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At least 19 recordsLinked to original sources
PubMed1979

Disinfection of nitrous oxide inhalation equipment.

Cross-infection by contaminated equipment is a potential hazard associated with conscious sedation with nitrous oxide and oxygen . Nosocomial infections have occasionally been linked wih the use of unsterile inhalation devices; microbial contamination of sterile nasal hoods routinely occurs during administration of nitrous oxide; and in vitro experiments indicate that subsequent use of contaminated nasal masks may lead to aspiration of microorganisms. Although the incidence of respiratory disease after such contamination is unknown, it is clear that disinfection of the nitrous oxide apparatus between patients is desirable. A simple cleaning method involving alkaline glutaraldehyde is described that provides adequate disinfection of the rubber goods used in the administration of gas. Superiority of this technique over previously recommended cleaning methods is shown.

Aldehydes↗
PubMed1991

Disinfection of endoscopic equipment.

Patients undergoing endoscopy are at risk of infection from the use of contaminated equipment. Dangers arise from the transmission of organisms from one patient to another and from the introduction of opportunist organisms which colonize endoscopic equipment on storage and can lead to sepsis and death in those who are immunocompromised and at ERCP. Staff are in danger from needle-stick injury and sensitivity to aldehyde disinfectants. These risks can be eliminated by careful attention to disinfection techniques. The most important part of endoscope disinfection is thorough mechanical cleaning first, followed by 5-10 min total immersion of the instrument and all channels in 2% glutaraldehyde (or the equivalent). At the end of the endoscopy list, following the disinfection protocol, all equipment should be dried internally and externally prior to storage. Staff must be fully aware of the risks of infection in endoscopy, be protected from hepatitis B by vaccination, and be fully trained in disinfection techniques. Glutaraldehyde should be used only in closed systems or in well-ventilated areas with the operator protected from direct contact from splashing and fumes. Institutions should designate an individual to be responsible for preparing, monitoring and overseeing disinfection procedures within the endoscopy room and for ensuring that regular microbiological testing of equipment (including automatic disinfecting machines) is undertaken.

Disinfection↗
PubMedDate not supplied

Cross-contamination control in prosthodontic practice.

Prosthodontic patients are generally a high-risk group relative to their potential to transmit infectious diseases as well as acquire them. There has been a recent increase in awareness of the need for cross-infection control measures to protect against possible routes of transmission frequently ignored in the past. This article is essentially a literature review of cross-infection control measures especially relevant to removable prosthodontic practice. Cross-contamination control measures are considered within the following categories: patient evaluation, personal protection, instrument and equipment contamination, clinical technique, impression handling, and laboratory asepsis.

Cross Infection↗
PubMed1990

Occurrence of 222Rn and progeny in natural gas processing plants in western Canada.

In Western Canada, there are many plants that process natural gas to remove impurities (CO2, H2S, H2O) and recover natural gas liquids (propane, butane, etc.). Trace quantities of 222Rn present in the inlet stream are concentrated in streams rich with propane. Potential hazards to plant operators include direct inhalation of 222Rn and progeny; exposure to gamma radiation from short-lived progeny deposited inside equipment; or inhalation of 210Pb when contaminated equipment is opened for repair. Twenty-four plants operated by seven companies cooperated to assess these potential hazards. The findings indicate a substantial flux of 222Rn and progeny passing through the plants, but little accumulation of radionuclides. In no case was there evidence of significant exposure of plant operators or maintenance personnel to ionizing radiation. Further investigation of pipeline operations, and chemical operations using natural gas liquids as feed stock, is recommended.

Bismuth↗
PubMed1991

A device to prevent cross-contamination when directly applying liquid nitrogen.

A common method of liquid-nitrogen treatment is with the use of the cotton-tipped applicator. Cross-contamination is possible when the applicator is repeatedly dipped into the liquid nitrogen supply. Described is a sterilizable device to hold a small portion of nitrogen sufficient for treatment of a single patient.

Cross Infection↗
PubMed1992

Determination of selenium by inductively coupled plasma mass spectrometry utilizing a new hydride generation sample introduction system.

An inductively coupled plasma mass spectrometer with a newly designed continuous flow hydride generator was used for the determination of Se in biological materials. The design of the hydride generator was important in minimizing interference from HCl and in maximizing analytical sensitivity. Two sample preparation procedures incorporating either 3.8 or 7.2 M HCl in the final sample solutions were compared. Interference from Cu was eliminated by the addition of 0.2 M NaI to the sodium borohydride solution (3.8 M method) or by maintaining a high concentration of HCl in the sample solution (7.2 M method). The 3.8 M method had the advantage of minimizing exposure of expensive equipment to corrosive HCl fumes, whereas the 7.2 M method did not contaminate equipment with I and had no measurable sample-to-sample cross-contamination. In practice, cross-contamination from sample to sample in both methods was negligible during analysis. An important factor in minimizing cross-contamination from sample to sample was the elimination of the air bubble normally entrained between samples. Determination of isotopic tracer enrichment was linear from 0 to 320% enrichment, which provided a broad range for isotope dilution analysis. A detection limit of 6.4 pg of Se was observed under optimum conditions, whereas a detection limit of 1.3 ng of Se was found for routine analysis of 1-g samples of plant material. Selenium was accurately determined by isotope dilution analysis in a variety of biological reference materials.

