本帖最后由 石桥wshh1975 于 2015-8-12 08:53 编辑
Another problem with implementing the Spaulding scheme is processing of an instrument in the semicritical category (e.g., endoscope) that would be used in conjunction with a critical instrument that contacts sterile body tissues. For example, is an endoscope used for upper gastrointestinal tract investigation still a semicritical item when used with sterile biopsy forceps or in a patient who is bleeding heavily from esophageal varices? Provided that high-level disinfection is achieved, and all microorganisms except bacterial spores have been removed from the endoscope, the device should not represent an infection risk and should remain in the semicritical category .Infection with spore-forming bacteria has not been reported from appropriately high-level disinfected endoscopes.
——《Guideline for Disinfection and Sterilization in Healthcare Facilities》(2008)p13 |