重新处理半关键物品：从 HLD 到内窥镜灭菌的转变概述和更新。
Reprocessing semicritical items: An overview and an update on the shift from HLD to sterilization for endoscopes.
机构信息
Statewide Program for Infection Control and Epidemiology, University of North Carolina Hospitals, Chapel Hill, NC; Division of Infectious Diseases, UNC School of Medicine, Chapel Hill, NC.
Statewide Program for Infection Control and Epidemiology, University of North Carolina Hospitals, Chapel Hill, NC; Division of Infectious Diseases, UNC School of Medicine, Chapel Hill, NC; Department of Infection Prevention, Hospital Epidemiology, University of North Carolina Hospitals, Chapel Hill, NC.
出版信息
Am J Infect Control. 2023 Nov;51(11S):A96-A106. doi: 10.1016/j.ajic.2023.01.002.
BACKGROUND
Semicritical medical devices are defined as items that come into contact with mucous membranes or nonintact skin (e.g., gastrointestinal endoscopes, endocavitary probes). Such medical devices require minimally high-level disinfection.
METHODS
Analyze the methods used to reprocess semicritical medical devices and identify methods and new technologies to reduce the risk of infection.
RESULTS
The reprocessing methods for semicritical medical devices is described as well as a shift from high-level disinfection to sterilization for lumened endoscopes.
CONCLUSIONS
Strict adherence to current guidelines and transition to sterilization for endoscopes is required as more outbreaks have been linked to inadequately disinfected endoscopes and other semicritical items than any other reusable medical devices.
背景
半关键性医疗设备被定义为接触粘膜或非完整皮肤的物品（例如，胃肠道内窥镜，腔内探头）。此类医疗设备需要最低程度的高水平消毒。
方法
分析再处理半关键性医疗设备的方法，并确定降低感染风险的方法和新技术。
结果
描述了半关键性医疗设备的再处理方法，以及从高水平消毒向管腔内窥镜的消毒转变。
结论
由于与未充分消毒的内窥镜和其他半关键性物品有关的爆发比任何其他可重复使用的医疗设备都多，因此必须严格遵守当前的指南，并将内窥镜的消毒过渡。
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