Biologic monitoring and causes of failure in cycles of sterilization in dental care offices in Mexico

Biologic indicator tests (BIs) are considered the most meaningful way to verify sterilization. To monitor the cycles of sterilization using BIs in dry heat sterilizers and steam autoclaves and to identify the causes of failures in the cycles of sterilization in dental offices in San Luis Potosí, Méx...

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Vydané v:	American journal of infection control Ročník 43; číslo 10; s. 1092 - 1095
Hlavní autori:	Patiño-Marín, Nuria, Martínez-Castañón, Gabriel A., Zavala-Alonso, Norma V., Medina-Solís, Carlo E., Torres-Méndez, Fernando, Cepeda-Argüelles, Oscar
Médium:	Journal Article
Jazyk:	English
Vydavateľské údaje:	United States Elsevier Inc 01.10.2015 Mosby-Year Book, Inc
Predmet:	Autoclave Biologic indicators Dental care Dental Offices Disease control Dry heat Environmental Monitoring - methods Environmental Monitoring - standards Humans Indicator organisms Indicators and Reagents Infection Infectious Disease Mexico Quality control Sterilization Sterilization - methods Sterilization - standards Temperature Training Mexico Infection Dry heat Autoclave Biologic indicators
ISSN:	0196-6553, 1527-3296, 1527-3296
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Abstract	Biologic indicator tests (BIs) are considered the most meaningful way to verify sterilization. To monitor the cycles of sterilization using BIs in dry heat sterilizers and steam autoclaves and to identify the causes of failures in the cycles of sterilization in dental offices in San Luis Potosí, México. An invitation to participate was sent to 400 dental offices, and 206 practitioners of 200 dental offices were included. A questionnaire was given to each of the participants, asking for the following information: sterilizer type, operational parameters used (eg, temperature, pressure, and length of exposure), frequency of sterilization cycles per day, use of BIs, and maintenance procedures of the sterilizer. Two hundred thirty sterilizers were monitored using BIs. The sterilizers with positive results were monitored a second and third time to identify the cause of the failure. Twenty-two percent of practitioners (n = 46) used BIs, and 17% (n = 39) of the sterilizers reported positive results (bacterial growth). The detected failures were a mistake in the procedure (eg, temperature, time, or pressure), an absence of supervision of the procedure performed by the assistant, and improper maintenance. There are opportunities to increase information on infection control, to improve the adoption of standard quality control methods for sterilization as a routine process, to improve training on proper testing, and standardize processes. •The 50% of the practitioners accepted the invitation of participate in the study.•Twenty-two percent of the practitioners (n = 46) had used BIs.•17% (n = 39) reported bacterial grown in the sterilizers of dry heat and autoclaves.•The detected failures were a mistake in the procedure, the absence of the supervision of the procedure and improper maintenance.
AbstractList	Biologic indicator tests (BIs) are considered the most meaningful way to verify sterilization. To monitor the cycles of sterilization using BIs in dry heat sterilizers and steam autoclaves and to identify the causes of failures in the cycles of sterilization in dental offices in San Luis Potosi, Mexico. An invitation to participate was sent to 400 dental offices, and 206 practitioners of 200 dental offices were included. A questionnaire was given to each of the participants, asking for the following information: sterilizer type, operational parameters used (eg, temperature, pressure, and length of exposure), frequency of sterilization cycles per day, use of BIs, and maintenance procedures of the sterilizer. Two hundred thirty sterilizers were monitored using BIs. The sterilizers with positive results were monitored a second and third time to identify the cause of the failure. Twenty-two percent of practitioners (n = 46) used BIs, and 17% (n = 39) of the sterilizers reported positive results (bacterial growth). The detected failures were a mistake in the procedure (eg, temperature, time, or pressure), an absence of supervision of the procedure performed by the assistant, and improper maintenance. There are opportunities to increase information on infection control, to improve the adoption of standard quality control methods for sterilization as a routine process, to improve training on proper testing, and standardize processes. BackgroundBiologic indicator tests (BIs) are considered the most meaningful way to verify sterilization. ObjectiveTo monitor the cycles of sterilization using BIs in dry heat sterilizers and steam autoclaves and to identify the causes of failures in the cycles of sterilization in dental offices in San Luis Potosí, México. MethodsAn invitation to participate was sent to 400 dental offices, and 206 practitioners of 200 dental offices were included. A questionnaire