the future of sterilization/disinfection€¦ · sterilization finds itself on a roundabout. •...

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The future of The future of sterilization/disinfection Wim Renders

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Page 1: The future of sterilization/disinfection€¦ · Sterilization finds itself on a roundabout. • The shortest route: sterilization within the hospital, i d t t b th h it lin a department

The future of The future of sterilization/disinfection/

Wim Renders

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“Panta rei”Panta rei

“Everything is in motion”

Herakleitos

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Clinical pathwaysClinical pathways

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Not new technologies but new trends will have thebiggest impact on how the CSSD will function in thefuture

Rutala

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Not new technologies but new trends will have thebiggest impact on how the CSSD will function in thefuture

RutalaAttention to:

• Cleaning, disinfecting• Outsourcing or centralization• Introduction of QMS

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Is sterilization necessary and useful?Is sterilization necessary and useful?

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Is sterilization necessary and useful?Is sterilization necessary and useful?

Yes !Yes !

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Page 9: The future of sterilization/disinfection€¦ · Sterilization finds itself on a roundabout. • The shortest route: sterilization within the hospital, i d t t b th h it lin a department

David Hurrell

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In case of infectious incidents the authoritiesintervened and imposed measures to improvesterilization practice.

The NetherlandsGreat-Britain

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Super centreSuper centre

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In case of infectious incidents the authoritiesintervened and imposed measures to improvesterilization practice.

The NetherlandsGreat-BritainFrance

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In case of infectious incidents the authoritiesintervened and imposed measures to improvesterilization practice.

The NetherlandsGreat-BritainFranceTurkey

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What kind of sterilization department a d o s e a o depa e do we want?

What kind of sterilization practice do we want?

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Sterilization has grown up!Sterilization has grown up!

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Sterilization has grown up!Sterilization has grown up!

A. Centralization of the sterilization activities

Better quality

Cost reduction

Efficient use of personnel and means

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Prof WeekersProf. Weekers

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Specific training coursesSpecific training courses

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Sterilization has grown up!Sterilization has grown up!

A. Centralization of the sterilization activities

B Th E di ti di l di blB. The European directive on medical disposables

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The Medical Device DirectiveThe Medical Device Directive

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Industrial sterilizationIndustrial sterilization

CSSD

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Sterilization has grown up!Sterilization has grown up!

A. Centralization of sterilization activities

B Th E di ti di l di blB. The European directive on medical disposables

C N ti l t ili ti i tiC. National sterilization societies

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www wfhss comwww.wfhss.com

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K l d i th b t di l d iKnowledge is the best medical device

Jan HobornJan Hoborn

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Sterilization has grown up!Sterilization has grown up!

A. Centralization of sterilization activities

B. The European directive on medical disposables

C. National sterilization societies

D. The apointment of a responsible

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‘Shortcuts’: Re useShortcuts : Re-use

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‘Shortcuts’Shortcuts

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‘Shortcuts’: Flash sterilizationShortcuts : Flash sterilization

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‘Shortcuts’: High level disinfectionShortcuts : High level disinfection

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Sterilization finds itself on a roundaboutSterilization finds itself on a roundabout.

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CentralizationCentralization

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Sterilization finds itself on a roundaboutSterilization finds itself on a roundabout.

• The shortest route: sterilization within the hospital, i d t t b th h it lin a department run by the hospital.

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Sterilization finds itself on a roundaboutSterilization finds itself on a roundabout.

• The shortest route: sterilization within the hospital, i d t t b th h it lin a department run by the hospital.

Th f t t t t i t l • The fastest route: outsourcing or external centralization

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CentralizationLyon, France

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CentralizationLyon, France

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What kind of sterilization practice do we want?

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What kind of sterilization practice do we want?

• Voice in the writing of norms

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What kind of sterilization practicedo we want?

• Voice in the writing of norms

• Scientific underpinning of our discipline

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Research on sterilization:High pressure processing

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Thyroiedectomy:Thyroiedectomy:

• Farabeuf: 2 cfu• Farabeuf: 2 cfu• Needle holder: 6 cfu

Thrombectomy:

• Suction tube: 14 cfu• Wound spreader: 3 cfu• Pincet: 40 cfu

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Thyroiedectomy: Before AfterF b f 2 f 10 f• Farabeuf: 2 cfu 10 cfu

• Needle holder: 6 cfu 6 cfu

Thrombectomy:• Suction tube: 14 cfu 6 cfu• Wound spreader: 3 cfu 6 cfu• Pincet: 40 cfu 7 cfu

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Ultrasonic unitUltrasonic unit

Rinsing

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Ultrason bath is:

• emptied in the evening and dried out.

• The sides and the lid are sprayed with alcohol 70°, and some alcohol is poured down in the drain.

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Suction tubes are:

• first rinsed with cold water and

• than treated with hydrogen peroxide 3 %,

• next: normal procedure.

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Page 77: The future of sterilization/disinfection€¦ · Sterilization finds itself on a roundabout. • The shortest route: sterilization within the hospital, i d t t b th h it lin a department

What kind of sterilization practice do we want?

• Voice in the writing of norms

• Scientific underpinning of our discipline

• Future developments

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Future developmentsFuture developments

• Consolidation of quality

• Validation

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Future developmentsFuture developments

• Consolidation of quality

• Validation

• Controls

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Page 83: The future of sterilization/disinfection€¦ · Sterilization finds itself on a roundabout. • The shortest route: sterilization within the hospital, i d t t b th h it lin a department

Future developmentsFuture developments

• Consolidation of quality

• Validation

• Controls

• Back to the future?

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Natural Orifices Transluminal Endoscopic surgery

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ConclusionConclusion

D t f t ili ti ithi t l • Do we opt for sterilization within our own control or not, inside or outside the hospital?

• Do we opt for an independent department which • Do we opt for an independent department which has an “evidence based’ practice?

• Are we prepared to do an effort to maintain our p plevel of knowledge?

• Do we choose for co-operation in order to stimulate progress and innovation?progress and innovation?

We can and have to be big in We can and have to be big in something small !

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THANK YOUTHANK YOU