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内镜检查中的干扰物质及其对可重复使用软式内镜微生物监测的影响(英文版).pdf

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1、Interfering Substances in Endoscopic Exams and Their Impact on Microbiologic Surveillance of Flexible,Reusable EndoscopesAnnette Rittich,Olympus CorporationConflict of InterestI am a full-time employee of Olympus CorporationDisclaimerThis presentation is for your general knowledge and background onl

2、y.Olympus makes no representations warranties or other expressed or implied warranties or guarantees regarding the accuracy,reliability or completeness of the information.Proper attribution should be provided for any use of the information contained in this presentation.Under no circumstance shall O

3、lympus or its employees,consultants,agents or representatives be liable for any costs(whether direct,indirect,special,incidental,consequential or otherwise)that may arise from or be incurred in connection with the information provided or any use thereof.AgendaInterfering substances in endoscopic exa

4、msImpact of interfering substances02Background:Reprocessing validation030401Outlook on further reserach04Validation of Endoscope Reprocessing Efficacy Reprocessing efficacy validation uses artificial test soils to mimic worst-case clinical use situations Organic and inorganic challenges are added du

5、ring cleaning validation2 Limited attention is given to use of additional interfering substances due to the increasing therapeutic nature of current endoscopic exams ISO 15883-4:20183 ST98:202244.4.2.4.2 The efficacy of the disinfectant and the interaction between the disinfectant and residues(e.g.s

6、oil,detergents)shall be tested under conditions in which residues are at or above the maximum levelthat might occur in use and the disinfectant is at or below the minimum specified in-use concentration.6.2.3.Test soils shall include substances representative of tissue/fluids and associated processin

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1. **干扰物质影响**:内镜检查中使用的消泡剂(如西甲硅油)、润滑剂等物质,可能残留在内镜通道中,标准清洁消毒流程无法完全清除(如西甲硅油经20次使用后残留量达90μg)。 2. **微生物采样效率**:干扰物质(如Sab Simplex消泡剂)会降低微生物提取效率,尤其在微生物与干扰物质混合时,提取效率显著下降(标准偏差增大)。 3. **无杀菌/抑菌作用**:测试的4种干扰物质(如Xylocain凝胶、Proveblue染料)未显示杀菌或抑菌效果。 4. **残留累积风险**:西甲硅油等物质在通道内形成黏性残留,长期使用后可能影响消毒效果,需进一步研究残留是否导致污染。
**残留物危害?** **清洁效率影响?** **如何彻底清除?**
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