Abstract
OBJECTIVE: To review the principles and practice of sterilization and disinfection of medical instruments in the office setting. DATA SOURCES: Searches of MEDLINE for articles published from 1980 to 1990 on disinfection, sterilization, cross infection, surgical instruments and iatrogenic disease, bibliographies, standard texts and reference material located in a central processing department. STUDY SELECTION: We reviewed surveys of decontamination practices in physicians' offices, reviews of current recommendations for office decontamination procedures, case reports of cross infection in offices and much of the standard reference material on decontamination theory and practice. DATA SYNTHESIS: There have been few surveys of physicians' decontamination practices and few case reports of cross infection. Office practitioners have little access to practical information on sterilization and disinfection. CONCLUSION: The increasing threat of cross infection from medical instruments calls for greater knowledge about decontamination. We have adapted material from various sources and offer a primer on the subject.
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Selected References
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- Axon A. T., Banks J., Cockel R., Deverill C. E., Newmann C. Disinfection in upper-digestive-tract endoscopy in Britain. Lancet. 1981 May 16;1(8229):1093–1094. doi: 10.1016/s0140-6736(81)92252-2. [DOI] [PubMed] [Google Scholar]
- Ayliffe G. A. Viruses, specula, and vaginal cancer. Lancet. 1986 Jul 19;2(8499):158–158. doi: 10.1016/s0140-6736(86)91966-5. [DOI] [PubMed] [Google Scholar]
- Chetwynd J. Infection control procedures among New Zealand general practitioners: changes since the emergence of HIV infection. Br J Gen Pract. 1990 Mar;40(332):109–111. [PMC free article] [PubMed] [Google Scholar]
- DAWSON C., DARRELL R. Infections due to adenovirus type 8 in the United States. I. An outbreak of epidemic keratoconjunctivitis originating in a physician's office. N Engl J Med. 1963 May 9;268:1031–1034. doi: 10.1056/NEJM196305092681901. [DOI] [PubMed] [Google Scholar]
- Dawson C. R., Hanna L., Wood T. R., Despain R. Adenovirus type 8 keratoconjunctivitis in the United States. 3. Epidemiologic, clinical, and microbiologic features. Am J Ophthalmol. 1970 Mar;69(3):473–480. doi: 10.1016/0002-9394(70)92285-3. [DOI] [PubMed] [Google Scholar]
- Farrow S. C., Kaul S., Littlepage B. C. Disinfection methods in general practice and health authority clinics: a telephone survey. J R Coll Gen Pract. 1988 Oct;38(315):447–449. [PMC free article] [PubMed] [Google Scholar]
- Grob P. J., Bischof B., Naeff F. Cluster of hepatitis B transmitted by a physician. Lancet. 1981 Nov 28;2(8257):1218–1220. doi: 10.1016/s0140-6736(81)91450-1. [DOI] [PubMed] [Google Scholar]
- Hoffman P. N., Cooke E. M., Larkin D. P., Southgate L. J., Mayon-White R. T., Pether J. V., Wright A. E., Keenlyside D. Control of infection in general practice: a survey and recommendations. BMJ. 1988 Jul 2;297(6640):34–36. doi: 10.1136/bmj.297.6640.34. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hoffman P. N. Decontamination of equipment in general practice. Practitioner. 1987 Oct 22;231(1437):1411–1415. [PubMed] [Google Scholar]
- Katner H. P., Buckley R. L., Smith M. U., Henderson A. M. Endoscopic cleaning and disinfection procedures for preventing iatrogenic spread of human immunodeficiency virus. J Fam Pract. 1988 Sep;27(3):271–276. [PubMed] [Google Scholar]
- Klapes N. A., Greene V. W., Langholz A. C., Hunstiger C. Effect of long-term storage on sterile status of devices in surgical packs. Infect Control. 1987 Jul;8(7):289–293. doi: 10.1017/s0195941700066261. [DOI] [PubMed] [Google Scholar]
- Leers W. D. Disinfecting endoscopes: how not to transmit Mycobacterium tuberculosis by bronchoscopy. Can Med Assoc J. 1980 Aug 23;123(4):275-80, 283. [PMC free article] [PubMed] [Google Scholar]
- Lowry P. W., Jarvis W. R., Oberle A. D., Bland L. A., Silberman R., Bocchini J. A., Jr, Dean H. D., Swenson J. M., Wallace R. J., Jr Mycobacterium chelonae causing otitis media in an ear-nose-and-throat practice. N Engl J Med. 1988 Oct 13;319(15):978–982. doi: 10.1056/NEJM198810133191504. [DOI] [PubMed] [Google Scholar]
- Martin M. V., Bartzokas C. A. The boiling of instruments in general dental practice: a misnomer for sterilisation. Br Dent J. 1985 Jul 6;159(1):18–20. doi: 10.1038/sj.bdj.4805631. [DOI] [PubMed] [Google Scholar]
- Morgan D. R., Lamont T. J., Dawson J. D., Booth C. Decontamination of instruments and control of cross infection in general practice. BMJ. 1990 May 26;300(6736):1379–1380. doi: 10.1136/bmj.300.6736.1379. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Murrah W. F. Epidemic keratoconjunctivitis. Ann Ophthalmol. 1988 Jan;20(1):36–38. [PubMed] [Google Scholar]
- Nagington J., Sutehall G. M., Whipp P. Tonometer disinfection and viruses. Br J Ophthalmol. 1983 Oct;67(10):674–676. doi: 10.1136/bjo.67.10.674. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Rogers J. The Journal of Infection Control Nursing. Sterilisation in GP surgeries. Nurs Times. 1989 Mar 1;85(9):65–69. [PubMed] [Google Scholar]
- Rutala W. A. APIC guideline for selection and use of disinfectants. Am J Infect Control. 1990 Apr;18(2):99–117. doi: 10.1016/0196-6553(90)90089-b. [DOI] [PubMed] [Google Scholar]
- Sebben J. E. Sterilization and care of surgical instruments and supplies. J Am Acad Dermatol. 1984 Sep;11(3):381–392. doi: 10.1016/s0190-9622(84)70179-4. [DOI] [PubMed] [Google Scholar]
- Sherertz E. F., Davis G. L., Rice R. W., Harris B. A., Franzini D. A. Transfer of hepatitis B virus by contaminated reusable needle electrodes after electrodesiccation in simulated use. J Am Acad Dermatol. 1986 Dec;15(6):1242–1246. doi: 10.1016/s0190-9622(86)70297-1. [DOI] [PubMed] [Google Scholar]
- Skegg D. C., Paul C. Viruses, specula, and cervical cancer. Lancet. 1986 Apr 5;1(8484):797–797. doi: 10.1016/s0140-6736(86)91803-9. [DOI] [PubMed] [Google Scholar]
- Stryker W. S., Gunn R. A., Francis D. P. Outbreak of hepatitis B associated with acupuncture. J Fam Pract. 1986 Feb;22(2):155–158. [PubMed] [Google Scholar]