Legal and biological safety of legal reprocessing of medicalhospital materials
DOI:
https://doi.org/10.12957/bjhbs.2020.59717Keywords:
Single use of catheters, Ablation catheter, Hospital infection, Catheter cleaning and sterilization, Quality control.Abstract
Introduction: Procedures using disposable materials in the
health area began to be performed, for example in cardiac
catheterization, which has a high prevalence of morbidity and
mortality. Objective: To justify and reaffirm the reuse of single-
use catheters in surgeries, as it is justified by the economic
benefit gained from replacing the purchase of new materials
by reusing them. Materials and methods: A bibliographic and
documentary narrative review was carried out using LILACS
and NCBI as database, with previously defined filters and
selection criteria. Resultados: Decontamination, disinfection,
conditioning, sterilization, and quality control tests are critical
stages and, therefore, require training. Each of these stages also
has characteristic risks, which must be minimized. In order to
ensure the quality of the catheter reuse process, after the cleaning
and sterilization process, techniques beyond microscopic
and visual evaluation of the device are required. A diversity
of techniques is addressed so that the quality of the process is
assured. Although legislation and supervision are divergent
around the world, many countries choose to adopt reprocessing
with economic justification in most cases. The reuse of
hospital devices involves several physico-chemical processes,
which must be performed with quality and safety. Conclusion:
The need for greater rigor in the norms and guidelines that
address this practice is clear and urgent, as well as the greater
intensity and rigidity of the responsible inspection agencies.
The use of luminol as an indicator of organic contaminants
may generate a false positive result. Therefore, 3M™ Clean-
Trace ™ is the best instrument found in the world market to
ensure that the material that has been reused is free of organic
waste, and thus fit for use in hospitals.
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