Abstract：
BACKGROUND:Compliance with cleaning of flexible endoscope channels cannot be verified using visual inspection. Adenosine triphosphate (ATP) has been suggested as a possible rapid cleaning monitor for flexible endoscope channels. There have not been published validation studies to specify the level of ATP that indicates inadequate cleaning has been achieved. OBJECTIVE:The objective of this study was to validate the Clean-Trace (3M Inc, St. Paul, MN) ATP water test method for monitoring manual cleaning of flexible endoscopes. METHODS:This was a simulated use study using a duodenoscope as the test device. Artificial test soil containing 10(6) colony-forming units of Pseudomonas aeruginosa and Enterococcus faecalis was used to perfuse all channels. The flush sample method for the suction-biopsy (L1) or air-water channel (L2) using 40 and 20 mLs sterile reverse osmosis water, respectively, was validated. Residuals of ATP, protein, hemoglobin, and bioburden were quantitated from channel samples taken from uncleaned, partially cleaned, and fully cleaned duodenoscopes. The benchmarks for clean were as follows: <6.4 μg/cm(2) protein, <2.2 μg/cm(2) hemoglobin, and <4-log10 colony-forming units/cm(2) bioburden. RESULTS:The average ATP in clean channel samples was 27.7 RLUs and 154 RLUs for L1 and L2, respectively (<200 RLUs for all channels). The average protein, hemoglobin, and bioburden benchmarks were achieved if <200 RLUs were detected. If the channel sample was >200 RLUs, the residual organic and bioburden levels would exceed the acceptable benchmarks. CONCLUSION:Our data validated that flexible endoscopes that have complete manual cleaning will have <200 RLUs by the Clean-Trace ATP test.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Alfa MJ,Fatima I,Olson Ndoi
10.1016/j.ajic.2012.03.018subject
Has Abstractpub_date
2013-03-01 00:00:00pages
245-8issue
3eissn
0196-6553issn
1527-3296pii
S0196-6553(12)00774-2journal_volume
41pub_type
杂志文章abstract：:Nurses satisfied with their jobs report less job stress, more effective nurse-physician collaboration, and higher patient satisfaction scores. It is unknown if job satisfaction influences adherence to best practices or patient outcomes. This secondary data analysis investigated the relationship between job satisfactio...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2017.10.023
更新日期：2018-05-01 00:00:00
abstract：INTRODUCTION:Reverse osmosis (RO), a major advance in hemodialysis (HD) safety, effectively clears most water organisms. Delftia acidovorans is an environmental water-borne pathogen that is rarely reported to cause human infections. We report a pseudo outbreak caused by colonization of RO machines with D acidovorans wi...
journal_title：American journal of infection control
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journal_title：American journal of infection control
pub_type： 杂志文章,meta分析
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abstract：BACKGROUND:It has been shown that nontoxic concentrations of ethanol are absorbed after hand hygiene using ethanol-based hand rubs. This study investigated whether absorption of propan-1-ol and propan-2-ol from commercially available hand rubs results in measurable concentrations after use. METHODS:The pulmonary and d...
journal_title：American journal of infection control
pub_type： 杂志文章
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abstract：BACKGROUND:Colonized or infected patients are a major reservoir for patient-to-patient transmission of methicillin-resistant Staphylococcus aureus (MRSA) in hospitals. Despite attempted adherence to recommended infection prevention and control procedures, a general medicine unit in our hospital continued to experience ...
journal_title：American journal of infection control
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journal_title：American journal of infection control
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abstract：BACKGROUND:Certified Nursing Assistants (CNAs) frequently wear gloves when they care for patients in standard precautions. If CNAs use gloves inappropriately, they may spread pathogens to patients and the environment, potentially leading to health care-associated infections (HAIs). METHODS:Using a descriptive structur...
journal_title：American journal of infection control
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journal_title：American journal of infection control
pub_type： 杂志文章
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journal_title：American journal of infection control
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journal_title：American journal of infection control
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journal_title：American journal of infection control
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doi：10.1016/0196-6553(93)90007-q
更新日期：1993-06-01 00:00:00
abstract：:Health care workers (HCWs) are susceptible to hospital acquired varicella zoster virus (VZV). We evaluated seroprevalence and predictive value of a history of varicella disease (VD) with VZV serology in HCWs in northern Israel. A total of 200 HCWs were enrolled. A high rate of seropositivity for VZV-IgG was found: 98....
journal_title：American journal of infection control
pub_type： 杂志文章
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更新日期：2008-08-01 00:00:00
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journal_title：American journal of infection control
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journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/s0196-6553(99)70024-6
更新日期：1999-12-01 00:00:00
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journal_title：American journal of infection control
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更新日期：2020-01-01 00:00:00
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journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2006.02.004
更新日期：2006-11-01 00:00:00
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journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2006.09.009
更新日期：2007-09-01 00:00:00
abstract：BACKGROUND:An outbreak of 5 inpatient and otherwise healthy children admitted for respiratory problems developed dry fever and cough after a few days of hospitalization. Burkhuldaria cepacia was isolated from their blood culture. The Infection Control Department (ICD) in the King Fahad Medical City (KFMC) detected and ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2006.03.003
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journal_title：American journal of infection control
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pub_type： 临床试验,杂志文章
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更新日期：1993-08-01 00:00:00
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journal_title：American journal of infection control
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journal_title：American journal of infection control
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更新日期：2012-05-01 00:00:00
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journal_title：American journal of infection control
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abstract：BACKGROUND:Clostridioides difficile is a major cause of infectious antibiotic resistant diarrhea. C. difficile spores are shed in patient stool, are hearty and difficult to kill. Bedpans are often used by patients with C. difficile infections and require proper handling and cleaning or disposal to prevent the transmiss...
journal_title：American journal of infection control
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journal_title：American journal of infection control
pub_type： 杂志文章
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journal_title：American journal of infection control
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更新日期：2016-08-01 00:00:00
abstract：:This report describes a cluster of nosocomial infections with Pseudomonas aeruginosa in a neonatal intensive care nursery. All 5 cases of P aeruginosa infection were clustered in September 1999. Aggressive infection control measures were instituted, including installation of a user-friendly handwashing soap and enviro...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1067/mic.2002.121153
更新日期：2002-11-01 00:00:00
abstract：:In-hospital surveillance of surgical site infections (SSI) was conducted on 599 patients in a German university hospital. On a subgroup of 342 patients, SSI was assessed after discharge from hospital based on data of a questionnaire and telephone interviews. Postdischarge surveillance revealed substantially higher inf...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2008.10.025
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