Hemodynamic single-use devices (SUD), namely cardiac catheters, are reused worldwide and in India, where cost and aggressive intervention take priority over infection prevention. An important issue associated with the reprocessing of any SUD is the potential for subsequent transmission of infectious agents. The reprocessing and sterilization methodology of reuse of SUD is often left to the discretion of the nursing staff, and sterility issues can be overlooked.
Rao, et al. (2013) sought to evaluate reprocessing and sterilization methodology and to develop guidelines and oversee their implementations that result in standardized practices and improve the safety of hemodynamic device reuse.
The infection control team took over the responsibility of the process initially in this small pilot study. A robust cleaning and sterilization process protocol based on basic microbiological principles was developed and tested for bacterial, viral and endotoxin remnants before using on patients. Initially 20 cardiac angiogram patients (consent was taken) were followed up for three months for any adverse events with reuse policy in place. Clinicians' feedback was taken and modification made in the process at the end of study. It was extended to a full-fledged protocol and implemented.
This system has in place for the past five years and there are no adverse events reported on follow-up (more than 8,000 angiograms so far). The facility performs 12 angiograms per day and reuse is 75 percent. The protocol implementation has resulted in determining the number of times each catheter can be reused. The process is continuously audited and compliance to the protocol is 100 percent.The researchers say the steps for repossessing are easy, adaptable, outcome-measurable, sustainable and cost-effective in resource-limited settings.
Reference: Rao R, Mani R, et al. Oral presentation O031 at 2nd International Conference on Prevention and Infection Control (ICPIC 2013): Reprocessing of single-use hemodynamic catheters in cardiology -- we do but how best to do it. Antimicrobial Resistance and Infection Control 2013, 2(Suppl 1):O31 doi:10.1186/2047-2994-2-S1-O31.
Getting Down and Dirty With PPE: Presentations at HSPA by Jill Holdsworth and Katie Belski
June 26th 2025In the heart of the hospital, decontamination technicians tackle one of health care’s dirtiest—and most vital—jobs. At HSPA 2025, 6 packed workshops led by experts Jill Holdsworth and Katie Belski spotlighted the crucial, often-overlooked art of PPE removal. The message was clear: proper doffing saves lives, starting with your own.
Unmasking Vaccine Myths: Dr Marschall Runge on Measles, Misinformation, and Public Health Solutions
May 29th 2025As measles cases climb across the US, discredited myths continue to undercut public trust in vaccines. In an exclusive interview with Infection Control Today, Michigan Medicine’s Marschall Runge, PhD, confronts misinformation head-on and explores how clinicians can counter it with science, empathy, and community engagement.
Silent Saboteurs: Managing Endotoxins for Sepsis-Free Sterilization
Invisible yet deadly, endotoxins evade traditional sterilization methods, posing significant risks during routine surgeries. Understanding and addressing their threat is critical for patient safety.
Endoscopes and Lumened Instruments: New Studies Highlight Persistent Contamination Risks
May 7th 2025Two new studies reveal troubling contamination in both new endoscopes and cleaned lumened surgical instruments, challenging the reliability of current reprocessing practices and manufacturer guidelines.
From the Derby to the Decontam Room: Leadership Lessons for Sterile Processing
April 27th 2025Elizabeth (Betty) Casey, MSN, RN, CNOR, CRCST, CHL, is the SVP of Operations and Chief Nursing Officer at Surgical Solutions in Overland, Kansas. This SPD leader reframes preparation, unpredictability, and teamwork by comparing surgical services to the Kentucky Derby to reenergize sterile processing professionals and inspire systemic change.