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CSC ANNUAL SCIENTIFIC MEETING


sterilisation of flexible endoscopes. Since an outbreak of M. chelonae in a hospital, due to inadequate working automated endoscope washers in 1992, Paul has researched reprocessing flexible endoscopes. This resulted in some international publications, the development of a course on the cleaning and disinfection of flexible endoscopes for hospital care workers, as well as some consultancy work. Paul noted: “Approximately 75 million endoscopies are performed annually in the US and 51.5 m of those procedures are dedicated to gastrointestinal-related procedures. Failure of cleaning and disinfection is a bug bear in medical device reprocessing.


“So what are we learning? There are many news stories relating to contaminated flexible endoscopes, therefore if they are so difficult to clean, why do we buy them?” According to Paul, 50% of the sources of outbreaks are because of ineffective cleaning and disinfection. “Time consuming procedures aren’t followed,” he continued. “There are simply not enough staff to do it and, for one endoscope there may be 190 pages of guidelines. In my opinion, if you can’t clean it, don’t buy it. However, it’s all economically driven – more safety equals more money, particularly with single use devices, brushes and valves. “We should be shifting towards sterilisation. From the view of today’s standards on patient and healthcare safety, sterilisation must be integrated in the


Approximately 75 million endoscopies are performed annually in the US and 51.5 m of those procedures are dedicated to gastrointestinal-related procedures. Failure of cleaning and disinfection is a bug bear


in medical device reprocessing. Paul Caesar, Tjongerschans Regional Hospital


reprocessing of flexible endoscopes. Thorough cleaning is still essential and guaranteed.” Phillipe Destrez from Advanced Sterilization Products (ASP) closed the first day with a talk on reprocessing validation and the Medical Device Regulation. Citing innovation as the main driver behind guidelines, he said it was time to improve the Spaulding Classification. Originally proposed in 1957, it’s a widely used system for matching the disinfection and sterilisation of surfaces, particularly those of re-usable medical/surgical devices, with available processes. “We have moved on technologically,”


he asserted. “Medical device evaluation can be complex and device manufacturers must take on the responsibility.


“STERRAD systems use low-temperature, hydrogen peroxide gas plasma technology to sterilise a wide range of instruments efficiently, effectively and safely, for users,


patients and the environment. ASP has an online tool that provides customers with a list of devices that fall within the sterility claims. There is a database of over 23,000 device listings that have been tested to meet STERRAD Systems’ claims for sterility, and it is a comprehensive resource of instrument validations from the device manufacturers, detailing compatibility with STERRAD system and cycle options for a variety of instrument types. The platform is designed to enable users to maintain their own inventory for quick and easy reference.”


The first day concluded with the Central Sterilising Club annual general meeting, and a gala dinner and quiz – hosted by Mike Bowden from LTE Scientific.


Biofilms and how to remove them


Day two of the Annual Scientific Meeting began with a talk on biofilms by Dr Thomas


MAY 2019


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