Ácido peracético: alternativa a la esterilización de broncofibroscopios
Peracetic acid: an altemative to sterilization of fiberoptic bronchoscopes
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"apellidos" => "Arenas" ] 4 => array:2 [ "nombre" => "T." "apellidos" => "Elias" ] 5 => array:2 [ "nombre" => "E." "apellidos" => "Tabernero" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615306414?idApp=UINPBA00003Z" "url" => "/03002896/0000003300000003/v1_201506200427/S0300289615306414/v1_201506200427/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "Ácido peracético: alternativa a la esterilización de broncofibroscopios" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "133" "paginaFinal" => "135" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "J.I. Villate, J. Barrón, R. Zalacaín, M.I. Urcelay, J.M. Hernández, M. Argumedo" "autores" => array:6 [ 0 => array:3 [ "nombre" => "J.I." "apellidos" => "Villate" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "J." "apellidos" => "Barrón" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "R." "apellidos" => "Zalacaín" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">***</span>" "identificador" => "aff0015" ] ] ] 3 => array:3 [ "nombre" => "M.I." "apellidos" => "Urcelay" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] ] ] 4 => array:3 [ "nombre" => "J.M." "apellidos" => "Hernández" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] ] ] 5 => array:3 [ "nombre" => "M." "apellidos" => "Argumedo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Servicio de Medicina Preventiva. Vizcaya. Universidad del País Vasco" "etiqueta" => "*" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Microbiología. Vizcaya. Universidad del País Vasco" "etiqueta" => "**" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Servicio de Neumología. Hospital de Cruces. Cruces. Baracaldo" "etiqueta" => "***" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Correspondencia: Servicio de Medicina Preventiva. Hospital de Cruces. Cruces. Baracaldo. 48903 Vizcaya." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Peracetic acid: an altemative to sterilization of fiberoptic bronchoscopes" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1996-04-23" "fechaAceptado" => "1996-09-10" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec545606" "palabras" => array:2 [ 0 => "Ácido peracético" 1 => "Esterilización fibrobroncoscopios" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec545607" "palabras" => array:2 [ 0 => "Cleaning" 1 => "Sterilization of fiberoptic bronchoscopes" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se ha valorado el sistema de esterilización en frío con ácido peracético Steris<span class="elsevierStyleSup">®</span> a través de sucesivas contaminaciones de un broncofibroscopio (BF) con muestras de <span class="elsevierStyleItalic">Pseudomonas aeruginosa, Acinetobacter baumannii y Mycobacterium kansasii</span>.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">El BF se ha contaminado en 24 ocasiones, ocho por cada microorganismo, con muestras que contenían niveles superiores a 10<span class="elsevierStyleSup">8</span><span class="elsevierStyleHsp" style=""></span>ufc/ml. Tras la fijación de secreciones en el BF y lavado con jabón enzimático, se ha llevado a cabo la esterilización, tomándose muestras para cultivo después de la contaminación del BF, de la limpieza, al finalizar el proceso de esterilización y una hora después de finalizado el mismo.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">No se detectó crecimiento de microorganismos en ninguna de las muestras obtenidas después de la esterilización, ni a la hora de finalizado el proceso. Los datos microbiológicos demostraron la contaminación del BF tras la aspiración y fijación del inoculo. Los tests químicos y biológicos con esporas de <span class="elsevierStyleItalic">B. stearothermophilus</span>, propuestos por el fabricante, fueron correctos en todos los casos: 24 contaminaciones y 52 procesos de entrenamiento previos.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Debe resaltarse la eficacia del lavado con jabón enzimático previo a la esterilización. En 14 de las 24 muestras, el cultivo poslavado fue negativo y en siete la concentración de microorganismos fue menor de 500<span class="elsevierStyleHsp" style=""></span>ufc/ml, lo que ratifica la necesidad de un lavado correcto previo a cualquier proceso de desinfección o esterilización.