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      APSIC guidelines for disinfection and sterilization of instruments in health care facilities

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          Abstract

          Background

          The Asia Pacific Society of Infection Control launched its revised Guidelines for Disinfection and Sterilization of Instruments in Health Care Facilities in February 2017. This document describes the guidelines and recommendations for the reprocessing of instruments in healthcare setting. It aims to highlight practical recommendations in a concise format designed to assist healthcare facilities at Asia Pacific region in achieving high standards in sterilization and disinfection.

          Method

          The guidelines were revised by an appointed workgroup comprising experts in the Asia Pacific region, following reviews of previously published guidelines and recommendations relevant to each section.

          Results

          It recommends the centralization of reprocessing, training of all staff with annual competency assessment, verification of cleaning, continual monitoring of reprocessing procedures to ensure their quality and a corporate strategy for dealing with single-use and single-patient use medical equipment/devices. Detailed recommendations are also given with respect to reprocessing of endoscopes. Close working with the Infection Prevention & Control department is also recommended where decisions related to reprocessing medical equipment/devices are to be made.

          Conclusions

          Sterilization facilities should aim for excellence in practices as this is part of patient safety. The guidelines that come with a checklist help service providers identify gaps for improvement to reach this goal.

          Electronic supplementary material

          The online version of this article (10.1186/s13756-018-0308-2) contains supplementary material, which is available to authorized users.

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          Most cited references24

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          Transmission of infection by flexible gastrointestinal endoscopy and bronchoscopy.

          Flexible endoscopy is a widely used diagnostic and therapeutic procedure. Contaminated endoscopes are the medical devices frequently associated with outbreaks of health care-associated infections. Accurate reprocessing of flexible endoscopes involves cleaning and high-level disinfection followed by rinsing and drying before storage. Most contemporary flexible endoscopes cannot be heat sterilized and are designed with multiple channels, which are difficult to clean and disinfect. The ability of bacteria to form biofilms on the inner channel surfaces can contribute to failure of the decontamination process. Implementation of microbiological surveillance of endoscope reprocessing is appropriate to detect early colonization and biofilm formation in the endoscope and to prevent contamination and infection in patients after endoscopic procedures. This review presents an overview of the infections and cross-contaminations related to flexible gastrointestinal endoscopy and bronchoscopy and illustrates the impact of biofilm on endoscope reprocessing and postendoscopic infection.
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            Endoscopic retrograde cholangiopancreatography-associated AmpC Escherichia coli outbreak.

            We identified an outbreak of AmpC-producing Escherichia coli infections resistant to third-generation cephalosporins and carbapenems (CR) among 7 patients who had undergone endoscopic retrograde cholangiopancreatography at hospital A during November 2012-August 2013. Gene sequencing revealed a shared novel mutation in a bla CMY gene and a distinctive fumC/ fimH typing profile.
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              • Record: found
              • Abstract: not found
              • Article: not found

              Guideline for disinfection and sterilization of prion-contaminated medical instruments.

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                Author and article information

                Contributors
                ling.moi.lin@singhealth.com.sg
                chingpty@yahoo.com.hk
                ammar.widitaputra@gmail.com
                Alison.Stewart@openpolytechnic.ac.nz
                nanthipha.s@siphhospital.com
                letathu@yahoo.com
                Journal
                Antimicrob Resist Infect Control
                Antimicrob Resist Infect Control
                Antimicrobial Resistance and Infection Control
                BioMed Central (London )
                2047-2994
                20 February 2018
                20 February 2018
                2018
                : 7
                : 25
                Affiliations
                [1 ]ISNI 0000 0000 9486 5048, GRID grid.163555.1, Infection Prevention & Control, Singapore General Hospital, ; Singapore, 169608 Singapore
                [2 ]Hong Kong Infection Control Nurses Association (HKICNA), Hong Kong, Hong Kong
                [3 ]Himpunan Sterilasi Sentral Indonesia (HISSI), Jakarta, Indonesia
                [4 ]New Zealand Sterile Services Association (NZSSA), Waikiwi, New Zealand
                [5 ]Central Sterilizing Services Association, Bangkok, Thailand
                [6 ]Ho Chi Minh City Infection Control Society (HICS), Ho Chi Minh City, Vietnam
                Article
                308
                10.1186/s13756-018-0308-2
                5819152
                29468053
                dabea054-8134-410c-bfa4-8da4f8af9d4d
                © The Author(s). 2018

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 26 September 2017
                : 26 January 2018
                Categories
                Guidelines Article
                Custom metadata
                © The Author(s) 2018

                Infectious disease & Microbiology
                cleaning,disinfection,sterilization,endoscopes,reprocessing
                Infectious disease & Microbiology
                cleaning, disinfection, sterilization, endoscopes, reprocessing

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