Blázquez-Garrido Rosa María, Cuchí-Burgos Eva, Martín-Salas Carmen, Ruiz-Garbajosa Patricia
Servicio de Microbiología, Hospital Universitario J. M. Morales Meseguer, Murcia, España.
Microbiología, Catlab, Viladecavalls, Barcelona, España.
Enferm Infecc Microbiol Clin (Engl Ed). 2018 Dec;36(10):657-661. doi: 10.1016/j.eimc.2017.09.012. Epub 2017 Nov 14.
The use of reusable semi-critical devices has been extended in current medical practice for both diagnostic and therapeutic purposes. However, reuse of these instruments carries the risk of cross-transmission of microorganisms from one patient to another. The process of cleaning and disinfecting these devices is complex, long, expensive and very error-prone. This paper analyses the epidemiological aspects of infections associated with the reuse of semi-critical devices and the role of the Microbiology laboratory in monitoring the cleaning and disinfecting process through microbiological controls. The recommendations of different scientific societies on the relevance of such controls are reviewed and specific recommendations are proposed for the taking and processing of the samples, interpretation of the results and measures to be taken depending on the results obtained.
在当前医疗实践中，可重复使用的半关键设备已被广泛用于诊断和治疗目的。然而，重复使用这些器械存在微生物从一名患者交叉传播到另一名患者的风险。清洁和消毒这些设备的过程复杂、耗时、昂贵且极易出错。本文分析了与半关键设备重复使用相关的感染的流行病学方面，以及微生物实验室在通过微生物控制监测清洁和消毒过程中的作用。综述了不同科学协会关于此类控制相关性的建议，并针对样本的采集和处理、结果的解释以及根据所得结果应采取的措施提出了具体建议。
