What is the cleansing process that removes organic material and reduces the number of microorganisms to a safe level?

1. Sopwith W., Hart T., Garner P. Preventing infections from reusable medical equipment: a systematic review. BMC Infect Dis. 2002;2:4. [PMC free article] [PubMed] [Google Scholar]

2. Rutala W.A., Waber D.J. New disinfection and sterilization methods. Emerg Infect Dis. 2001;7(2):348–353. [PMC free article] [PubMed] [Google Scholar]

3. Biron F., Verrier B., Peyramond D. Transmission of the human immunodeficiency virus and hepatitis C virus. N Engl J Med. 1997;337:348–349. [PubMed] [Google Scholar]

4. Gillespie T.G., Hogg L., Budge E., Duncan A., Coia J.E. Mycobacterium chelonae isolated from rinse water within an endoscope washer-disinfector. J Hosp Infect. 2000;45:332–334. [PubMed] [Google Scholar]

5. Schelenz S., French G. An outbreak of multidrug-resistant Pseudomonas aeruginosa infection associated with contamination of bronchoscopes and an endoscope washer-disinfector. J Hosp Infect. 2000;46:23–30. [PubMed] [Google Scholar]

6. Spach D.H., Silverstein F.E., Stamm W.E. Transmission of infection by gastrointestinal endoscopy and bronchoscopy. Ann Intern Med. 1993;118:117–128. [PubMed] [Google Scholar]

7. Srinivasan A., Wolfenden L.L., Song K., Mackie T., Hartsell L., Jones H.D. An outbreak of Pseudomonas aeruginosa infections associated with flexible bronchoscopes. N Engl J Med. 2003;348:221–227. [PubMed] [Google Scholar]

8. Rutala W.A., Weber D.J. Guideline for disinfection and sterilization of prion-contaminated medical instruments. Infect Control Hosp Epidemiol. 2010;31:107–117. [PubMed] [Google Scholar]

9. Belay E.D., Schonberger L.B. The public health impact of prion diseases. Annu Rev Public Health. 2005;26:191–212. [PubMed] [Google Scholar]

10. Collins S.J., Lawson V.A., Masters C.L. Transmissible spongiform encephalopathies. Lancet. 2004;363:51–61. [PubMed] [Google Scholar]

11. Weissmann C. Birth of a prion: spontaneous generation revisited. Cell. 2005;122:165–168. [PubMed] [Google Scholar]

12. Spaulding E.H. Chemical disinfection of medical and surgical materials. In: Lawrence C., Block S.S., editors. Disinfection, sterilization, and preservation. Lea & Febiger; Philadelphia (PA): 1968. pp. 517–531. [Google Scholar]

13. Favero M.S., Bond W.W. Chemical disinfection of medical and surgical materials. In: Block S.S., editor. Disinfection, sterilization, and preservation. 5th ed. Lippicott Williams & Wilkins; Philadelphia (PA): 2001. pp. 881–917. [Google Scholar]

14. Mathur P. 1st ed. Lippicott Williams & Wilkins; Philadelphia (PA): 2010. Hospital acquired infections prevention and control. [Google Scholar]

15. Ratula W.A., Weber J.A. CDC; Atlanta (GA): 2008. The healthcare infection control practices advisory committee (HICPAC). Guidelines for disinfection and sterilization in health care facilities. [Google Scholar]

16. CDC . U.S. Department of Health and Human services, CDC; Atlanta (GA): 2003. Guidelines for environmental infection control in health-care facilities. Recommendations of CDC and the healthcare infection control practices advisory committee (HICPAC) [Google Scholar]

17. WHO . WHO; Geneva (Switzerland): 2002. Guidelines on prevention and control of hospital associated infections. South East Asian Region. [Google Scholar]

18. Occupational safety and health administration Occupational exposure to bloodborne pathogens: final rule. Fed Regist. 1991;56:64003–64182. [Google Scholar]

19. Centres for Disease Control Recommendations for prevention of HIV transmission in health-care settings. Morb Mort Wkly Rep. 1987;36:S3–S18. [Google Scholar]

20. Environmental protection agency. EPA list U.S. Lists A, B, C, D, E, ad F: EPA registered disinfectants, sanitizers and sterilants. Available at: //WWW.Epa.gov/oppad001/chemregindex.htm.

