RESUMEN
The comparative characteristic of the accepted methods of low-temperature sterilization of medical equipment is given. Special attention is devoted to the surgical infection prophylaxis. The efficacy, expediency and safety of gas sterilization with ethilenoxide is proved. Plasmic methods of sterilization is recommended for use together with other methods of low-temperature sterilization.
Asunto(s)
Frío , Infección Hospitalaria/prevención & control , Desinfectantes/farmacología , Contaminación de Equipos/prevención & control , Esterilización/métodos , Antibacterianos/farmacología , Bacterias/efectos de los fármacos , Infección Hospitalaria/microbiología , Óxido de Etileno/farmacología , Estudios de Evaluación como Asunto , Formaldehído/farmacología , Humanos , Peróxido de Hidrógeno/farmacología , Ácido Peracético/farmacología , Esterilización/tendencias , Equipo Quirúrgico/microbiología , Instrumentos Quirúrgicos/microbiologíaRESUMEN
Occurrence of postoperative purulent-inflammative complications (PPIC), their structure and dynamics after improvement of sterilization are studied. For epidemiological analysis 65,246 medical histories of operated patients were studied, in 404 of them PPIC were revealed. The PPIC rate reduced from 3.05% in 1981 to 0.49 in 2000 though surgical activity increased 12 times after this period. Thus developed measures for improvement of sterilization promoted reduction of the PPIC rate.