[Assessment of the sterilization of medical devices--an important challenge to health care in Poland].
The aim of the study was the evaluation of sterilization of medical devices in Polish hospitals. The system that we use to establish which sterilization procedures should be employed to reduce the risk of hospital infections associated with medical devices. Based on inquiries, the conditions for the sterilization of medical devices in 21 Warsaw hospitals were assessed. The following issues were taken into consideration: preparation of medical supplies for sterilization, methods of sterilization and the monitoring system. In order to evaluate hygienic conditions due to sterilization points system was applied. 10% of the hospitals had Central Sterilization Service Department with 3 zones where automatic washing and disinfection, sorting, packaging, sterilization and storage of medical devices had been performed. The other 20% had CSSD without zones. In more than 65% there were common services for sterilization only. Instruments were delivered already prepared for sterilization. In remaining hospitals all steps, including sterilization were performed in words. According preparation of medical devices for sterilization it was established that mainly chemical disinfection just after use and than manual cleaning was used; the automatic cleaning in washer-disinfectors is used mainly in CSSD. Steam was the preferred method of sterilization, but also low temperature methods were used for heat sensitive devices. The monitoring of sterilization processes was satisfactory. There were first trials of the validation of the sterilization processes. There is still a need for improvement in the sterilization of medical devices, especially including: the organisation of CSSD in all Polish hospitals; replacement of manual cleaning processes by automatic cleaning; organisation of advanced training courses for the heads and staff of the CSSD.
Röhm-Rodowald
Ewa
E
Zakład Zwalczania Skazeń Biologicznych Państwowego Zakładu Higieny. erodowald@pzh.gov.pl
Jakimiak
Bozenna
B
D002495:Central Supply, Hospital / Q000592:standards* / Q000706:statistics & numerical data; D004866:Equipment Contamination / Q000517:prevention & control* / Q000706:statistics & numerical data; D017743:Equipment Reuse; D004865:Equipment and Supplies, Hospital / Q000592:standards* / Q000706:statistics & numerical data; D006797:Housekeeping, Hospital / Q000592:standards; D006801:Humans; D006920:Hygiene / Q000592:standards*; D011044:Poland; D013242:Sterilization / Q000592:standards* / Q000706:statistics & numerical data; D013525:Surgical Instruments / Q000592:standards; D013997:Time Factors