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Sterilization of Medical Supplies by Steam, Volume 1 General Theory

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90-75829-01-9
Sterilization of Medical Supplies by Steam
Jan Huys
1 Edition

06-06-1996
HEART Consultancy,
Renkum, The Netherlands
Paperback
270
150 drawings and photos
EURO 30 (excluding VAT and shipment)

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Inactivation of microorganisms caused by moist heat. These are bacteria called "Bacillus subtilis". Magnification: 10,000x. They are used for testing the performance of sterilizers.

Before sterilization.
The bacteria look healthy and strong


After sterilization in high temperature steam.
You see that the membranes have been cracked or torn; thus the protoplasm is directly exposed to the heat, causing the cells to die.

Contents
Foreword
Summary

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2.
3.
4.
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6.

7.
8.
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10.
11.
12
13.

Invisible life
Mystery of illness
Cells: building blocks of life
Microbiology: study of microorganisms
Preventing spreading of infections
Infection prevention by cleaning, decontamination, sterilization, hygiene and asepsis
Reducing the bioburden
Methods of sterilization
Steam as an agent for sterilization
Basic steam sterilizers
Sterilization of hollow instruments and porous loads
Process control
International standards for sterilization
Appendices
Glossary of terms
Recommended literature
References
Index



In a hospital or clinic it is necessary that all equipment and materials used for treating patients are absolutely safe for use: the chance for spreading of diseases should be kept as small as possible. Cleaning, decontamination and sterilization are important methods in the battle against this ever present threat. Especially since the fatal disease AIDS became so powerful and spread world wide, the demand for proper procedures for infection control gained momentum enormously. Diseases such as Hepatitis B, known to be transmitted through contaminated surgical instruments, stimulated the need for stricter guidelines for disinfection and sterilization.
This book focuses the most common and most safe method used for sterilization in the Central Sterile Service Departments in healthcare institutions: sterilization by pressurised high temperature steam. A first major step to improvement of sterile supply is the training of all personnel involved (technicians, staff and users). Moreover, in the recently published European standards on sterilization, education is required of everybody involved in sterilization, whether it concerns the manufacturer of the sterilizing equipment or the technician maintaining or using it. This series of books provides a foundation needed to fulfil this requirement. Originally intended to educate technical service personnel in remote health institutions, it has grown into a textbook that can be used by anyone interested in sterilization.
The European Society for Hospital Sterile Supply (ESH) therefore strongly recommends this richly illustrated textbook to everyone involved.
 

Sterilization of Medical Supplies

Throughout the years in-depth knowledge and experience was gained in the field of sterilization of medical supplies:
Compiling and publishing course materials and textbooks. A first book in the series: "Sterilization of Medical Supplies by Steam, Vol 1 General Theory" was published under auspices of ESH (European Society for Hospital Sterile Supply) in 1996. The Spanish version was issued in 1999. A French version is in preparation.
Conducting of courses for users and technicians of sterilization equipment. Improvement of the supply of sterile goods in health facilities starts with the proper training of staff in the concept of infection control, hygiene and sterile supply. Seminars for users as well as technicians can be offered.




He
althcare through Appropriate and Reliable Technology

Jan Huys,
jh@heartware.nl

Pieter de Ruijter,
pdr@heartware.nl