Sakai P, Takeiti MH, et al. A desinfecção de endoscópio com ácido peracético por dez minutos é efetiva? Rev SOBECC. 2013;18(4):38-46.

S ella SRBR, Guizelini BP, Ribeiro H. Validation of peracetic acid as a sporicide for sterilization of working surfaces in biological safety cabinets. J Microbiol Infect Dis. 2012;2(3):96-9.

Rutala WA, Weber DJ. Disinfection and sterilization: an overview. Am J Infec Control. 2013;41(5 suppl):S2-5.

Kovaleva J, Peters FTM, Van Der Mei HC, Degener JE . Transmission of infection by flexible gastrointestinal end and bronchoscopy. Clin Microbiol Rev. 2013;26(2):231-54.

Terci LBD, Rossi VA . Indicadores naturais de pH: usar papel ou solução? Qim Nova. 2002;25(4):684-8.

A lfa MJ , Olson N, Degagné P, Simner PJ. Development and validation of rapid use scope test strips to determine the efficacy of manual cleaning for flexible endoscope channels. Am J Infect Control. 2012;40(9):860-5.

R utala WA, Weber DJ. Sterilization, high-level disinfection, and environmental cleaning. Infect Dis Clin N Am. 2011;25(1):45-76.

Sociedade Brasileira de Enfermagem em Endoscopia Gastrointestinal. Manual de limpeza e desinfecção de aparelhos endoscópicos. Porto Alegre; 2005.

Brasil. Agência Nacional de Vigilância Sanitária. Resolução RDC nº 6, de 10 de março de 2013. Dispõe sobre os requisitos de Boas Práticas de Funcionamento para os serviços de endoscopia com via de acesso ao organismo por orifícios exclusivamente naturais. Diário Oficial da União [acesso em: 2015 Abr 01]. Disponível em: http://bvsms.saude.gov.br/bvs/saudelegis/anvisa/2013/rdc0006_10_03_2013.html

Published

2015-03-30

How to Cite

Oliveira, A. C. de, & Mati, M. L. de M. (2015). Factors related to exchange of disinfection solutions of endoscopic devices. Revista SOBECC, 20(1), 24–29. Retrieved from https://sobecc.emnuvens.com.br/sobecc/article/view/76

Issue

Section

ORIGINAL ARTICLES