was given to each of the participants, asking for the following information: sterilizer type, operational parameters used (eg, temperature, pressure, and length of exposure), frequency of sterilization cycles per day, use of BIs, and maintenance procedures of the sterilizer. Two hundred thirty sterilizers were monitored using BIs. The sterilizers with positive results were monitored a second and third time to identify the cause of the failure. ResultsTwenty-two percent of practitioners (n = 46) used BIs, and 17% (n = 39) of the sterilizers reported positive results (bacterial growth). The detected failures were a mistake in the procedure (eg, temperature, time, or pressure), an absence of supervision of the procedure performed by the assistant, and improper maintenance. ConclusionsThere are opportunities to increase information on infection control, to improve the adoption of standard quality control methods for sterilization as a routine process, to improve training on proper testing, and standardize processes. Biologic indicator tests (BIs) are considered the most meaningful way to verify sterilization. To monitor the cycles of sterilization using BIs in dry heat sterilizers and steam autoclaves and to identify the causes of failures in the cycles of sterilization in dental offices in San Luis Potosí, México. An invitation to participate was sent to 400 dental offices, and 206 practitioners of 200 dental offices were included. A questionnaire was given to each of the participants, asking for the following information: sterilizer type, operational parameters used (eg, temperature, pressure, and length of exposure), frequency of sterilization cycles per day, use of BIs, and maintenance procedures of the sterilizer. Two hundred thirty sterilizers were monitored using BIs. The sterilizers with positive results were monitored a second and third time to identify the cause of the failure. Twenty-two percent of practitioners (n = 46) used BIs, and 17% (n = 39) of the sterilizers reported positive results (bacterial growth). The detected failures were a mistake in the procedure (eg, temperature, time, or pressure), an absence of supervision of the procedure performed by the assistant, and improper maintenance. There are opportunities to increase information on infection control, to improve the adoption of standard quality control methods for sterilization as a routine process, to improve training on proper testing, and standardize processes. •The 50% of the practitioners accepted the invitation of participate in the study.•Twenty-two percent of the practitioners (n = 46) had used BIs.•17% (n = 39) reported bacterial grown in the sterilizers of dry heat and autoclaves.•The detected failures were a mistake in the procedure, the absence of the supervision of the procedure and improper maintenance. Biologic indicator tests (BIs) are considered the most meaningful way to verify sterilization.BACKGROUNDBiologic indicator tests (BIs) are considered the most meaningful way to verify sterilization.To monitor the cycles of sterilization using BIs in dry heat sterilizers and steam autoclaves and to identify the causes of failures in the cycles of sterilization in dental offices in San Luis Potosí, México.OBJECTIVETo monitor the cycles of sterilization using BIs in dry heat sterilizers and steam autoclaves and to identify the causes of failures in the cycles of sterilization in dental offices in San Luis Potosí, México.An invitation to participate was sent to 400 dental offices, and 206 practitioners of 200 dental offices were included. A questionnaire was given to each of the participants, asking for the following information: sterilizer type, operational parameters used (eg, temperature, pressure, and length of exposure), frequency of sterilization cycles per day, use of BIs, and maintenance procedures of the sterilizer. Two hundred thirty sterilizers were monitored using BIs. The sterilizers with positive results were monitored a second and third time to identify the cause of the failure.METHODSAn invitation to participate was sent to 400 dental offices, and 206 practitioners of 200 dental offices were included. A questionnaire was given to each of the participants, asking for the following information: sterilizer type, operational parameters used (eg, temperature, pressure, and length of exposure), frequency of sterilization cycles per day, use of BIs, and maintenance procedures of the sterilizer. Two hundred thirty sterilizers were monitored using BIs. The sterilizers with positive results were monitored a second and third time to identify the cause of the failure.Twenty-two percent of practitioners (n = 46) used BIs, and 17% (n = 39) of the sterilizers reported positive results (bacterial growth). The detected failures were a mistake in the procedure (eg, temperature, time, or pressure), an absence of supervision of the procedure performed by the assistant, and improper maintenance.RESULTSTwenty-two percent of practitioners (n = 46) used BIs, and 17% (n = 39) of the sterilizers reported positive