Adenosine Triphosphate‐Bioluminescence Technology as an Adjunct Tool to Validate Cleanliness of Surgical Instruments
ABSTRACT Perioperative and sterile processing department personnel commonly use visual inspection to validate surgical instrument cleanliness. This validation process does not detect microbes (eg, bacteria, viruses) and the resultant inadequately decontaminated instruments can put patients at risk f...
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| Veröffentlicht in: | AORN journal 2019-12, Vol.110 (6), p.596-604 |
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| creator | Rodriguez, Jose A. Hooper, Gwendolyn |
| description | ABSTRACT
Perioperative and sterile processing department personnel commonly use visual inspection to validate surgical instrument cleanliness. This validation process does not detect microbes (eg, bacteria, viruses) and the resultant inadequately decontaminated instruments can put patients at risk for developing surgical site infections. Sterile processing department personnel should use a rapid, straightforward method to validate surgical instrument cleanliness objectively. During a quality improvement project at a military treatment facility, staff members found that adenosine triphosphate (ATP)–based technology was a viable and affordable solution for detecting bioburden and validating cleaning practices. The project design compared manually and mechanically cleaned cannulated instruments (59 of each) and identified 16 contaminated instruments, 14 of which had been manually cleaned. The contamination rate after mechanical cleaning was significantly lower (P = .0022) compared with manual cleaning. As a result of this quality improvement project, this facility fully implemented the technology to validate instrument cleaning. |
| doi_str_mv | 10.1002/aorn.12864 |
| format | Article |
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Perioperative and sterile processing department personnel commonly use visual inspection to validate surgical instrument cleanliness. This validation process does not detect microbes (eg, bacteria, viruses) and the resultant inadequately decontaminated instruments can put patients at risk for developing surgical site infections. Sterile processing department personnel should use a rapid, straightforward method to validate surgical instrument cleanliness objectively. During a quality improvement project at a military treatment facility, staff members found that adenosine triphosphate (ATP)–based technology was a viable and affordable solution for detecting bioburden and validating cleaning practices. The project design compared manually and mechanically cleaned cannulated instruments (59 of each) and identified 16 contaminated instruments, 14 of which had been manually cleaned. The contamination rate after mechanical cleaning was significantly lower (P = .0022) compared with manual cleaning. As a result of this quality improvement project, this facility fully implemented the technology to validate instrument cleaning.</description><identifier>ISSN: 0001-2092</identifier><identifier>EISSN: 1878-0369</identifier><identifier>DOI: 10.1002/aorn.12864</identifier><identifier>PMID: 31774154</identifier><language>eng</language><publisher>United States: John Wiley & Sons, Inc</publisher><subject>Adenosine triphosphate ; adenosine triphosphate‐bioluminescence testing ; bioburden ; biofilm ; Biofilms ; Bioluminescence ; cannulated instruments ; Health facilities ; Infections ; Methods ; Microorganisms ; Nursing ; Quality ; Researchers ; sterile processing department ; Surgical apparatus & instruments</subject><ispartof>AORN journal, 2019-12, Vol.110 (6), p.596-604</ispartof><rights>AORN, Inc, 2019</rights><rights>AORN, Inc, 2019.</rights><rights>Copyright John Wiley & Sons, Inc. Dec 2019</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3574-25e19e9fc857cc9068abd5e08f27019f2a65cba28b473447ac1dee79c29c5b903</citedby><cites>FETCH-LOGICAL-c3574-25e19e9fc857cc9068abd5e08f27019f2a65cba28b473447ac1dee79c29c5b903</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Faorn.12864$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Faorn.12864$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27923,27924,45573,45574</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31774154$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rodriguez, Jose A.</creatorcontrib><creatorcontrib>Hooper, Gwendolyn</creatorcontrib><title>Adenosine Triphosphate‐Bioluminescence Technology as an Adjunct Tool to Validate Cleanliness of Surgical Instruments</title><title>AORN journal</title><addtitle>AORN J</addtitle><description>ABSTRACT
