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Antimicrobial Resistance and Infection... 2018The Asia Pacific Society of Infection Control launched its revised Guidelines for Disinfection and Sterilization of Instruments in Health Care Facilities in February...
BACKGROUND
The Asia Pacific Society of Infection Control launched its revised Guidelines for Disinfection and Sterilization of Instruments in Health Care Facilities in February 2017. This document describes the guidelines and recommendations for the reprocessing of instruments in healthcare setting. It aims to highlight practical recommendations in a concise format designed to assist healthcare facilities at Asia Pacific region in achieving high standards in sterilization and disinfection.
METHOD
The guidelines were revised by an appointed workgroup comprising experts in the Asia Pacific region, following reviews of previously published guidelines and recommendations relevant to each section.
RESULTS
It recommends the centralization of reprocessing, training of all staff with annual competency assessment, verification of cleaning, continual monitoring of reprocessing procedures to ensure their quality and a corporate strategy for dealing with single-use and single-patient use medical equipment/devices. Detailed recommendations are also given with respect to reprocessing of endoscopes. Close working with the Infection Prevention & Control department is also recommended where decisions related to reprocessing medical equipment/devices are to be made.
CONCLUSIONS
Sterilization facilities should aim for excellence in practices as this is part of patient safety. The guidelines that come with a checklist help service providers identify gaps for improvement to reach this goal.
Topics: Asia; Cross Infection; Disease Transmission, Infectious; Disinfection; Endoscopes; Equipment Contamination; Equipment Reuse; Equipment and Supplies; Health Facilities; Humans; Infection Control; Patient Safety; Practice Guidelines as Topic; Quality Assurance, Health Care; Risk Factors; Sterilization, Reproductive; Surgical Instruments
PubMed: 29468053
DOI: 10.1186/s13756-018-0308-2 -
Fertility and Sterility Jun 2022
Topics: Female; Humans; Sterilization; Sterilization, Reproductive; Sterilization, Tubal
PubMed: 35618360
DOI: 10.1016/j.fertnstert.2022.04.022 -
ACS Applied Bio Materials Nov 2022Degradable and environmentally responsive polymers have been actively developed for drug delivery and regenerative medicine applications, yet inadequate consideration of... (Review)
Review
Degradable and environmentally responsive polymers have been actively developed for drug delivery and regenerative medicine applications, yet inadequate consideration of their compatibility with terminal sterilization presents notable barriers to clinical translation. This Review discusses industry-established terminal sterilization methods and aseptic processing and contrasts them with innovative approaches aimed at preserving the integrity of polymeric implants. Regulatory guidelines, fiscal considerations, and potential pitfalls are discussed to encourage early integration of sterility regulatory considerations in material designs.
Topics: Sterilization; Polymers; Prostheses and Implants; Sterilization, Reproductive
PubMed: 36318175
DOI: 10.1021/acsabm.2c00793 -
Medecine Sciences : M/S May 2022The latest statistics concerning contraceptive use in the world have been published in 2019 by the United Nations. Among the 1.9 billion of women of reproductive age...
The latest statistics concerning contraceptive use in the world have been published in 2019 by the United Nations. Among the 1.9 billion of women of reproductive age (15-49 years), 1.1 billion have a need for family planning. Among them, 190 millions are not using any contraception, although they wanted to avoid a pregnancy. There is a significant discrepancy among continents concerning the percentage of contraceptive use and the distribution of the different types of contraception. Female sterilization is the most widespread method of contraception since it represents 24% of all contraception methods used. Male condoms is used by 21% of couples. Thus, progress is still needed to disseminate effective, well tolerated and potentially reversible methods of contraception. Education of females, couples, medical and paramedical staff is one of the priority targets to improve contraception throughout the world.