results (bacterial growth). The detected failures were a mistake in the procedure (eg, temperature, time, or pressure), an absence of supervision of the procedure performed by the assistant, and improper maintenance.There are opportunities to increase information on infection control, to improve the adoption of standard quality control methods for sterilization as a routine process, to improve training on proper testing, and standardize processes.CONCLUSIONSThere are opportunities to increase information on infection control, to improve the adoption of standard quality control methods for sterilization as a routine process, to improve training on proper testing, and standardize processes. Biologic indicator tests (BIs) are considered the most meaningful way to verify sterilization. To monitor the cycles of sterilization using BIs in dry heat sterilizers and steam autoclaves and to identify the causes of failures in the cycles of sterilization in dental offices in San Luis Potosí, México. An invitation to participate was sent to 400 dental offices, and 206 practitioners of 200 dental offices were included. A questionnaire was given to each of the participants, asking for the following information: sterilizer type, operational parameters used (eg, temperature, pressure, and length of exposure), frequency of sterilization cycles per day, use of BIs, and maintenance procedures of the sterilizer. Two hundred thirty sterilizers were monitored using BIs. The sterilizers with positive results were monitored a second and third time to identify the cause of the failure. Twenty-two percent of practitioners (n = 46) used BIs, and 17% (n = 39) of the sterilizers reported positive results (bacterial growth). The detected failures were a mistake in the procedure (eg, temperature, time, or pressure), an absence of supervision of the procedure performed by the assistant, and improper maintenance. There are opportunities to increase information on infection control, to improve the adoption of standard quality control methods for sterilization as a routine process, to improve training on proper testing, and standardize processes.
Author	Patiño-Marín, Nuria Cepeda-Argüelles, Oscar Martínez-Castañón, Gabriel A. Torres-Méndez, Fernando Medina-Solís, Carlo E. Zavala-Alonso, Norma V.
Author_xml	– sequence: 1 givenname: Nuria surname: Patiño-Marín fullname: Patiño-Marín, Nuria email: 1nuriapm@gmail.com organization: Clinical Research Laboratory, Dental Sciences Doctorate Program, University of San Luis Potosí, San Luis Potosí, Mexico – sequence: 2 givenname: Gabriel A. surname: Martínez-Castañón fullname: Martínez-Castañón, Gabriel A. organization: Laboratory for Nanobiomaterials, Dental Sciences Doctorate Program, University of San Luis Potosí, San Luis Potosí, Mexico – sequence: 3 givenname: Norma V. surname: Zavala-Alonso fullname: Zavala-Alonso, Norma V. organization: Laboratory for Nanobiomaterials, Dental Sciences Doctorate Program, University of San Luis Potosí, San Luis Potosí, Mexico – sequence: 4 givenname: Carlo E. surname: Medina-Solís fullname: Medina-Solís, Carlo E. organization: Area of Dentistry of the Institute of Health Sciences of the Autonomous University of the State of Hidalgo, Pachuca, Hidalgo, Mexico – sequence: 5 givenname: Fernando surname: Torres-Méndez fullname: Torres-Méndez, Fernando organization: Clinical Research Laboratory, Dental Sciences Doctorate Program, University of San Luis Potosí, San Luis Potosí, Mexico – sequence: 6 givenname: Oscar surname: Cepeda-Argüelles fullname: Cepeda-Argüelles, Oscar organization: Clinical Research Laboratory, Dental Sciences Doctorate Program, University of San Luis Potosí, San Luis Potosí, Mexico
BackLink	https://www.ncbi.nlm.nih.gov/pubmed/26190385$$D View this record in MEDLINE/PubMed
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Snippet	Biologic indicator tests (BIs) are considered the most meaningful way to verify sterilization. To monitor the cycles of sterilization using BIs in dry heat... BackgroundBiologic indicator tests (BIs) are considered the most meaningful way to verify sterilization. ObjectiveTo monitor the cycles of sterilization using... Biologic indicator tests (BIs) are considered the most meaningful way to verify sterilization. To monitor the cycles of sterilization using BIs in dry heat... Biologic indicator tests (BIs) are considered the most meaningful way to verify sterilization.BACKGROUNDBiologic indicator tests (BIs) are considered the most...
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SubjectTerms	Autoclave Biologic indicators Dental care Dental Offices Disease control Dry heat Environmental Monitoring - methods Environmental Monitoring - standards Humans Indicator organisms Indicators and Reagents Infection Infectious Disease Mexico Quality control Sterilization Sterilization - methods Sterilization - standards Temperature Training
Title	Biologic monitoring and causes of failure in cycles of sterilization in dental care offices in Mexico
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