Researchers Audit Sterilization Practices in Surgical Services Departments


Zoungrana, et al. (2013) say the consolidation of sterilization at the same surgical services site is the only way for institutions to maintain internal control of the sterilization process for medical devices. They report on their audit of the sterilization of medical services in surgical units of their hospital that have a sterilization department.

This descriptive cross-sectional survey was conducted in seven surgical services departments with personnel involved in the sterilization of reusable medical devices. Data collection was conducted through individual interviews with staff, observation of practices and assessment of documentation available in the service.

A pre-disinfection occurred immediately after surgery in 93.03 percent of cases. Dilutions of the preparation of decontamination solutions were made randomly. During decontamination, the equipment was totally immersed in only 72.1 percent of cases. There was insufficient contact time between disinfectant and contaminated equipment in the majority of observations. Cleaning of all equipment including containers was performed in only 4.65 percent of times. Drying was done in the open air in 2 out of 5 other services. The cleaning material consisted of unsterile compresses (36.36 percent), already used fields (27.27 percent), sterile gauze (21.21 percent), clean fields (15.15 percent). Sterilization processes used: Poupinel (one service); Poupinel and formalin (five services); Poupinel, autoclave and formalin (one service). The researchers also found no registration of autoclaving parameters (temperature, pressure, time), and a lack of procedural steps in the sterilizing of reusable equipment.

Reference: J Zoungrana, IP Guissou, F Zongo, H Dhainsala. Poster presentation P393 at the 2nd International Conference on Prevention and Infection Control (ICPIC 2013): Assessment of the practice of sterilization of medical devices in the services of surgery of chu the university hospital Yalgado Ouedraogo (Chu-Yo). Antimicrobial Resistance and Infection Control 2013, 2(Suppl 1):P393.

Related Videos
An eye instrument holding an intraocular lens for cataract surgery. How to clean and sterilize it appropriately?   (Adobe Stock 417326809By Mohammed)
Photo of a model operating room. (Photo courtesy of Indigo-Clean and Kenall Manufacturing)
Washington, USA, US Treasury Department and Inspector General Office.    (Adobe Stock File 210945332 by Brian_Kinney)
A plasmid is a small circular DNA molecule found in bacteria and some other microscopic organisms. (Adobe Stock 522876298 by Love Employee)
Peter B. Graves, BSN, RN, CNOR, independent perioperative, consultant, speaker, and writer, Clinical Solution, LLC, Corinth, Texas; Maureen P. Spencer, M.Ed, BSN, RN, CIC, FAPIC, infection preventionist consultant, Infection Preventionist Consultants, Halifax, Massachusetts; Lena Camperlengo, DrPH, MPH, RN, Senior Director, Premier, Inc, Ocala, Florida.
UV-C Robots by OhmniLabs.  (Photo from OhmniLabs website.)
Surgery (Adobe Stock, unknown)
CDC  (Adobe Stock, unknown)
Laparoscopy(Adobe Stock 338216574 by Damian)
Related Content