The Committee for Hygiene, Construction and Technology has compiled a new recommendation on environmental conditions and their control in Reprocessing Units for Medical Devices. The aim of this publication is to present information on the state of the art and experience with respect to hospital hygiene, microbiology and audits. This information lays the groundwork for the formulation of requirements for the environmental conditions and their control and for bringing the current publication into line with the state of the art.
While the 24th Congress of the German Society of Sterile Supply (DGSV) was held this year in Fulda, only the members of the board of directors and the speakers attended in person. Unfortunately, because of the pandemic, the audience had to stay away from the venue and tune in remotely to the lectures taking place at this hybrid event.
In an efficient quality management system processes must be monitored. The process monitoring measures must be planned and the outcomes documented. In that way discrepancies can be recognized at an early stage and remedial action taken.
The publication by Jullian-Desayes et al is most interesting and welcome. Whilst highlighting the decontamination processes which can be used [...], the paper highlights some of the additional considerations which must be made other than the choice of decontamination process itself.
Dr. Michels states that in view of the low sensitivity of the residual protein detection methods used, and the heavy protein load identified, one must also ponder whether false positive test results occurred. For example, the destructive test results obtained on using the BCA method are alarmingly poor.
Intuitive Surgical recommends a complex process for cleaning da Vinci robotic instruments. The aim of this study is to validate the cleaning process used in our establishment by demonstrating the absence of residual protein.
From June 16 - 19, the KIT Congress took place as a purely virtual event. At the opening on the evening of the first day of the congress, RKI head Prof. Lothar Wieler emphasized that public health measures are the core of pandemic control. Many presentations at KIT also dealt with COVID-19, including historical pandemics, SARS-CoV-2 in children, and hygiene and testing concepts.
In his Editorial, Christophe Lambert elaborates on this question and discusses the fact that there is still no “cleaning assurance level”. On this basis, single use appears to have a bright future.
The Congress of the German Society for Hospital Hygiene, which took place from 12 to 14 April as an online-only event, featured two sessions on medical device reprocessing. The first lectures dealt with reprocessing of thermolabile flexible endoscopes.
Patient infections related to endoscopic procedures have been repeatedly reported in recent years. This has led to ongoing debates whether the current practice of cleaning and disinfection of semi-critical thermolabile endoscopes is sufficient for eliminating the high microbial load after use of the devices.
We have a saying in the UK, “today’s newspaper is tomorrow’s fish and chip wrapper” and it’s perfectly highlighted by the fact that having a Brexit story on the news would now be a welcome change. But very recently the implications of it became once again relevant to our specialist sector.
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