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REVIEW
Storage of gastrointestinal endoscopes: when is the safe time for re-use?
Revista Brasileira de Enfermagem. 2022;75(3):e20210216
02-02-2022
Resumo
REVIEWStorage of gastrointestinal endoscopes: when is the safe time for re-use?
Revista Brasileira de Enfermagem. 2022;75(3):e20210216
02-02-2022DOI 10.1590/0034-7167-2021-0216
Visualizações0ABSTRACT
Objectives:
to identify the safe storage time for the use of flexible gastrointestinal endoscopes after high-level disinfection, as well as the defining criteria for this time.
Methods:
an integrative literature review was carried out in the Virtual Health Library, PubMed, Scopus, and Web of Science, considering original articles published since 2000.
Results:
eleven articles were selected, whose storage times ranged from 1 to 56 days, with a predominance of one to seven days (73%). Several criteria were used to define this time, predominantly the premise of efficient processing (100%), use of alcohol flush (64%), use of drying cabinets (18%), among others.
Conclusions:
the criteria for determining the storage time did not show a consensus for clinical practice. Expanding the discussion of this theme with the definition of the minimum necessary conditions is of fundamental importance for the reduction of risks and safety of the procedure and the patient.
Palavras-chave: DisinfectionEndoscopesEquipment ContaminationEquipment ReuseGastrointestinalPatient SafetyVer maisVisualizações0
Resumo
REVIEWStorage of gastrointestinal endoscopes: when is the safe time for re-use?
Revista Brasileira de Enfermagem. 2022;75(3):e20210216
02-02-2022DOI 10.1590/0034-7167-2021-0216
Visualizações0ABSTRACT
Objectives:
to identify the safe storage time for the use of flexible gastrointestinal endoscopes after high-level disinfection, as well as the defining criteria for this time.
Methods:
an integrative literature review was carried out in the Virtual Health Library, PubMed, Scopus, and Web of Science, considering original articles published since 2000.
Results:
eleven articles were selected, whose storage times ranged from 1 to 56 days, with a predominance of one to seven days (73%). Several criteria were used to define this time, predominantly the premise of efficient processing (100%), use of alcohol flush (64%), use of drying cabinets (18%), among others.
Conclusions:
the criteria for determining the storage time did not show a consensus for clinical practice. Expanding the discussion of this theme with the definition of the minimum necessary conditions is of fundamental importance for the reduction of risks and safety of the procedure and the patient.
Palavras-chave: DisinfectionEndoscopesEquipment ContaminationEquipment ReuseGastrointestinalPatient SafetyVer mais
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ORIGINAL ARTICLE
Evaluation of different monitoring methods of surface cleanliness in operating rooms
Revista Brasileira de Enfermagem. 2021;74(3):e20201263
07-09-2021
Resumo
ORIGINAL ARTICLEEvaluation of different monitoring methods of surface cleanliness in operating rooms
Revista Brasileira de Enfermagem. 2021;74(3):e20201263
07-09-2021DOI 10.1590/0034-7167-2020-1263
Visualizações0Ver maisABSTRACT
Objectives:
to evaluate different monitoring methods for detecting the presence of organic or biological matter before and after the cleaning and disinfection processes of the operating room.
Methods:
this is a cross-sectional study based on visual inspection, adenosine triphosphate levels and microbiological culture for the assessment of cleaning and disinfection.
Results:
93.3% of the surfaces inspected visually for this study purpose were considered clean, even when high levels of adenosine triphosphate and microbiological analysis detected presence of microorganisms relevant to biofilm formation.
Conclusions:
the cleaning and disinfection processes reduced the microbial load and organic matter of the inspected surfaces, demonstrated by the values obtained by the adenosine triphosphate bioluminescence assay and microbiological analysis, but the visual inspection as a unique tool to assess the surfaces’ cleanliness may give a false impression of clean environment.
Visualizações0Resumo
ORIGINAL ARTICLEEvaluation of different monitoring methods of surface cleanliness in operating rooms
Revista Brasileira de Enfermagem. 2021;74(3):e20201263
07-09-2021DOI 10.1590/0034-7167-2020-1263
Visualizações0Ver maisABSTRACT
Objectives:
to evaluate different monitoring methods for detecting the presence of organic or biological matter before and after the cleaning and disinfection processes of the operating room.
Methods:
this is a cross-sectional study based on visual inspection, adenosine triphosphate levels and microbiological culture for the assessment of cleaning and disinfection.
Results:
93.3% of the surfaces inspected visually for this study purpose were considered clean, even when high levels of adenosine triphosphate and microbiological analysis detected presence of microorganisms relevant to biofilm formation.
Conclusions:
the cleaning and disinfection processes reduced the microbial load and organic matter of the inspected surfaces, demonstrated by the values obtained by the adenosine triphosphate bioluminescence assay and microbiological analysis, but the visual inspection as a unique tool to assess the surfaces’ cleanliness may give a false impression of clean environment.