Topics: Adolescent; Adult; Contraception; Contraceptive Agents; Family Planning Services; Female; Humans; Male; Middle Aged; Pregnancy; Sterilization, Reproductive; Young Adult
PubMed: 35608469
DOI: 10.1051/medsci/2022058 -
BMJ (Clinical Research Ed.) May 1992
Topics: Female; Fertility; Humans; Male; Pregnancy; Vasectomy; Vasovasostomy
PubMed: 1392787
DOI: 10.1136/bmj.304.6835.1130 -
American Journal of Public Health Jul 1973
Topics: Contraceptive Devices; Decision Making; Family Planning Services; Female; Fertilization; Freezing; Humans; Insemination, Artificial; Laparoscopy; Legislation, Medical; Male; Pregnancy; Public Health; Semen; Societies; Sterilization, Reproductive; Sterilization, Tubal; United States; Vasectomy
PubMed: 4268539
DOI: 10.2105/ajph.63.7.573 -
Bulletin of the World Health... 1964Sterilization of males can in certain circumstances be more efficient than killing as a method for control of insects and perhaps other pests. A number of chemicals... (Review)
Review
Sterilization of males can in certain circumstances be more efficient than killing as a method for control of insects and perhaps other pests. A number of chemicals (chemosterilants) show promise of producing sexual sterility in insects without some of the practical limitations of radiation. The most important compounds are alkylating agents. These have little immediate pharmacological action, but are notable for their selective action against haematopoietic and some other proliferating tissues. A number of alkylating agents have been shown to be mutagens in insects, bacteria, fungi, and higher plants; carcinogens in mammals; and teratogens in insects, birds, and mammals. Some produce sexual sterility, possibly in mammals as well as in insects, at doses too low to produce the other effects. Some have an established reputation as drugs for palliative treatment of leukaemia and other neoplasms.The development of insect sterilization as a vector control technique has been handicapped in part by lack of scientific information on the acute and long-term hazards that might be associated with the use of chemosterilants. In this paper the author brings together the available knowledge on the toxicology of the alkylating agents.
Topics: Alkylating Agents; Animals; Antineoplastic Agents; Chemical Phenomena; Chemistry; Chemosterilants; Insect Control; Male; Metabolism; Pharmacology; Research; Sterilization; Sterilization, Reproductive; Toxicology
PubMed: 14278008
DOI: No ID Found -
Canadian Medical Association Journal May 1957
Topics: Sexual Behavior; Sterilization; Sterilization, Reproductive
PubMed: 13426924
DOI: No ID Found -
Fertility and Sterility Jun 2019
Topics: Device Approval; Health Services Accessibility; Humans; Hysteroscopy; Male; Patient Advocacy; Patient Safety; Public Opinion; Risk Assessment; Risk Factors; Social Media; Sterilization, Reproductive; Treatment Outcome; United States; United States Food and Drug Administration
PubMed: 31043230
DOI: 10.1016/j.fertnstert.2019.03.009 -
Fertility and Sterility Jun 2022To compare real-world effectiveness of hysteroscopic to laparoscopic sterilization.
OBJECTIVE
To compare real-world effectiveness of hysteroscopic to laparoscopic sterilization.
DESIGN
Retrospective cohort of Medicaid claims for hysteroscopic or laparoscopic sterilization procedures performed in California, 2008-2014. After excluding postpartum procedures, we applied log-linear (Poisson) event-history regression models for clustered person-period data, weighted for propensity to receive either sterilization procedures, and adjusted for sociodemographic and clinical variables to examine the poststerilization pregnancy rates.
SETTING
Clinics, hospitals.
PATIENT(S)
Women aged 18-50 years with Medicaid claims between January 1, 2008, and August 31, 2014.
INTERVENTION(S)
Hysteroscopic or laparoscopic sterilization procedure.
MAIN OUTCOME MEASURE(S)
Poststerilization pregnancy measured by pregnancy-related claims.
RESULT(S)
Among women with hysteroscopic (n = 5,906) or laparoscopic (n = 23,965) sterilization, poststerilization pregnancy claims were identified for 4.74% of women after hysteroscopic sterilization and 5.57% after laparoscopic sterilization. The pregnancy rates decreased over time after either procedure. Twelve months after the procedure, the crude incidence of pregnancy claims was higher for hysteroscopic sterilization than for laparoscopic sterilization (3.26 vs. 2.61 per 100 woman-years), but the propensity-weighted adjusted incidence rate ratio was 1.06 (95% confidence interval [CI], 0.85-1.26). Between 13 and 24 months after the procedure, there were fewer pregnancies for women after hysteroscopic sterilizations than for those after laparoscopic sterilizations (adjusted incidence rate ratio, 0.63 [95% CI, 0.45-0.88]), with no statistically significant differences in later years. The cumulative pregnancy rates 5 years after sterilization were lower with hysteroscopic sterilization than with laparoscopic sterilization (6.26 vs. 7.22 per 100 woman-years; propensity-weighted, adjusted risk ratio, 0.76 [95% CI, 0.62-0.90]). The poststerilization pregnancy rates varied by age and race/ethnicity.
CONCLUSION(S)
The pregnancy rates after female sterilization are higher than expected, whether performed hysteroscopically or laparoscopically. These findings are reassuring that the effectiveness of hysteroscopic sterilization was not inferior to laparoscopic sterilization.
CLINICAL TRIAL REGISTRATION NUMBER
NCT03438682.
Topics: Cohort Studies; Female; Humans; Hysteroscopy; Laparoscopy; Pregnancy; Retrospective Studies; Sterilization; Sterilization, Reproductive; Sterilization, Tubal
PubMed: 35428480
DOI: 10.1016/j.fertnstert.2022.03.001