Perioperative and sterile processing department personnel commonly use visual inspection to validate surgical instrument cleanliness. This validation process does not detect microbes (eg, bacteria, viruses) and the resultant inadequately decontaminated instruments can put patients at risk for developing surgical site infections. Sterile processing department personnel should use a rapid, straightforward method to validate surgical instrument cleanliness objectively. During a quality improvement project at a military treatment facility, staff members found that adenosine triphosphate (ATP)–based technology was a viable and affordable solution for detecting bioburden and validating cleaning practices. The project design compared manually and mechanically cleaned cannulated instruments (59 of each) and identified 16 contaminated instruments, 14 of which had been manually cleaned. The contamination rate after mechanical cleaning was significantly lower (P = .0022) compared with manual cleaning. As a result of this quality improvement project, this facility fully implemented the technology to validate instrument cleaning.</description><subject>Adenosine triphosphate</subject><subject>adenosine triphosphate‐bioluminescence testing</subject><subject>bioburden</subject><subject>biofilm</subject><subject>Biofilms</subject><subject>Bioluminescence</subject><subject>cannulated instruments</subject><subject>Health facilities</subject><subject>Infections</subject><subject>Methods</subject><subject>Microorganisms</subject><subject>Nursing</subject><subject>Quality</subject><subject>Researchers</subject><subject>sterile processing department</subject><subject>Surgical apparatus & instruments</subject><issn>0001-2092</issn><issn>1878-0369</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kc9O3DAQxq2qqCy0lz4AstRLhZTFdpzYPi4r_kkIpHbba-Q4EzYrx97aSdHeeASekSfBy1IOPXAajeb3fZqZD6GvlEwpIexE--CmlMmSf0ATKoXMSF6qj2hCCKEZI4rto4MYV6klOSs-of2cCsFpwSfo76wB52PnAC9Ct176uF7qAZ4eHk87b8c-DaIBZ9IYzNJ56-82WEesHZ41q9GZAS-8t3jw-Le2XZO0eG5BO7tVRuxb_HMMd53RFl-5OISxBzfEz2iv1TbCl9d6iH6dny3ml9n17cXVfHadmbwQPGMFUAWqNbIQxihSSl03BRDZMkGoapkuC1NrJmsucs6FNrQBEMowZYpakfwQfd_5roP_M0Icqr5L91irHfgxViyniqpScp7Qb_-hKz8Gl7ZLVE5ESWUpEnW8o0zwMQZoq3Xoeh02FSXVNo1qm0b1kkaCj14tx7qH5g399_4E0B1w31nYvGNVzW5_3OxMnwFP65cW</recordid><startdate>201912</startdate><enddate>201912</enddate><creator>Rodriguez, Jose A.</creator><creator>Hooper, Gwendolyn</creator><general>John Wiley & Sons, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>ASE</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K6X</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>201912</creationdate><title>Adenosine Triphosphate‐Bioluminescence Technology as an Adjunct Tool to Validate Cleanliness of Surgical Instruments</title><author>Rodriguez, Jose A. ; Hooper, Gwendolyn</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3574-25e19e9fc857cc9068abd5e08f27019f2a65cba28b473447ac1dee79c29c5b903</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adenosine triphosphate</topic><topic>adenosine triphosphate‐bioluminescence testing</topic><topic>bioburden</topic><topic>biofilm</topic><topic>Biofilms</topic><topic>Bioluminescence</topic><topic>cannulated instruments</topic><topic>Health facilities</topic><topic>Infections</topic><topic>Methods</topic><topic>Microorganisms</topic><topic>Nursing</topic><topic>Quality</topic><topic>Researchers</topic><topic>sterile processing department</topic><topic>Surgical apparatus & instruments</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rodriguez, Jose A.</creatorcontrib><creatorcontrib>Hooper, Gwendolyn</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>British Nursing Index</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>AORN journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rodriguez, Jose A.</au><au>Hooper, Gwendolyn</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Adenosine Triphosphate‐Bioluminescence Technology as an Adjunct Tool to Validate Cleanliness of Surgical Instruments</atitle><jtitle>AORN journal</jtitle><addtitle>AORN J</addtitle><date>2019-12</date><risdate>2019</risdate><volume>110</volume><issue>6</issue><spage>596</spage><epage>604</epage><pages>596-604</pages><issn>0001-2092</issn><eissn>1878-0369</eissn><abstract>ABSTRACT
Perioperative and sterile processing department personnel commonly use visual inspection to validate surgical instrument cleanliness. This validation process does not detect microbes (eg, bacteria, viruses) and the resultant inadequately decontaminated instruments can put patients at risk for developing surgical site infections. Sterile processing department personnel should use a rapid, straightforward method to validate surgical instrument cleanliness objectively. During a quality improvement project at a military treatment facility, staff members found that adenosine triphosphate (ATP)–based technology was a viable and affordable solution for detecting bioburden and validating cleaning practices. The project design compared manually and mechanically cleaned cannulated instruments (59 of each) and identified 16 contaminated instruments, 14 of which had been manually cleaned. The contamination rate after mechanical cleaning was significantly lower (P = .0022) compared with manual cleaning. As a result of this quality improvement project, this facility fully implemented the technology to validate instrument cleaning.</abstract><cop>United States</cop><pub>John Wiley & Sons, Inc</pub><pmid>31774154</pmid><doi>10.1002/aorn.12864</doi><tpages>9</tpages></addata></record> |
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| subjects | Adenosine triphosphate adenosine triphosphate‐bioluminescence testing bioburden biofilm Biofilms Bioluminescence cannulated instruments Health facilities Infections Methods Microorganisms Nursing Quality Researchers sterile processing department Surgical apparatus & instruments |
| title | Adenosine Triphosphate‐Bioluminescence Technology as an Adjunct Tool to Validate Cleanliness of Surgical Instruments |
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