title: [Microorganisms of the Coccidia subclass: resistance and implications for the aseptic processing of healthcare products].
abstract: This theoretical study proposes a reflection on the intrinsic resistance of the subclass Coccidia, particularly the genus Cryptosporidium, considered to be potential pathogens for immunocompromised patients, and the implications for nursing practice. Currently, the international and national guidelines support the chemical disinfection of digestive system endoscopes after their cleansing as a safe and effective procedure. However, studies show that microorganisms of the subclass Coccidia, namely Cryptosporidium, responsible for enteric infection, are more resistant than mycobacteria and are not inactivated by high-level disinfectants, except for hydrogen peroxide 6% and 7.5%, which are not currently available in Brazil. We conclude that the legislation should include this agent among test microorganisms for approving high-level disinfectants. Health authorities should make efforts to ensure that healthcare institutions have access to effective disinfectants against Cryptosporidium.
authors.affiliation: Programa de Pós-Graduação em Enfermagem na Saúde do Adulto, Escola de Enfermagem, Universidade de São Paulo, São Paulo, SP, Brasil. rafaelqsouza@hotmail.com
authors.forename: Rafael Queiroz
authors.initials: RQ
authors.lastname: de Souza
authors.forename: Lilian Machado
authors.initials: LM
authors.lastname: Torres
authors.forename: Kazuko Uchikawa
authors.initials: KU
authors.lastname: Graziano
authors.forename: Ruth Natália Teresa
authors.initials: RN
authors.lastname: Turrini
mesh_terms: D001938:Brazil; D003044:Coccidia; D004202:Disinfectants; D004203:Disinfection; D019723:Endoscopes; D006801:Humans
chemical_list: D004202:Disinfectants