A discussion on the effectiveness of cleaning residual silicone oil from 23G flute needles used in ophthalmic silicone oil-injected vitrectomy

Xia Liu; Yiqin Zhang; Changxia Shen; Fangfang Zhou; Wei Liu

doi:10.11910/j.issn.2791-2043.2022.1.01

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A discussion on the effectiveness of cleaning residual silicone oil from 23G flute needles used in ophthalmic silicone oil-injected vitrectomy

TECHNOLOGICAL INNOVATION | Updated：2023-02-22

- A discussion on the effectiveness of cleaning residual silicone oil from 23G flute needles used in ophthalmic silicone oil-injected vitrectomy
- Sterile Supply Vol. 1, Issue 1, (2022)
- Affiliations：
  
  The Northern Jiangsu People's Hospital, 225000, Yangzhou, Jiangsu, China
- Author bio：
- Funds：
- DOI：10.11910/j.issn.2791-2043.2022.1.01
  CLC：
- Published：25 March 2022
- Accepted：
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Liu Xia,Zhang Yiqin,Shen Changxia,et al.A discussion on the effectiveness of cleaning residual silicone oil from 23G flute needles used in ophthalmic silicone oil-injected vitrectomy[J].Sterile Supply,2022,01(01):1-4.
DOI：

Liu Xia,Zhang Yiqin,Shen Changxia,et al.A discussion on the effectiveness of cleaning residual silicone oil from 23G flute needles used in ophthalmic silicone oil-injected vitrectomy[J].Sterile Supply,2022,01(01):1-4. DOI： 10.11910/j.issn.2791-2043.2022.1.01.

摘要

Abstract

Objective

To explore the suitable cleaning method for ophthalmic instruments containing silicone oil by comparing the effect of two cleaning methods on the cleaning effect of 23G flute needles for vitrectomy

and to establish a standard procedure for cleaning ophthalmic flute needles to improve the cleaning quality and reduce the risk of postoperative infection in ophthalmic surgery.

Methods

Sixty ophthalmic vitrectomy 23G needles containing silicone oil were rando mly divided into experimental and control groups. The control group was cleaned directly by hand at a conventional temperature with a weak alkaline cleaning agent at 30 °C. The experimental group was cleaned by hand with a modified weak alkaline cleaning agent at 50 °C soaked in an ophthalmic ultrasonic cleaner for 10 minutes and then sonicated for 5 minutes. The silicone oil residue content of the ophthalmic needle was determined by gas chromatography before and after cleaning

and the silicone oil removal rate was calculated

and the cleaning pass rate of the ophthalmic needle was quantified by ATP for both groups.

Results

The removal rate of silicone oil from the ophthalmic needle was 98.65% in the experimental group and 85.32% in the control group (

0.05)

and the cleaning ATP quantification rate was 100% in the experimental group and 80% in the control group (

0.05).

Conclusion

The use of a modified 50 °C weak alkaline detergent soaked for 10 minutes followed by ultrasonication for 5 minutes and then manual cleaning was more effective in removing silicone oil residues from 23G flute needles used for vitrectomy

and improved the quality of instrument cleaning.

关键词

Keywords

references

ZHANG P H , GUO Y Y , ZENG L H , et al . Comparison of cleaning effects of two kinds of cleaning agents on microscopic instruments after intraocular silicone oil tamponade [J]. J Nurses Train , 2017 , 32 ( 5 ): 462 - 463 .

DONG A Y . Comparison of cleaning quality before and after centralized management of ophthalmic instruments [J]. Chin J Disinfect , 2014 , 31 ( 3 ): 282 - 283 .

WU M Q , HE D P , BAO J F . Comparison of cleaning effects of two different cleaning methods on ophthalmic microscopic instruments [J]. Chin J Disinfect , 2016 , 33 ( 3 ): 285 - 286 .

CHEN F , LI H . Comparison of cleaning effects of two different cleaning methods on ophthalmic microscopic instruments [J]. Mod Diagn Treat , 2017 , 28 ( 13 ): 2513 - 2514 .

LizCowperthwaiteBA , Rebecca L. HolmMSN , RN , CNOR . Guideline Implementation: Surgical Instrument Cleaning . AORN Journal , 2015 , 101 ( 5 ): 542 - 552 .

ZHAO J Q . Application of improved instrument cleaning procedure in management of ophthalmic surgical instruments [J]. J Nurses Train , 2013 , 28 ( 9 ): 784 - 786 .

WANG J , KANG S H , XIE Y H , et al . The role of ATP bioluminescence combined with quality management in monitoring and improving the manual cleaning effect of cryogenic instruments [J]. Nurs J Chin People’s Liberation Army , 2018 , 35 ( 2 ): 74 - 76 .

WANG S X , ZHAO J , XIA X . Cleaning methods improvement and cleaning effect evaluation of reused ophthalmic microsurgery instruments [J]. Chin J Gen Pract , 2018 , 16 ( 8 ): 1389 - 1391, 1402 .

Ministry of Health of the People’s Republic of China . Health industry standard of the People’s Republic of China [S]. Code of practice for cleaning and disinfection and sterilization techniques, 2016 .

Qing Zhang , Hao Huang etc . Technical operation guide for cleaning and disinfection and sterilization of ophthalmic instruments [M] Beijing Science and Technology Press , 2016 .

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