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ORIGINAL ARTICLE
Reuse of hospital bedpans
- Tamires Alessandra Mineli
, - Denise de Andrade ,
- Simone de Godoy ,
- Isabel Amélia Costa Mendes ,
- Silvia Helena Tognoli , [ ... ],
- Leila Maria Marchi-Alves
05-28-2021
Resumo
ORIGINAL ARTICLEReuse of hospital bedpans
Revista Brasileira de Enfermagem. 2021;74(2):e20201040
05-28-2021DOI 10.1590/0034-7167-2020-1040
- Tamires Alessandra Mineli ,
- Denise de Andrade ,
- Simone de Godoy ,
- Isabel Amélia Costa Mendes ,
- Silvia Helena Tognoli ,
- Leila Maria Marchi-Alves
Visualizações0Ver maisABSTRACT
Objectives:
to evaluate the results of two methods of hospital bedpan reprocessing.
Methods:
cross-sectional study. Hospital bedpans containing a biological material contamination simulator or organic matter were submitted to manual cleaning followed by disinfection with 70% alcohol solution or thermodisinfection. Permanence of simulated contamination was evaluated by using the fluorescence technique and presence of organic matter was verified by carrying out the protein detection test.
Results:
the contamination simulator was found in bedpans submitted to both processes. The seat was dirtier after manual cleaning (p=0.044) in comparison with the result obtained with thermodisinfection. Automatized decontamination led to worse results when compared to the manual procedure for the scoop and external bottom (p=0.000). The protein detection test was positive in two items after thermodisinfection.
Conclusions:
manual cleaning followed by rubbing with 70% alcohol solution proved more effective than automatized cleaning in the reprocessing of hospital bedpans. There are relevant issues regarding reuse of hospital bedpans.
Visualizações0Resumo
ORIGINAL ARTICLEReuse of hospital bedpans
Revista Brasileira de Enfermagem. 2021;74(2):e20201040
05-28-2021DOI 10.1590/0034-7167-2020-1040
- Tamires Alessandra Mineli ,
- Denise de Andrade ,
- Simone de Godoy ,
- Isabel Amélia Costa Mendes ,
- Silvia Helena Tognoli ,
- Leila Maria Marchi-Alves
Visualizações0Ver maisABSTRACT
Objectives:
to evaluate the results of two methods of hospital bedpan reprocessing.
Methods:
cross-sectional study. Hospital bedpans containing a biological material contamination simulator or organic matter were submitted to manual cleaning followed by disinfection with 70% alcohol solution or thermodisinfection. Permanence of simulated contamination was evaluated by using the fluorescence technique and presence of organic matter was verified by carrying out the protein detection test.
Results:
the contamination simulator was found in bedpans submitted to both processes. The seat was dirtier after manual cleaning (p=0.044) in comparison with the result obtained with thermodisinfection. Automatized decontamination led to worse results when compared to the manual procedure for the scoop and external bottom (p=0.000). The protein detection test was positive in two items after thermodisinfection.
Conclusions:
manual cleaning followed by rubbing with 70% alcohol solution proved more effective than automatized cleaning in the reprocessing of hospital bedpans. There are relevant issues regarding reuse of hospital bedpans.
- Tamires Alessandra Mineli
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REFLECTIVE
Effectiveness of clinical surface cleaning and disinfection: evaluation methods
- Oleci Pereira Frota ,
- Adriano Menis Ferreira ,
- Marcelo Alessandro Rigotti ,
- Denise de Andrade ,
- Nájla Moreira Amaral Borges , [ ... ],
- Marcos Antonio Ferreira Júnior
02-10-2020
Resumo
REFLECTIVEEffectiveness of clinical surface cleaning and disinfection: evaluation methods
Revista Brasileira de Enfermagem. 2020;73(1):e20180623
02-10-2020DOI 10.1590/0034-7167-2018-0623
- Oleci Pereira Frota ,
- Adriano Menis Ferreira ,
- Marcelo Alessandro Rigotti ,
- Denise de Andrade ,
- Nájla Moreira Amaral Borges ,
- Marcos Antonio Ferreira Júnior
Visualizações0ABSTRACT
Objective:
To discuss the methods employed to evaluate the effectiveness of clinical surface cleaning and disinfection (C&D).
Method:
This is a theoretical reflection based on scientific studies and the experience of the authors. Knowledge and current gaps, the need for further studies, and practical application of the methods were approached.
Results:
There are four main methods used to evaluate the effectiveness of clinical surface C&D: visual inspection, fluorescent markers, microbiological cultures, and adenosine triphosphate (ATP) bioluminescence. The first two are used to evaluate the process and to predict adherence to protocols by the staff, and the last two are employed to evaluate the results, therefore being the most relevant to assess the risk of infection.
