Water Quality: facts and myths!
DOI:
https://doi.org/10.5327/Z1414-4425201600040006Keywords:
Instrumentos Cirúrgicos. Esterilização. Qualidade da Água.Abstract
Objective: To discuss the importance of water in Central Sterile Services Department (CSSD) and the main evidence of risks, standards, related
legislation, and guidelines to develop a water treatment system to rinse products. Method: A narrative review to investigate both facts and myths and to
describe the aspects related to the need to control the quality of the water used to process medical devices. Results: Reports of local toxic effects and
pyrogenic reactions in patients require the standardization and quality control of water to rinse products and steam generation in autoclaves. Conclusion:
Water treatment and quality monitoring should be incorporated by health services.
Keywords: Surgical instruments. Sterilization. Water quality.
References
Brasil. Ministério da Saúde. Resolução da Diretoria Colegiada nº 15, de 15 de março de 2012. Dispõe sobre requisitos de boas práticas para o processamento de produtos para saúde e dá outras providências [Internet]. Brasília, 2012 [citado 2015 mar. 27]. Disponível em: http://portal.anvisa.gov.br/wps/wcm/connect/7599770043e684468b198f45f4f7d4e4/rdc0015_15_03_2012.pdf?MOD=AJPERES
Brasil. Ministério da Saúde. Portaria nº 2.914 de 12 de dezembro de 2011. Dispõe sobre os procedimentos de controle e de vigilância da qualidade da água para consumo humano e seu padrão de potabilidade. Brasília, 2011.
Holland SP, Mathias RG, Morck DW, Chiu J, Slade SG. Diffuse lamellar keratitis related to endotoxins released from sterilizer reservoir biofilms. Ophthalmology. 2000 Jul;107(7):1.227-33.
Johnston J. Toxic anterior segment syndrome--more than sterility meets the eye. AORN J. 2006 Dec; 84(6):969-84; quiz 985-6.
Mamalis N, Edelhauser HF, Dawson DG, Chew J, LeBoyer RM, Werner L. Toxic anterior segment syndrome. J Cataract Refract Surg. 2006 Feb; 32(2):324-33.
Greenfield EM, Bi Y, Ragab AA, Goldberg VM, Nalepka JL, Seabold JM. Does endotoxin contribute to aseptic loosening of orthopedic implants?. J Biomed Mater Res B Appl Biomater. 2005 Jan 15; 72(1):179-85.
Ribeiro SMCP, Graziano KU, Alfa M, Goveia VR. Reprocessamento de cateteres cardíacos: uma revisão. Rev Bras Cir Cardiovasc. 2006; 21(3):334-342.
Association for the Advancement of Medical Instrumentation (AAMI). Water for the reprocessing of medical devices. Arlington: AAMI; 2007. (AAMI Technical information report 34. TIR34:2007).
Souza RQ, Gonçalves CR, Ikeda TI, Cruz AS, Graziano KU. O impacto do último enxágue na citotoxicidade de produtos críticos passíveis de processamento. Rev. esc. enferm. USP. 2015; 49(spe): 87-92. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342015000700087&lng=en. http://dx.doi.org/10.1590/S0080-623420150000700013.
Tamashiro NS, Souza RQ, Gonçalves CR, Ikeda TI, Luz RA, Cruz AS, Padoveze MC, Graziano KU. Cytotoxicity of cannulas for ophthalmic surgery after cleaning and sterilization: evaluation of the use of enzymatic detergent to remove residual ophthalmic viscosurgical device material. J Cataract Refract Surg. 2013 Jun;39(6):937-41.
Association of Perioperative Registered Nurses. Perioperative standards and recommended practices. Denver: AORN; 2013.
International Organization Standardization. ANSI/AAMI/ISO 17665-1. Sterilization of health care products - Moist heat - Part 2: Guidance on the application of ANSI/AAMI/ISO 17665-1. Geneva; 2009.
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