Animals↗
PubMed1989

Minimizing the risk of AIDS in the workplace.

1. Under a new directive, employers have been advised that they have a legal responsibility of protecting workers who may come in contact with blood or body fluids contaminated with AIDS. 2. Formal policies and procedures ensure that high-risk tasks are properly identified, standard operating procedures are developed, and employees are trained and protected. 3. Employees must be instructed in the safe collection and disposal of body fluids and contaminated equipment. 4. Routine infection control procedures dictate that all employees be treated as if their body fluids were contaminated (universal precautions).

Acquired Immunodeficiency Syndrome↗
PubMed1992

Infection prevention guidelines for cardiac catheterization laboratories. Society for Cardiac Angiography and Interventions Laboratory Performance Standards Committee.

The following guidelines for prevention of catheterization laboratory infections are based on standard precautions for infection prevention in surgical wounds. Specific recommendations for patient preparation include proper methods for hair removal, skin cleaning and draping, antibiotic prophylaxis, wound irrigation and dressing, and sheath removal. Sterile precautions should be more vigorous for cutdown procedures compared to percutaneous. Caps, masks, gowns, and gloves help to protect both the patient and operator. Handwashing is the most important procedure for preventing infections. Maintenance of the catheterization laboratory environment includes appropriate cleaning, limitation of traffic, and maintenance of adequate ventilation. Proper catheterization technique and appropriate use of sterile equipment will decrease the wound infection rate. Protection of personnel may be accomplished by proper gowning and gloving, disposal of contaminated equipment, and care of puncture wounds and lacerations. All personnel should receive vaccination for hepatitis B.

Cardiac Catheterization↗
PubMedDate not supplied

Industry perspective on the validation of column-based separation processes for the purification of proteins. Parenteral Drug Association.

Validation of column-based separations is necessary to ensure the quality and safety of protein and peptide products produced by rDNA, peptide synthesis, and hybridoma technologies. Process validation for column-based separations includes qualification of raw materials, equipment, and the purification process. Combined with in-process control and quality control of the final product, column validation ensures that a uniform product is produced consistently from batch to batch. In the best case, validation is designed into the process. During process design, techniques are selected which can remove impurities and contaminants. Equipment and chromatographic media which can perform reproducibly are selected. Column performance standards, cleaning and regeneration routines, and column life should be considered as early as possible. Clearance studies should be planned and implemented to ensure that a product is produced with the requisite purity. There are no explicit rules for process validation of column-based separation processes. This document is intended to serve as a starting point for those needing to validate column-based separation processes.

Chromatography↗
PubMed1989

Latex and vinyl examination gloves. Quality control procedures and implications for health care workers.

In December 1987, we investigated an increased number of cases of herpetic whitlow in medical intensive care unit nurses who routinely gloved for secretion contact. One particular brand of vinyl examination glove had been used in the medical intensive care unit. Restriction endonuclease mapping established the similarity of employee isolates with one patient isolate of herpes simplex virus type I. When initial viral assay demonstrated 2.5% to 10% penetration of herpes simplex virus type I across unused gloves, an evaluation of glove quality was undertaken. In a 300-mL watertightness test, seven brands of vinyl gloves failed 4% to 28% (average, 11.1%; 132/1200), while seven brands of latex gloves failed 0% to 2.6% (average, 1.4%; 24/1750). The brand of vinyl glove that had been in use in the medical intensive care unit failed 28% of the time. Watertight gloves were then tested for permeability to herpes simplex virus type I. None of the latex gloves failed (n = 1726), while only 10 of the vinyl gloves failed (n = 1068, 0.95%). Extreme variability in glove quality was observed. However, gloves made from intact vinyl may provide similar protectiveness as those made from intact latex. As the demand for gloves increases, emphasis should be placed on the production of plentiful, better quality latex and vinyl gloves.

Disease Outbreaks↗
PubMed1991

Frequency of infections associated with implanted systems vs cuffed, tunneled Silastic venous catheters in patients with acute leukemia.

