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The effective sterilisation of any material or device to be implanted in or used in close contact with the human body is essential for the elimination of harmful agents such as bacteria. Sterilisation of biomaterials and medical devices reviews established and commonly used technologies alongside new and emerging processes.Following an introduction to the key concepts and challenges involved in sterilisation, the sterilisation of biomaterials and medical devices using steam and dry heat, ionising radiation and ethylene oxide is reviewed. A range of non-traditional sterilisation techniques, such as hydrogen peroxide gas plasma, ozone and steam formaldehyde, is then discussed together with research in sterilisation and decontamination of surfaces by plasma discharges. Sterilisation techniques for polymers, drug-device products and tissue allografts are then reviewed, together with antimicrobial coatings for 'self-sterilisation' and the challenge presented by prions and endotoxins in the sterilisation of reusable medical devices. The book concludes with a discussion of future trends in the sterilisation of biomaterials and medical devices.With its distinguished editors and expert team of international contributors, Sterilisation of biomaterials and medical devices is an essential reference for all materials scientists, engineers and researchers within the medical devices industry. It also provides a thorough overview for academics and clinicians working in this area. - Reviews established and commonly used technologies alongside new and emerging processes - Introduces and reviews the key concepts and challenges involved in sterilisation - Discusses future trends in the sterilisation of biomaterials and medical devices
A clear, hands-on outline of best practices for infection prevention that directly improve patient outcomes across the healthcare continuum.
Prevention is the first line of defence in the fight against infection. As antibiotics and other antimicrobials encounter increasing reports of microbial resistance, the field of decontamination science is undergoing a major revival. A Practical Guide to Decontamination in Healthcare is a comprehensive training manual, providing practical guidance on all aspects of decontamination including: microbiology and infection control; regulations and standards; containment, transportation, handling, cleaning, disinfection and sterilization of patient used devices; surgical instrumentation; endoscopes; and quality management systems. Written by highly experienced professionals, A Practical Guide to Decontaminationin Healthcare comprises a systematic review of decontamination methods, with uses and advantages outlined for each. Up-to-date regulations, standards and guidelines are incorporated throughout, to better equip healthcare professionals with the information they need to meet the technical and operational challenges of medical decontamination. A Practical Guide to Decontaminationin Healthcare is an important new volume on state-of-the-art decontamination processes and a key reference source for all healthcare professionals working in infectious diseases, infection control/prevention and decontamination services.
Failure to adequately control any microbial challenge associated within process or product by robust sterilisation will result in a contaminated marketed product, with potential harm to the patient. Sterilisation is therefore of great importance to healthcare and the manufacturers of medical devices and pharmaceuticals. Sterility, sterilisation and sterility assurance for pharmaceuticals examines different means of rendering a product sterile by providing an overview of sterilisation methods including heat, radiation and filtration. The book outlines and discusses sterilisation technology and the biopharmaceutical manufacturing process, including aseptic filling, as well as aspects of the design of containers and packaging, as well as addressing the cleanroom environments in which products are prepared. Consisting of 18 chapters, the book comprehensively covers sterility, sterilisation and microorganisms; pyrogenicity and bacterial endotoxins; regulatory requirements and good manufacturing practices; and gamma radiation. Later chapters discuss e-beam; dry heat sterilisation; steam sterilisation; sterilisation by gas; vapour sterilisation; and sterile filtration, before final chapters analyse depyrogenation; cleanrooms; aseptic processing; media simulation; biological indicators; sterility testing; auditing; and new sterilisation techniques. - Covers the main sterilisation methods of physical removal, physical alteration and inactivation - Includes discussion of medical devices, aseptically filled products and terminally sterilised products - Describes bacterial, pyrogenic, and endotoxin risks to devices and products
The ways of sterilisation begin as far back as biblical and roman times, from early beginnings to standardization. Sterilisation evolution has gone through a series of trials and wizardry before it achieved the status of science. And even with a scientific approach, some of its modalities frequently has been referred to as an art (an imaginary focus), while most have achieved a certain scientific standardization. This book provides a drawbridge between history, terminology, environmental and fundamentals of sterilisation that beginners to sterilisation should recognize, but continues with advancements, which supervisors and managers should know and apply. So while providing historical and current sterilisation information, the book also provides interfacial areas with design practices, development, environmental control, material compatibility, microbiology, packaging, process selection, statistics, technical information and validation. This book consists of two volumes (Healthcare Sterilisation, Introduction and Standard Practices: Volume 1, and Healthcare Sterilisation, Challenging Practices: Volume 2). Volume 1 provides an introduction, and an overview of sterilisation on early and classical sterilisation principles such as absolutism and overkill, and steadfast and standard methods. It will help answer some healthcare sterilisation queries such as: what are the origins and evolution of sterilisation? How does environmental control and microbiology affect sterilisation? What are some of the classical as well as standard sterilisation methods? What are the most consistent and reliable sterilisation methods? Is sterilisation in your future? An ounce of prevention is worth a pound of cure. Without sterilisation, infectious disease and contamination would run rampant. Consequently, sterilisation has tremendous value and disease control, and this book provides a three dimensional view of it.
This book examines the relatively new social and medical phenomenon of women in the developed countries of the world choosing to remain childfree and electing for sterilization rather than continuing with other forms of contraception. Twenty-three voluntarily childfree, sterilized women, aged 22 to 51 years, tell their stories, revealing the struggles they faced in being women without children in a society which expects women to be mothers. They describe the many barriers encountered on the way to being sterilized, including prejudice from those around them as well as hostility and refusal from the medical profession. The women recall how their reasons and decisions were ignored or pathologized by doctors who held unquestioned assumptions about how women should be. Feminist and sociological perspectives are employed to highlight that voluntarily childfree women are perceived as abnormal, not "real" women, and are often the target of negative and critical comment.
"Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/
This Second Edition is a comprehensive resource on sterilization and disinfection of reusable instruments and medical devices
Sterilisation has always been challenging but sterilisation of healthcare products and polymers, especially together is an even greater challenge - how do you sterilise without adversely affecting the end use or the end user? This book discusses all the sterilisation methods used for polymeric healthcare products both traditional and new.