RESUMO
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.
Assuntos
Temperatura Baixa , Infecção Hospitalar/prevenção & controle , Desinfetantes/farmacologia , Contaminação de Equipamentos/prevenção & controle , Esterilização/métodos , Antibacterianos/farmacologia , Bactérias/efeitos dos fármacos , Infecção Hospitalar/microbiologia , Óxido de Etileno/farmacologia , Estudos de Avaliação como Assunto , Formaldeído/farmacologia , Humanos , Peróxido de Hidrogênio/farmacologia , Ácido Peracético/farmacologia , Esterilização/tendências , Equipamentos Cirúrgicos/microbiologia , Instrumentos Cirúrgicos/microbiologiaRESUMO
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.