21. Rutala W.A., Weber D.J. Disinfection and sterilization in health care facilities: what clinicians need to know. Clin Infect Dis. 2004;39:702–709. [PubMed] [Google Scholar]

22. WHO . WHO; Geneva (Switzerland): 2003. Practical guidelines for infection control in health care facilities. [Google Scholar]

23. Laboratory centres for the Disease control Bureau of infectious Diseases . Laboratory centre for Disease control Bureau of Infectious Diseases; Ottawa (Canada): 1998. Infection control guidelines. Communicable disease report. [Google Scholar]

24. Widmer A.F., Frei R. Decontamination, disinfection and sterilization. In: Pealler M.A., editor. the clinical microbiology laboratory in infection detection, prevention and control. 3rd ed. 2001. [Google Scholar]

25. Ayeliff G.A.J., Fraise A.P., Geddes A.M., Michell K. 4th ed. Arnold; New York: 2000. Control of hospital infection. [Google Scholar]

26. Roberts C.G. Studies on the bioburden on medical devices and the importance of cleaning. In: Rutala W.A., editor. Disinfection, sterilization and antisepsis: principles and practices in healthcare facilities. Association for Professional in Infection Control and Epidemiology; Washington (DC): 2001. pp. 63–69. [Google Scholar]

27. Hutchisson B., LeBlanc C. The truth and consequences of enzymatic detergents. Gastroenterol Nurs. 2005;28:372–376. [PubMed] [Google Scholar]

28. Alfa M.J., Jackson M.A. A new hydrogen peroxide-based medical-device detergent with germicidal properties: comparison with enzymatic cleaners. Am J Infect Control. 2001;29:168–177. [PubMed] [Google Scholar]

29. Communicable Diseases Network Austrelia, the National Public Health Partnership and Austrelian Health Ministers’ Advisory Council . Communicable Diseases Network Australia, The National Public Health Partnership and Austrelian Health, Minister’s Advisory Council; Canberra (Austrelia): January 2004. Infection control guidelines for the prevention of transmission of infectious diseases in the healthcare setting. [Google Scholar]

30. Rutala W.A. APIC guideline for selection and use of disinfectants. AJIC Am J Infect Control. 1996;24:313–342. [PubMed] [Google Scholar]

31. Schembre D.B. Infectious complications associated with gastrointestinal endoscopy. Gastrointest Endosc Clin N Am. 2000;10:215–232. [PubMed] [Google Scholar]

32. Nelson D.B., Muscarella L.F. Current issues in endoscope reprocessing and infection control during gastrointestinal endoscopy. World J Gastroenterol. 2006;12:3953–3964. [PMC free article] [PubMed] [Google Scholar]

33. Nelson D.B., Jarvis W.R., Rutala W.A., Foxx-Orenstein A.E., Isenberg G., Dash G.R. Multi society guideline for reprocessing flexible endoscopes. Society for health care epidemiology of America. Infect Control Hosp Epidemiol. 2003;24:532–537. [PubMed] [Google Scholar]

34. Culver D.A., Gordon S.M., Meheta A.C. Infection control in the bronchoscopy suite. Am J Resp Crit Care Med. 2003;24:532–537. [Google Scholar]

35. MHRA. Medicine and health care products manual. Available at: //mhra.gov.uk/home/idcplg.

36. Rutal W.A., Weber D.J. New developments in reprocessing semicritical items. Am J Infect Control. 2013;41:S60–S66. [PubMed] [Google Scholar]

37. Dancer S.J. Importance of the environment in the methicillin-resistant Staphylococcus aureus acquisition: the case for hospital cleaning. Lancet Infect Dis. 2008;8:101–103. [PubMed] [Google Scholar]

