1 / 29

Instrument Decontamination

Instrument Decontamination. & the Miele. Dangerous little critters. Blood-borne pathogens Other Potentially Infectious Materials (OPIM) Creutzfeldt-Jakob disease . Ewwww…there they are. Well, that ’ s better. IT ’ S THE LAW!. Section 1005. Minimum Standards for Infection Control :

qamar
Download Presentation

Instrument Decontamination

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Instrument Decontamination & the Miele

  2. Dangerous little critters • Blood-borne pathogens • Other Potentially Infectious Materials (OPIM) • Creutzfeldt-Jakob disease

  3. Ewwww…there they are

  4. Well, that’s better

  5. IT’S THE LAW! • Section 1005. Minimum Standards for Infection Control: • All licensees shall comply with and enforce the following minimum precautions to minimize the transmission of pathogens in health care settings: • Standard precautions shall be practiced in the care of all patients. • A written protocol shall be developed by the licensee for proper instrument processing, operatory cleanliness, and management of injuries. • A copy of this regulation shall be conspicuously posted in each dental office. • Heat stable critical and semi-critical instruments shall be cleaned and sterilized before use by using steam under pressure (autoclaving), dry heat, or chemical vapor. FDA cleared chemical sterilants/disinfectants shall be used for sterilization of heat-sensitive critical items and for high-level disinfection of heat-sensitive semi-critical items.

  6. We don’t want no scrubs…or do we? • Presoak solution • Hand scrub • Ultrasonic • Washer (Miele) • Presoak & ultrasonic • Scrub & ultrasonic • Presoak & washer • Presoak, scrub & washer

  7. “A quantitative assessment of residual protein levels on dental instruments reprocessed by manual, ultrasonic, and automated cleaning methods.” 3 methods • Hand scrub • Hand scrub + ultrasonic • Washer 6 instruments • sickle scalers • extraction forceps • diamond burs • steel burs • matrix bands • matrix band holders Vassey, M, Budge, C, Poolman, T, et al.

  8. And the results are in: • No single instrument prevailed • No single method prevailed • 72% instruments had residual protein

  9. And the winner is… • Presoak solution • Hand scrub • Ultrasonic • Washer!!! • Presoak & ultrasonic • Scrub & ultrasonic • Presoak & washer • Presoak, scrub & washer

  10. “Decontaminating dental instruments: testing the effectiveness of selected methods” Procedures: • Dishwasher w/ water • Ultrasonic w/ water & rinsed • Presoak w/ 1oz cleanser & rinsed • Presoak w/ 4oz cleanser • Presoak w/ 4oz cleanser, an ultrasonic w/ detergent & rinse • Presoak w/ 4oz of cleanser, rinsed& dishwasher • Presoak w/ 4oz of cleanser & ultrasonic w/ 4oz of cleanser Sanchez E, Macdonald G.

  11. Results:

  12. And the winner is… • Dishwasher w/ water • Ultrasonic w/ water & rinsed • Presoak w/ 1oz cleanser & rinsed • Presoak w/ 4oz cleanser • Presoak w/ 4oz cleanser, an ultrasonic w/ detergent & rinse!! • Presoak w/ 4oz of cleanser, rinsed& washer!! • Presoak w/ 4oz of cleanser & ultrasonic w/ 4oz of cleanser

  13. “Influence of usage history, instrument complexity, and different cleaning procedures on the cleanliness of blood-contaminated dental surgical instruments” • Procedure 1: Dishwasher Alone (WD) • Procedure 2: Presoak & Dishwasher (PS+WD) • Procedure 3: Presoak, Hand Scrub & Dishwasher (PS+SH+WD) Wu, G., Yu, X.

  14. Procedures 1, 2, 3

  15. Instrument Complexity

  16. Old & New Instruments

  17. And the winner is… • Presoak solution • Hand scrub • Ultrasonic • Washer (Miele) • Presoak & ultrasonic • Scrub & ultrasonic • Presoak & washer • Presoak, scrub & washer!!!

  18. “Cleaning endodontic files in a washer disinfector” Assaf, M, Mellor, AC, Qualtrough, AJE. CASSETTESVS. MESH BASKETS IN A WASHER

  19. See the difference?

  20. The top is funky

  21. And the winner is… • Cassettes • Mesh baskets!!!

  22. And now… Group 2 Productions Presents

  23. Soaks, Scrubs, Ultrasonics, or Washers? • Safety

  24. Soaks, Scrubs, Ultrasonics, or Washers? • Safety • Effectiveness

  25. Soaks, Scrubs, Ultrasonics, or Washers? • Safety • Effectiveness • Time

  26. Soaks, Scrubs, Ultrasonics, or Washers? • Safety • Effectiveness • Time • Cost

  27. Fin.

  28. References • Assaf, M, Mellor, AC, Qualtrough, AJE. Cleaning endodontic files in a washer disinfector. British Dental Journal 2008; 204: E17 • Sanchez E, Macdonald G. Decontaminating dental instruments: testing the effectiveness of selected methods. JADA. 1995 [cited 2012 Nov 4]; 126(3): 359-362 • Vassey, M, Budge, C, Poolman, T, et al. A quantitative assessment of residual protein levels on dental instruments reprocessed by manual, ultrasonic and automated cleaning methods. Br Dent J. 2011; 210(9): E14. • Wu, G, Yu, X. Influence of usage history, instrument complexity, and different cleaning procedures on the cleanliness of blood-contaminated dental surgical instruments. Infect Control Hosp Epidemiol 2009; 30: 702-704. • http://www.cdc.gov/hicpac/disinfection_sterilization/3_4surfacedisinfection.html • http://www.cdc.gov/hicpac/pdf/guidelines/Disinfection_Nov_2008.pdf

More Related