Effectiveness of manual versus automated cleaning on Staphylococcus epidermidis biofilm removal from the surface of surgical instruments

Evangelista, Síntia de Souza; Guimarães, Natália Rocha; Garcia, Naiara Bussolotti; Santos, Simone Gonçalves dos; Oliveira, Adriana Cristina de

doi:10.1016/j.ajic.2019.08.024

Cited by 16 publications

(13 citation statements)

References 19 publications

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“…Furthermore, 84% of the respondents saw the necessity to wash the instruments used in the salon. Studies have shown that the elimination of biofilm (deposits) on reusable instruments increases the effectiveness of both disinfection and sterilization of instruments used in the healthcare sector [ 26 , 27 ].…”

Section: Resultsmentioning

confidence: 99%

Assessment of Epidemiological Safety in the Cosmetic Service Industry in Poland: A Cross-Sectional Questionnaire Study

Gębska-Kuczerowska

Kucharska

Segiet-Święcicka

et al. 2021

IJERPH

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The variety of current cosmetic procedures has increased the potential risks of adverse events and infections. In a nationwide cross-sectional study (2013–2015), we assessed the aspects of infection risk in cosmetic services. An anonymous voluntary questionnaire survey was conducted among 813 employees of cosmetic establishments in Poland. The establishments were selected from a register of service providers. The survey was conducted by employees of the State Sanitary Inspectorate during an audit, and the results showed that cosmetic providers were not fully prepared for risk assessment in terms of occupational exposure or infection transmission. The majority of the respondents (84%) reportedly washed the salon tools. Some establishments did not perform any decontamination (2%) or sterilization (~13%) procedures. Occupational punctures or lacerations occurred from needles, ampoules-syringes, or razors. Most respondents had attended professional training or studied medical textbooks. Approximately 1.7% of the respondents had not updated their knowledge, and 5% gained knowledge from unauthorized sources.The project’s results impacted a variety of innovations and improvements in the field of public health. The results were used to update the national education program (2012–2017); more attention has been directed toward effective education in infection prevention,general hygiene, and post-exposure procedures. Moreover, the study’s results were grounds for the introduction of legislative modifications in the field of epidemiological safety standards for cosmetic services in Poland.

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Section: Resultsmentioning

confidence: 99%

Assessment of Epidemiological Safety in the Cosmetic Service Industry in Poland: A Cross-Sectional Questionnaire Study

Gębska-Kuczerowska

Kucharska

Segiet-Święcicka

et al. 2021

IJERPH

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“…Therefore, surgical instruments should be kept moist immediately after use if they are unavailable for timely cleaning. Some studies showed that contaminants would dry within several minutes if not timely processed after use [5], bacteria would grow in 4-20 minutes on dried contaminants, and bio lm would form within 2 hours [6]. The earlier moistening is handled, the better effect of moistening is.…”

Section: Discussionmentioning

confidence: 99%

Factors Affecting Implementation and Pass Rates of Moistening Surgical Instruments

Huang

Chen

et al. 2021

Preprint

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Background: Under influences of count, handover, transport and other procedures, surgical instruments might not be cleaned immediately after use, and they were not kept moist before cleaning, which allowed contaminants to dry on the instruments and become difficult to remove. Therefore, surgical instruments should be kept moist immediately after use. However, implementation and pass rates of moistening surgical instruments have been rarely studied. We aimed to investigate the factors affecting implementation and pass rates of moistening surgical instruments.Methods: We carried out on-site investigations for keeping surgical instruments moist at the 22 clinical departments using reusable surgical instruments in August 2019 in the West China Second University Hospital, Sichuan University. During the investigations, the survey utilising an interviewer-administrated questionnaire was conducted among nurses and workers from the 22 clinical departments. Data about implementation and pass rates of moistening surgical instruments was analysed in SPSS20.0.Results: Implementation and pass rates of moistening surgical instruments were 57.49% and 31.98%, respectively. Factor analysis showed that implementation rates of moistening were affected by instrument structure (χ2 = 143.670; P = 0.001), the number of instruments inside the pack (χ2 = 140.135; P = 0.001), and the person responsible for keeping surgical instruments moist (χ2 = 8.052; P = 0.005). Correlation analysis showed that instrument structure and the number of instruments inside the pack were negatively correlated with implementation rates of moistening. The more complex the structure and the greater the number of the instruments inside the pack, the lower implementation rates of moistening surgical instruments.Conclusion: Implementation and pass rates of moistening surgical instruments were low, which meant that moistening failed to meet the applicable industrial standard for central sterile supply department and there was a potential risk of hospital-acquired infection. It was necessary to provide more training about keeping surgical instruments moist for nurses and workers of the clinical departments, and regulate the procedure of keeping surgical instruments moist.