Final considerations:
The ideal method was not found, because all of them showed limitations. There is a need for strategies to optimize the precision of these methods.
Palavras-chave: Cross InfectionDisinfectionEquipment ContaminationHousekeeping, HospitalProcess Assessment (Health Care)Ver maisVisualizações0Resumo
REFLECTIVEEffectiveness of clinical surface cleaning and disinfection: evaluation methods
Revista Brasileira de Enfermagem. 2020;73(1):e20180623
02-10-2020DOI 10.1590/0034-7167-2018-0623
- Oleci Pereira Frota ,
- Adriano Menis Ferreira ,
- Marcelo Alessandro Rigotti ,
- Denise de Andrade ,
- Nájla Moreira Amaral Borges ,
- Marcos Antonio Ferreira Júnior
Visualizações0ABSTRACT
Objective:
To discuss the methods employed to evaluate the effectiveness of clinical surface cleaning and disinfection (C&D).
Method:
This is a theoretical reflection based on scientific studies and the experience of the authors. Knowledge and current gaps, the need for further studies, and practical application of the methods were approached.
Results:
There are four main methods used to evaluate the effectiveness of clinical surface C&D: visual inspection, fluorescent markers, microbiological cultures, and adenosine triphosphate (ATP) bioluminescence. The first two are used to evaluate the process and to predict adherence to protocols by the staff, and the last two are employed to evaluate the results, therefore being the most relevant to assess the risk of infection.
Final considerations:
The ideal method was not found, because all of them showed limitations. There is a need for strategies to optimize the precision of these methods.
Palavras-chave: Cross InfectionDisinfectionEquipment ContaminationHousekeeping, HospitalProcess Assessment (Health Care)Ver mais - Oleci Pereira Frota
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ORIGINAL ARTICLE
Value Flow Map: application and results in the disinfection center
- Eliete Boaventura Bargas Zeferino ,
- Alice Sarantopoulos ,
- Gabriela Salim Spagnol ,
- Li Li Min ,
- Maria Isabel Pedreira de Freitas
01-01-2019
Resumo
ORIGINAL ARTICLEValue Flow Map: application and results in the disinfection center
Revista Brasileira de Enfermagem. 2019;72(1):140-146
01-01-2019DOI 10.1590/0034-7167-2018-0517
- Eliete Boaventura Bargas Zeferino ,
- Alice Sarantopoulos ,
- Gabriela Salim Spagnol ,
- Li Li Min ,
- Maria Isabel Pedreira de Freitas
Visualizações0ABSTRACT
Objective:
To identify and eliminate steps that do not add value for customers in the disinfection center.
Method:
We applied the Lean tool: Value Flow Map, using the concepts of gemba and kaizen in the work process of the disinfection unit for ventilatory care materials, aiming at improving such process. After performing a training with the team on the Lean concepts described above, applying the Value Flow Map in the gemba, analyzing the opportunities for improvement, and approving the changes, the Value Flow Map of the future state was devised and changes were implemented.
Result:
The time of the disinfection process was reduced in 2h37 and the financial resources required also decreased, in R$ 809.08/month.
Conclusion:
The application of Lean concepts presented positive results for the elimination of wastages in the disinfection center.
Palavras-chave: Cost ReductionDisinfectionHealth Care QualityHospital AdministrationQuality ManagementVer maisVisualizações0Resumo
ORIGINAL ARTICLEValue Flow Map: application and results in the disinfection center
Revista Brasileira de Enfermagem. 2019;72(1):140-146
01-01-2019DOI 10.1590/0034-7167-2018-0517
- Eliete Boaventura Bargas Zeferino ,
- Alice Sarantopoulos ,
- Gabriela Salim Spagnol ,
- Li Li Min ,
- Maria Isabel Pedreira de Freitas
Visualizações0ABSTRACT
Objective:
To identify and eliminate steps that do not add value for customers in the disinfection center.
Method:
We applied the Lean tool: Value Flow Map, using the concepts of gemba and kaizen in the work process of the disinfection unit for ventilatory care materials, aiming at improving such process. After performing a training with the team on the Lean concepts described above, applying the Value Flow Map in the gemba, analyzing the opportunities for improvement, and approving the changes, the Value Flow Map of the future state was devised and changes were implemented.
Result:
The time of the disinfection process was reduced in 2h37 and the financial resources required also decreased, in R$ 809.08/month.
Conclusion:
The application of Lean concepts presented positive results for the elimination of wastages in the disinfection center.
Palavras-chave: Cost ReductionDisinfectionHealth Care QualityHospital AdministrationQuality ManagementVer mais
- Eliete Boaventura Bargas Zeferino
Disinfection Archives - Revista Brasileira de Enfermagem