A total of 75 central venous catheters were used for prolonged chemotherapy in 39 children with acute lymphocytic leukemia and 21 patients with acute myelocytic leukemia. Infection rates were 2.2 per 100 catheter days with the use of cuffed, tunneled, single-lumen Silastic catheters, 2.0 per 1000 catheter days with cuffed, tunneled, double-lumen Silastic catheters, and 0.5 per 1000 catheter days with the use of implanted venous access systems. Eighty-one percent of catheter sepsis episodes were successfully treated without removal of the catheter. All tunnel infections required withdrawal of the catheter for cure. The microorganisms were gram-positive bacteria in 15%, gram-negative bacteria in 7%, and fungi in 4%. Coagulase-negative staphylococci and Pseudomonas aeruginosa were the most commonly isolated organisms. Three of six fatal sepsis episodes were caused by disseminated fungal infections. We conclude that the use of intracorporeal venous catheter systems in patients with acute lymphocytic leukemia is associated with a lower infection rate than that with cuffed, tunneled Silastic single- or double-lumen catheters and that most septicemias can be cured with antimicrobial therapy without removal of the catheter.

Adolescent↗
PubMed1990

The epidemiology of infections in intensive care units.

This report identifies some of the risk factors underlying the acquisition of hospital infections in patients admitted to Intensive Care Units (ICUs). Infection rates vary in different institutes and in different types of ICUs. Patients are particularly prone to septicaemia and respiratory infections and the underlying risk factors are frequently related to poor invasive techniques or contaminated equipment used in supportive therapy. In trauma patients, wound sepsis is common and polymicrobial sepsis is a major problem. Patients in ICUs are temporarily immunocompromised and are at risk from acquiring multiply antibiotic resistant gram negative bacilli. The majority of these are of an endogenous nature and necessitate the empirical use of antibiotics. The misuse of antibiotics however often leads to the selection of difficult to treat gram negative bacilli. Antibiotic usage in ICUs should be strictly controlled and used appropriately, preferably after appropriate microbiological specimens have been collected.

Anti-Bacterial Agents↗
PubMed1992

Nosocomial pneumonia: epidemiology and infection control.

Elderly, debilitated, or critically ill patients are at high risk for hospital acquired or nosocomial respiratory tract infection. Gram-negative bacilli, Staphyloccoccus aureus, and anaerobes colonizing the oropharynx are the most frequent etiologic agents. Colonization of the oropharynx may be related to the patient's age, underlying disease, nutritional status, prior exposure to antibiotics, supine position, and gastric colonization. Nosocomial pathogens may also be acquired from the hands of hospital personnel, contaminated equipment or fluids. The absence of sensitive and specific methods for accurate diagnosis remain a concern. Despite treatment with appropriate antimicrobial therapy, there is a high mortality and morbidity. Measures for the prevention of nosocomial pneumonia should include compliance with infection control principles, appropriate use of antibiotics, proper patient position, and removal of potential sources of cross colonization.

Aerosols↗
PubMed1990

Utilization of a computer-controlled laboratory workstation (Biomek 1000) in routine radioimmunoassay laboratory.

The suitability and performance characteristics of a recently introduced computer-controlled laboratory workstation (Biomek 1000) for use in automating sample transfer and reagent additions in radioimmunoassay techniques were assessed. The system is based on the use of disposable tips and, therefore, reduces any possible sample carry-over and eliminates the need for priming with the subsequent reduction in cost of reagents. However, the machine lacks the useful option of liquid-level sensing facility. Acceptable technical performance in terms of precision, accuracy and throughput was obtained with the Biomek 1000 which complied with international recommendations on the safety of hospital laboratory equipment.

Computer Systems↗
PubMed1991

Bacterial contamination in irreversible hydrocolloid impression material and gingival retraction cord.

This study tested two dental materials in factory-sealed containers for the presence of bacteria that may be a source of infection. Twenty samples of two dental materials found to have contamination in a pilot study were taken from unopened containers using a sterile technique. The samples were inoculated onto chocolate agar plates and into thioglycolate broths with appropriate controls. Plates were examined, colonies were enumerated, Gram stained, and identified. The resulting contamination frequencies were compared for statistical significance using Fisher's exact test. Organisms were isolated from 10% of the negative inoculation control agar plates, while none of the control broths showed contamination. The alginate (irreversible hydrocolloid) showed contamination in 50% of the plates and in 65% of the broths (p less than 0.05). The retraction cord had a small sample size and yielded organisms on 5% of the sample plates and in 20% of the thioglycolate broths (p greater than 0.05).

Alginates↗
PubMed1987

Evaluation of dishwashing machines in four hospitals.

Fifteen dishwashing machines tested in four different hospitals failed to satisfy the minimum heat treatment requirement of 82 degrees C for 2 min for satisfactory thermal disinfection. The causes of failure included design faults in the machines with lack of time temperature controls, hard water supply, inadequately treated water, improper softening and inadequate preventative maintenance.

Enterococcus faecalis↗
PubMed1988

A microbiological study of absorbent pads.

A study was carried out of the microbial content of three types of incontinence underpads and a clinical absorbent protection pad. Coagulase-negative staphylococci and Bacillus spp. were isolated from unused samples of all makes of pad examined. Clostridium spp., including C. tetani and C. perfringens, were isolated from a proportion of pads containing re-cycled waste material. We recommend that incontinence underpads are used solely for the purpose for which they were marketed, namely, the containment of excreta.

Bacillus↗