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Systematic management of washer disinfectors in reprocessing contaminated reusable surgical instruments and medical devices using the wireless thermologger

Research Project

Project/Area Number 11672240
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Medical sociology
Research InstitutionThe University of Tokyo

Principal Investigator

UETERA Yushi  University of Tokyo Hospital, Assistant, 医学部・附属病院, 助手 (80191914)

Co-Investigator(Kenkyū-buntansha) SAITO Hideaki  University of Tokyo Hospital, Assistant Professor, 医学部・附属病院, 助教授 (30134555)
Project Period (FY) 1999 – 2000
Project Status Completed (Fiscal Year 2001)
Budget Amount *help
¥3,900,000 (Direct Cost: ¥3,900,000)
Fiscal Year 2000: ¥600,000 (Direct Cost: ¥600,000)
Fiscal Year 1999: ¥3,300,000 (Direct Cost: ¥3,300,000)
KeywordsWasher disinfector / Wireless thermologger / F-value / Bowie Dick テスト / 生物学的インジケータ / 化学的インジケータ / 高圧蒸気滅菌器 / F値 / ワイヤレス式温度計測ロガー / ワイヤレス式温度・圧力計測ロガー / ワイヤレス式小型データロガー / 洗浄効果 / 定期点検 / 化学的インジケーター / 生物学的インジケーター / 質保障
Research Abstract

Accurate thermometry is essential in the thermal evaluation of washer disinfectors. The wireless thermologger is a useful tool for the thermal evaluation of washer disinfectors because it is independent of the thermoregulatory system of the washer disinfector. The present study focuses on when washer disinfectors should be thermally evaluated, using a wireless thermologger, to assure optimal management of thermal disinfection procedures.
The actual disinfection temperature, thermal exposure time and F value at 93℃ with Z=10℃ were sequentially evaluated three times using the wireless thermologger in the four washer disinfectors installed in Tokyo University Hospital.
In all washer disinfectors, the actual disinfection time satisfied the programmed value in all thermal evaluations. However, in the multi-chamber washer disinfector and two of the three single-chamber washer disinfectors, the actual disinfection temperature failed to satisfy the programmed value in the first thermal evaluations. The actual disinfection temperature satisfied the programmed value after the temperature control system was adjusted in these three washer disinfectors. Sequential thermal evaluations of washer disinfectors with a wireless thermologger also revealed that actual disinfection temperature failed to meet the programmed value at the time of installation as well as when the temperature control system was manipulated or a control panel was replaced.
The F-values showed a parallel change with the actual disinfection temperatures in the sequential thermal evaluations of each washer disinfector.
The results of the present study suggest that washer disinfectors must be evaluated thermally using the wireless thermologger at the time of installation and the mechanical repairs are performed in the washer disinfector. It is also suggested that the F-value is a useful indicator in the evaluation of thermal disinfection procedures performed in the washer disinfectors.

Report

(3 results)
  • 2001 Final Research Report Summary
  • 2000 Annual Research Report
  • 1999 Annual Research Report
  • Research Products

    (9 results)

All Other

All Publications (9 results)

  • [Publications] Yushi Uetera, Hideaki Saito, Matsuko Ookuni, Chizuko Tanaka: "Evaluation of thermal disinfection procedure in washer disinfectors using a wireless thermologger"Zentralsterilisation. 9(2). 88-99 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Yushi Uetera, Takao Matsumine, Yasuyuki Awame, et al.: "Investigation of and outbreak of naspcomial Infection due to methicilin resistant staphylococcus aloreus (MRSA) in the surgical ward of Tokyo Metropolitan Fuchu Hospital"Journal of Infection and Chemotherapy. 5. 75-81 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] 上寺祐之, 斉藤英昭, 馬場善三, 熊田直人: "高圧蒸気滅菌法におけるBowie-Dickテストの意義"日本手術医学会誌. (in press).

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Yushi Uetera, Hideaki Saito, Matsuko Ookuni, Chizuko Tanaka: "Evaluation of thermal disinfection procedure in washer disinfectors using a wireless thermologger"Zentralsterilisation. 9 (2). 88-99 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Yushi Uetera, Takao Matsumine, Yasuyuki Awane, Etsuko Yamazaki, Takeshi Yokota: "Investigation of an outbreak of nosocomial infection due to methicillin-resistant Staphylococcus aureus (MRSA) in the surgical ward of Tokyo Metropolitan Fuchu Hospital"Journal of Infection and Chemotherapy. 5. 75-81 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Yushi Uetera, Hideaki Saito, Matsuko Ookuni, Chizuko Tanaka: "Significance of Bowie-Dick test in the validation of autoclaves (in Japanese)"Japanese Association for Operative medicine. (in press).

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Yashi Uetera,Hideaki Saito,Matsuko Ookuni,Chizuko Tanaka: "Evaluation of thermal disinfection procedure in washer disinfectors using a wireless thermologger"Zentralsterilization (Central Service) . 9(2)(in press). (2001)

    • Related Report
      2000 Annual Research Report
  • [Publications] 上寺祐之,斉藤英昭,馬場善三,熊田直人,大国松子: "高圧蒸気滅菌法におけるBowie-Dickテストの意義"日本手術医学会誌. 22(4)(in press). (2001)

    • Related Report
      2000 Annual Research Report
  • [Publications] 上寺 祐之: "ワイヤレス式小型データーロガーを用いたWasher Disinfectorの温度計測の意義"日本手術医学会誌. 21(2)(in press). (2000)

    • Related Report
      1999 Annual Research Report

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Published: 1999-04-01   Modified: 2016-04-21  

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