38. Gamage B., Moore D., Copes R., Yassi A., Bryce E. Protecting HCWs from SARS and other respiratory pathogens: a review of the infection control literature. Am J Infect. 2005;33:114–121. [PMC free article] [PubMed] [Google Scholar]

39. Hall C.B., Douglas R.G. Modes of transmission of respiratory syncytial virus. J Pediatr. 1981;99:100–103. [PubMed] [Google Scholar]

40. Khanna N., Goldenberger D., Graber P., Battegay M., Widmer A.F. Gastroenteritis outbreak with norovirus in a Swiss university hospital with a newly identified virus strain. Lancet. 2003;55:131–136. [PubMed] [Google Scholar]

41. Garner J.S., Jarvis W.R., Emori T.G., Horan T.C., Hughes J.M. CDC definitions for nosocomial infections. Am J Infect Control. 1998;16:128–140. [PubMed] [Google Scholar]

42. CDC . 2004. CDC definitions for nosocomial infections.//www.ncbi.nlm.nih.gov/pubmed/2841893 Available at: [Google Scholar]

43. WHO . WHO; Geneva: 2002. Guidelines on prevention and control of hospital associated infections. World Health Organization. South East Asian Region. [Google Scholar]

44. Weinstein R.A. Nosocomial infection update. Emerg Infect Dis. 1998;4:416–420. [PMC free article] [PubMed] [Google Scholar]

45. WHO . WHO; Geneva (Switzerland): 2005. World Alliance for patient safety. The global patient safety challenge 2005–2006 ’Clean care is safer care’http//www.who.int/gpsc/en/ Available at: [Google Scholar]

46. Vincent J.L. Nosocomial infections in adult intensive care units. Lancet. 2003;361:2068–2077. [PubMed] [Google Scholar]

47. Jakab Z. V International conference on patient’s safety, Health care associated infection and antimicrobial resistance.Spain. June 2010. Prevention of health care-associated-infections (HAI) and antimicrobial resistance (AMR) in Europe. pdf. [Google Scholar]

48. Vincent J.L., Bihari D.J., Suter P.M., Bruining H.A., White J., Nicholas-Chanion M.H. The prevalence of nosocomial infection in intensive care units in Europe. Results of the European Prevalence of Infection in Intensive care (EPIC) study. EPIC International Nosocomial Infection Control Committee. JAMA. 1995;274:639–644. [PubMed] [Google Scholar]

49. Whyte W., Hambraeus A., Laurell G., Hoborn J. The relative importance of routes and sources of wound contamination during general surgery. II. Nonairborne. J Hosp Infect. 1991;18:93–107. [PubMed] [Google Scholar]

50. Whyte W., Hambraeus A., Laurell G., Hoborn J. The relative importance of routes and sources of wound contamination during general surgery. II. Airborne. J Hosp Infect. 1992;22:41–54. [PubMed] [Google Scholar]

Page 2

PMC full text:

Copyright/LicenseRequest permission to reuse

Copyright © 2017 Elsevier Inc. All rights reserved.

Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

Spaulding’s Classification of Devices12

Device/ItemDefinitionRisk of InfectionExampleReprocessing Procedure
CriticalMedical device that is intended to enter a normally sterile environment, sterile tissue, or the vasculatureHighSurgical instrument, cardiac catheter, implants, needle, ultrasound probes used in sterile body cavitySterilization by steam, plasma, or ethylene oxide
SemicriticalDevices that are intended to come in contact with the mucous membrane or nonintact skinHigh/intermediateFlexible endoscope, respiratory therapy equipment, manometry probes, diaphragm-fitting rings, laryngoscope bladesSterilization desirable, high-level disinfectants
NoncriticalDevices come in contact with intact skinLowBlood pressure cuff, stethoscopeIntermediate or low-level disinfectant

Postingan terbaru

LIHAT SEMUA