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//-->.pos {position:absolute; z-index: 0; left: 0px; top: 0px;}10th World Congress of Sterilization9th October 2009Reusable Medical EquipmentReprocessed in a CSSD – Shelf life timesPia Hilsberg, DenmarkPrevious Studies• Paul G. Standard, Don C. Mackel and G. F. Mallison;Microbial Penetration of Muslin- and Paper WrappedSterile Packs Stored on Open Shelves and in ClosedCabinets,CDC, Atlanta, Georgia 1971•Wrapped in linen: Shelf life time down to 3 days•Wrapped in crepe paper: Shelf life time 3-4 weeks•Packages further wrapped in sealed plastic bags: Shelf lifetime up to 9 monthsPrevious Studies• Paul G. Standard, G. F. Mallison and Don C. Mackel;Microbial Penetration Through Three Types of DoubleWrappers for Sterile Packs,CDC, Atlanta, Georgia1973–––––Faster penetration through 1 layer than through 2 layersDouble linen: 28 daysLinen and crepe paper: 77 daysLinen and densely woven cotton: 63 daysThe time for the microbial penetration is less than half aslong if the packages were stored on open shelves ratherthan in closed cabinets.Dutch GuidelinesEvaluation of the wrapping materialPointEvaluation of a possibly additionalprotection:PointWrapping material:1. LayerOne sheet of crepe (pure cellulose)One sheet of non woven materialOne autoclave bag (plastic laminate)2. LayerOne sheet of crepe (pure cellulose)One sheet of non woven materialOne autoclave bag (plastic laminate)6080100204080Protection against dust (welded paper bag or thin 400plastic bag tied with a knot)Solid, moulded box + one additional sheet ofcrepe or non woven750Evaluation of facilitiesCommon room or direct with patientOperating room / Outpatient departmentOrdinary depot roomSterile store room / depot in ordinary wardSterile store room / depot atOP?????Sterile store room / depot inSTC????5075250300300Miscellaneous:Container with inner lining of non woven materialDouble container210250Evaluation of the placing of the equipment:Transportation trolley coated with plastic or cloth 0Open shelvesClosed cabinets250250100Evaluation of a possibly additionalprotection:Closed box (transportation box with unlockedcover)Distribution prepacking (one additional sheet ofcrepe paper or non woven material
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