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Showing posts from February, 2023

Hazards associated with surgical plume and its prevention

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Surgical plume is the smoke and aerosols produced during surgical procedures that involve the use of surgical instruments that generate heat, such as electrosurgery, laser surgery, and ultrasonic devices. This plume can contain harmful particles such as tissue debris, blood, and potentially infectious agents, and can pose health risks to both the surgical team and patients. Some of the hazards of surgical plume include: Inhalation of toxic substances: The plume can contain toxic substances such as benzene, hydrogen cyanide, and formaldehyde, which can be harmful if inhaled. Prolonged exposure to these substances can cause respiratory problems, cancer, and other health issues. Transmission of infectious diseases: The plume can contain infectious agents such as viruses, bacteria, and fungi. If not properly managed, these agents can be transmitted to the surgical team and other patients, increasing the risk of infection. Eye irritation and damage: The plume can cause eye irritation and da

Best Practices and Guidelines for Preventing Infections related to Sutures

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Suture infection risks The likelihood of suture-related infections depends on various factors such as the type of suture material used, the surgical site, the patient's health status, and the surgeon's technique. However, some suture materials are more prone to causing infections than others. For example:  Absorbable sutures made of natural materials such as catgut or silk have a higher risk of infection compared to non-absorbable synthetic sutures such as nylon or polypropylene. This is because natural materials can harbor bacteria and may break down too quickly, which can lead to inflammation and infection. Halsted,5 in 1913, expressed a strong preference for the use of silk in clean surgical wounds, but stated that it should be avoided in contaminated or infected ones. Whipple,8 in 1933, strongly advocated the use of silk in repair of clean wounds, indicating that the incidence of infection was actually less than when chromicized catgut was used.   Monofilament sutures, wh

Comparing Rigid Containers and Peel Pouches for Sterilizing Medical Instruments

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A rigid closed container is a container that is designed to maintain a specific environment inside by keeping external factors such as air, moisture, and contaminants out. Use of rigid closed container :  While sterilization wrap will continue to be used to some degree, hospitals are seeking ways to improve upon the current process, reduce re sterilization needs, reduce the use of disposable or single-use products and reduce waste.  One attractive option is the use of rigid sterilization containers for reusable medical instruments requiring sterilization. Sterilization packaging must allow for sterilant penetration during the sterilization process, prevent microbial penetration during storage and transport as a means of maintaining sterility of processed items, and facilitate aseptic presentation of the contents.  Rigid containers (also called reusable hard cases) are typically made of anodized aluminum or stainless steel , can require a filter or be filter less, and meet all of the

Autoclave principle, working and its types

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Autoclave  principle, working and its types  Steam Sterilizer / Autoclave :    The autoclave is a sealed device (similar to a pressure cooker) that kills microorganisms using saturated steam under pressure .  Principle :   The use of moist heat facilitates the killing of all microorganisms, including heat-resistant endospores which is achieved by heating the materials inside the device at temperatures above the boiling point of water.    Method :   Moist heat in the form of steam under pressure causes the denaturation & coagulation of proteins by following steps . 1.Conditioning :   The usual procedure is to heat at 1.1 kilograms/square centimeter (kg/cm2) [15 pounds/square inch (lb/in.)] steam pressure, which yields a temperature of 121°C. At 121°C, the time of autoclaving to achieve sterilization is generally considered to be 15-20 min, depending on the volume of the load.    2. Exposure : Direct saturated steam contact is the basis of the steam sterilization process. For a s

What are different methods of sterilization?

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What are different methods of sterilization? Sterilization methods Sterilization is the process of killing or eliminating all forms of microbial life, including bacteria, viruses, fungi, and spores. Here are some common methods of sterilization: 1. Autoclaving : It is a process of sterilization that involves subjecting items to high-pressure saturated steam. The autoclave is a sealed device (similar to a pressure cooker) that kills microorganisms using saturated steam under pressure . Autoclaves are commonly used in medical and laboratory settings to sterilize instruments, glassware, and other materials. Process: Uses high-pressure steam at temperatures typically around 121-134°C (250-273°F). Applications: Commonly used for heat-resistant instruments and materials. Advantages: Effective, reliable, and economical. Limitations: Not suitable for heat-sensitive items.   2. Chemical sterilization : It is a process of sterilization that uses chemicals such as ethylene oxide or hydrogen p

Stay UTI-Free: Essential Hygiene and Lifestyle Tips

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A urinary tract infection is an infection that affects any part of the urinary system, including the kidneys, ureters, bladder, and urethra. UTIs are  common infections that happen when bacteria, often from the skin or rectum, enter the urethra, and infect the urinary tract . The infections can affect several parts of the urinary tract, but the most common type is a bladder infection (cystitis). Kidney infection (pyelonephritis) is another type of UTI . Symptoms Frequent urge to urinate Burning sensation during urination Cloudy or strong-smelling urine Pelvic pain (in women) Lower back pain Fever and chills (if the infection reaches the kidneys) Causes Bacteria: Most commonly caused by Escherichia coli (E. coli) . Sexual activity: Can increase the risk, especially in women. Certain contraceptives: Such as diaphragms or spermicides. Urinary tract abnormalities: Such as blockages or kidney stones. Diagnosis and Treatment Diagnosis: Typically involves a urine test to identify the presence

Choosing the Right Surgical Gloves: Balancing Sensitivity and Safety

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In surgical settings, various types of gloves are used to ensure safety, sterility, and protection for both patients and healthcare providers. Here are the main types of gloves commonly used in surgery: 1. Surgical Gloves Material : Typically made from latex, nitrile, or polyisoprene. Characteristics : Designed to be sterile, with a high level of tactile sensitivity and dexterity. They are usually available in various sizes for a snug fit. Usage : Worn during surgical procedures to create a sterile barrier and protect against blood and other bodily fluids. 2. Examination Gloves Material : Commonly made from latex, nitrile, or vinyl. Characteristics : Non-sterile, but provide a barrier against contamination. Usage : Used in clinical examinations, diagnostics, and procedures where sterility is not essential. 3. Nitrile Gloves Material : Synthetic rubber. Characteristics : Latex-free, providing an alternative for those with latex allergies. Nitrile gloves are resistant to punctures and ch

Pros and cons of washer sterilizer over manual cleaning with refrences

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Manual Cleaning: Manual cleaning involves physically removing dirt, debris, and contaminants from surfaces using hands and basic cleaning tools, rather than relying solely on machines or automated systems. Steps for Effective Manual Cleaning: 1. Gather Supplies : Collect all necessary cleaning supplies, including: Cleaning agents (detergents, disinfectants). Cleaning tools (mops, cloths, brushes, sponges). Personal protective equipment (gloves, masks). 2.  Preparation : Clear the Area : Remove any items from surfaces that need cleaning. Pre-Cleaning Assessment : Inspect surfaces for visible dirt and specific cleaning needs. 3. Cleaning Process : Dusting : Start by dusting surfaces to remove loose dirt and particles. Washing : Apply a cleaning solution to surfaces. Use appropriate techniques based on the surface type: For hard surfaces : Use a cloth or sponge to scrub and wipe. For delicate surfaces : Use softer materials to avoid damage. Rinsing : If required, rinse surfaces with clean