AJIC: American Journal of Infection Control
Volume 36, Issue 1 , Pages 5-11 , February 2008

Simulated-use testing of bedpan and urinal washer disinfectors: Evaluation of Clostrium difficile spore survival and cleaning efficacy

  • Michelle J. Alfa, PhD, FCCM

      Affiliations

    • Department of Medical Microbiology, University of Manitoba, Winnipeg, Manitoba, Canada
    • St. Boniface General Hospital Research Centre, Winnipeg, Manitoba, Canada
    • Microbiology Department, St. Boniface General Hospital, Winnipeg, Manitoba, Canada
    • Corresponding Author InformationAddress correspondence to Michelle J. Alfa, PhD, FCCM, Microbiology Lab, St. Boniface General Hospital, 409 Tache Avenue, Winnipeg, MB R2H 2A6, Canada.
    • ,
  • Nancy Olson, BSc

      Affiliations

    • St. Boniface General Hospital Research Centre, Winnipeg, Manitoba, Canada
    • ,
  • Louise Buelow-Smith, RN

      Affiliations

    • Central Processing Department, St. Boniface General Hospital, Winnipeg, Manitoba, Canada

References 

  1. Alfa MJ, Nemes R. Manual versus automated methods for cleaning reusable accessory devices used for minimally invasive surgical procedures. J Hosp Infect. 2004;58:50–58
  2. Alfa MJ, Nemes R. Inadequacy of manual cleaning for reprocessing single-use, triple-lumen sphinctertomes: simulated-use testing comparing manual with automated cleaning methods. Am J Infect Control. 2003;31:193–207
  3. Alfa MJ, Olson N, DeGagne P, Jackson M. Survey of reprocessing methods, residual viable bioburden and soil levels in patient-ready ERCP scopes used in Canadian centers. Infect Contr Hosp Epidemiol. 2002;23:198–206
  4. Alfa MJ, Jackson M. A new hydrogen peroxide–based medical device detergent with germicidal properties: comparison with enzymatic cleaners. Am J Infect Control. 2001;29:1–10
  5. Alfa MJ, DeGagne P, Olson N. Worst-case soiling levels for patient-used flexible endoscopes before and after cleaning. Am J Infect Control. 1999;27:392–401
  6. Alfa MJ, DeGagne P, Olson N, Hizon R. Comparison of liquid chemical sterilization using peracetic acid to ethylene oxide sterilization for long narrow lumens. Am J Infect Control. 1998;26:469–477
  7. Zuhlsdorf B, Winkler A, Dietze B, Floss H, Martiny H. Gastroscope processing in washer-disinfectors at three different temperatures. J Hosp Infect. 2003;55:276–282
  8. Zuhlsdorf B, Martiny H. Intralaboratory reproductibility of the German test method of prEN ISO 15883-1 for determination of the cleaning efficacy of washer-disinfectors for flexible endoscopes. J Hosp Infect. 2005;59:286–291
  9. Zuhlsdorf B, Emmrich M, Floss H, Martiny H. Cleaning efficacy of nine different cleaners in a washer-disinfector designed for flexible endoscopes. J Hosp Infect. 2002;52:206–211
  10. Verjat D, Prognon P, Darbord JC. Fluorescence assay on traces of protein on reusable medical devices: cleaning efficacy. Int J Pharm. 1999;179:267–271
  11. De Bruijn ACP, Orzechowski TJH, Wassenaar C. Validation of the ninhydrin swab test to monitor cleaning of medical instruments. Zentr Steril. 2001;9:235–247
  12. Fengler W, Pahlke H, Bisson S, Michels W. Are processed surgical instruments free of protein?. Zentr Steril. 2001;9:20–32
  13. Kruger S. Testing the cleaning efficacy in decontamination equipment, Part 1. Zentr Steril. 1997;5:333–344
  14. Ransjo U, Engstrom L, Hakansson P, Ledel T, Lindgren L, Lindqvist A, et al. A test for cleaning and disinfection processes in a washer-disinfector. APMIS. 2001;109:299–304
  15. International Standards Association. ISO 15883-3, washer-disinfectors: requirements and tests for washer-disinfectors employing thermal disinfection for human waste containers. Geneva, Switzerland: International Standards Association; 2006;

PII: S0196-6553(07)00566-4

doi: 10.1016/j.ajic.2007.04.277

AJIC: American Journal of Infection Control
Volume 36, Issue 1 , Pages 5-11 , February 2008

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