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“…For instance, Staphylococcus epidermidis, a commensal inhabitant of human skin and mucous membranes, has emerged as a relevant opportunistic pathogen in hospitals. This opportunistic pathogen causes infections, mainly in the elderly and immunocompromised individuals [32,33]. Wound The exposed subcutaneous tissue, devitalized tissue (ischemic, hypoxic, or necrotic), and the compromised immune system of the host provide optimal conditions for microbial colonization and growth [31].…”

Section: Microorganisms Present In Chronic Woundsmentioning

confidence: 99%

“…For instance, Staphylococcus epidermidis, a commensal inhabitant of human skin and mucous membranes, has emerged as a relevant opportunistic pathogen in hospitals. This opportunistic pathogen causes infections, mainly in the elderly and immunocompromised individuals [32,33]. Wound contamination can also occur through cross-infection events, such as poor hand hygiene practiced by healthcare clinicians after wound cleansing and dressing procedures, coughing and sneezing, dirty bedding, unsterilized medical equipment, and prolonged use of catheters, tubes, or intravenous lines [34][35][36][37][38].…”

Section: Microorganisms Present In Chronic Woundsmentioning

confidence: 99%

Bacteriophages for Chronic Wound Treatment: From Traditional to Novel Delivery Systems

Pinto

Cerqueira

Bañobre-Lópes

et al. 2020

Viruses

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The treatment and management of chronic wounds presents a massive financial burden for global health care systems, with significant and disturbing consequences for the patients affected. These wounds remain challenging to treat, reduce the patients' life quality, and are responsible for a high percentage of limb amputations and many premature deaths. The presence of bacterial biofilms hampers chronic wound therapy due to the high tolerance of biofilm cells to many firstand second-line antibiotics. Due to the appearance of antibiotic-resistant and multidrug-resistant pathogens in these types of wounds, the research for alternative and complementary therapeutic approaches has increased. Bacteriophage (phage) therapy, discovered in the early 1900s, has been revived in the last few decades due to its antibacterial efficacy against antibiotic-resistant clinical isolates. Its use in the treatment of non-healing wounds has shown promising outcomes. In this review, we focus on the societal problems of chronic wounds, describe both the history and ongoing clinical trials of chronic wound-related treatments, and also outline experiments carried out for efficacy evaluation with different phage-host systems using in vitro, ex vivo, and in vivo animal models. We also describe the modern and most recent delivery systems developed for the incorporation of phages for species-targeted antibacterial control while protecting them upon exposure to harsh conditions, increasing the shelf life and facilitating storage of phage-based products. In this review, we also highlight the advances in phage therapy regulation.

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Effectiveness of manual versus automated cleaning on Staphylococcus epidermidis biofilm removal from the surface of surgical instruments

Cited by 16 publications

References 19 publications

Assessment of Epidemiological Safety in the Cosmetic Service Industry in Poland: A Cross-Sectional Questionnaire Study

Assessment of Epidemiological Safety in the Cosmetic Service Industry in Poland: A Cross-Sectional Questionnaire Study

Factors Affecting Implementation and Pass Rates of Moistening Surgical Instruments

Bacteriophages for Chronic Wound Treatment: From Traditional to Novel Delivery Systems

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