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Guideline for Disinfection and Sterilisation in Healthcare Facilities

Guideline for Disinfection and Sterilisation in Healthcare Facilities

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Published by: justicar22 on Sep 15, 2010
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06/25/2011

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Guideline for Disinfection and Sterilization in Healthcare Facilities, 2008
Guideline for Disinfection and Sterilizationin Healthcare Facilities, 2008
William A. Rutala, Ph.D., M.P.H.
1,2
, David J. Weber, M.D., M.P.H.
1,2
, and the HealthcareInfection Control Practices Advisory Committee (HICPAC)
3
 
1
Hospital EpidemiologyUniversity of North Carolina Health Care SystemChapel Hill, NC 27514
2
Division of Infectious DiseasesUniversity of North Carolina School of MedicineChapel Hill, NC 27599-7030
1
 
Guideline for Disinfection and Sterilization in Healthcare Facilities, 2008
3
HICPAC Members
Robert A. Weinstein, MD (Chair)Cook County HospitalChicago, ILJane D. Siegel, MD (Co-Chair)University of Texas Southwestern Medical Center Dallas, TXMichele L. Pearson, MD(Executive Secretary)Centers for Disease Control and PreventionAtlanta, GARaymond Y.W. Chinn, MDSharp Memorial HospitalSan Diego, CAAlfred DeMaria, Jr, MDMassachusetts Department of Public HealthJamaica Plain, MAJames T. Lee, MD, PhD
 
University of MinnesotaMinneapolis, MNWilliam A. Rutala, PhD, MPHUniversity of North Carolina Health Care SystemChapel Hill, NCWilliam E. Scheckler, MDUniversity of WisconsinMadison, WIBeth H. Stover, RNKosair Children’s HospitalLouisville, KYMarjorie A. Underwood, RN, BSN CICMt. Diablo Medical Center Concord, CAThis guideline discusses use of products by healthcare personnel in healthcare settings such ashospitals, ambulatory care and home care; the recommendations are not intended for consumer use of the products discussed.
2
 
Guideline for Disinfection and Sterilization in Healthcare Facilities, 2008
Disinfection and Sterilization in Healthcare Facilities
Executive SummaryIntroductionMethodsDefinition of TermsApproach to Disinfection and SterilizationCritical ItemsSemicritical ItemsNoncritical ItemsChanges in Disinfection and Sterilization Since 1981Disinfection of Healthcare EquipmentConcerns with Implementing the Spaulding SchemeReprocessing of EndoscopesLaparoscopes and ArthroscopesTonometers, Cervical Diaphragm Fitting Rings, Cryosurgical Instruments, Endocavitary ProbesDental InstrumentsDisinfection of HBV, HCV, HIV or Tuberculosis-Contaminated DevicesDisinfection in the Hemodialysis UnitInactivation of 
Clostridium difficile 
 OSHA Bloodborne Pathogen StandardEmerging Pathogens (
Cryptosporidium 
,
Helicobacter pylori 
,
E. coli 
O157:H7, Rotavirus, HumanPapilloma Virus, Norovirus, Severe Acute Respiratory Syndrome Coronavirus)Inactivation of Bioterrorist AgentsToxicological, Environmental, and Occupational ConcernsDisinfection in Ambulatory Care, Home Care, and the HomeSusceptibility of Antibiotic-Resistant Bacteria to DisinfectantsSurface Disinfection: Should We Do It?Contact Time for Surface DisinfectantsAir DisinfectionMicrobial Contamination of DisinfectantsFactors Affecting the Efficacy of Disinfection and SterilizationNumber and Location of MicroorganismsInnate Resistance of MicroorganismsConcentration and Potency of DisinfectantsPhysical and Chemical FactorsOrganic and Inorganic Matter Duration of ExposureBiofilmsCleaningDisinfectionChemical DisinfectantsAlcoholOverviewMode of ActionMicrobicidal ActivityUsesChlorine and Chlorine CompoundsOverviewMode of ActionMicrobicidal Activity
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