</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">En conclusión, el sistema Steris<span class="elsevierStyleSup">®</span>, a base de ácido peracético, es una alternativa en relación a los sistemas de esterilización en frío y desinfección de alto nivel.</p></span>" ] "en" => array:1 [ "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The Steris<span class="elsevierStyleSup">®</span> system for cold sterilization with peracetic acid was evaluated by effecting a series of contaminations of a fiberoptic bronchoscope (FB) with specimens of <span class="elsevierStyleItalic">Pseudomonas aeruginosa, Acinetobacter baumanii and Mycobacterium kansasi</span>.</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The FB was contaminated 24 times, 8 times by each microorganism, using specimens containing more than 108<span class="elsevierStyleHsp" style=""></span>cfu/ml. After fixing the secretions on the FB and washing it with enzyme soap, the BF was sterilized. Specimens were taken for culturing after contamination of the FB, after washing, immediately after sterilization and 1 hour after sterilization.</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">No microorganism growth of any of the samples was detected either immediately after sterilization or one hour later. Microbiological data confirmed contamination of the FB after aspiration and fixation of the inoculate. Chemical and biological tests with <span class="elsevierStyleItalic">B. stearothermophilus</span> spores as specified by the manufacturer were correct in all cases: 24 contaminations and 52 processes of prior training.</p><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">The efficacy of washing with enzyme soap before sterilization stands out. In 14 of the 24 samples, culture was negative after washing and in 7 the concentration of microorganisms was less than 500<span class="elsevierStyleHsp" style=""></span>cfu/ml, which confirms the need for appropriate washing before any disinfection or sterilization process is begun.</p><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">In conclusion, the Steris system based on peracetic acid is an alternative to other systems for cold sterilization or high level disinfection.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:22 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 3 | 1 | 4 |
| 2024 October | 48 | 26 | 74 |
| 2024 September | 39 | 39 | 78 |
| 2024 August | 65 | 43 | 108 |
| 2024 July | 48 | 35 | 83 |
| 2024 June | 74 | 27 | 101 |
| 2024 May | 66 | 43 | 109 |
| 2024 April | 42 | 29 | 71 |
| 2024 March | 41 | 39 | 80 |
| 2024 February | 46 | 27 | 73 |
| 2024 January | 0 | 15 | 15 |
| 2023 December | 0 | 7 | 7 |
| 2023 November | 0 | 1 | 1 |
| 2023 October | 0 | 1 | 1 |
| 2023 September | 0 | 2 | 2 |
| 2023 August | 0 | 1 | 1 |
| 2023 July | 0 | 16 | 16 |
| 2023 June | 1 | 1 | 2 |
| 2023 May | 0 | 3 | 3 |
| 2023 April | 0 | 4 | 4 |
| 2023 March | 3 | 3 | 6 |
| 2023 February | 33 | 23 | 56 |
| 2023 January | 34 | 29 | 63 |
| 2022 December | 41 | 23 | 64 |
| 2022 November | 55 | 21 | 76 |
| 2022 October | 44 | 32 | 76 |
| 2022 September | 30 | 25 | 55 |
| 2022 August | 35 | 41 | 76 |
| 2022 July | 37 | 40 | 77 |
| 2022 June | 39 | 28 | 67 |
| 2022 May | 33 | 39 | 72 |
| 2022 April | 61 | 37 | 98 |
| 2022 March | 52 | 53 | 105 |
| 2022 February | 55 | 49 | 104 |
| 2022 January | 54 | 39 | 93 |
| 2021 December | 23 | 34 | 57 |
| 2021 November | 36 | 56 | 92 |
| 2021 October | 28 | 49 | 77 |
| 2021 September | 40 | 65 | 105 |
| 2021 August | 25 | 46 | 71 |
| 2021 July | 22 | 47 | 69 |
| 2021 June | 37 | 54 | 91 |
| 2021 May | 40 | 42 | 82 |
| 2021 April | 67 | 120 | 187 |
| 2021 March | 56 | 84 | 140 |
| 2021 February | 77 | 54 | 131 |
| 2021 January | 36 | 54 | 90 |
| 2020 December | 34 | 57 | 91 |
| 2020 November | 28 | 51 | 79 |
| 2020 October | 26 | 52 | 78 |
| 2020 September | 20 | 16 | 36 |
| 2020 August | 34 | 34 | 68 |
| 2020 July | 33 | 50 | 83 |
| 2020 June | 16 | 49 | 65 |
| 2020 May | 30 | 76 | 106 |
| 2020 April | 26 | 45 | 71 |
| 2020 March | 26 | 60 | 86 |
| 2020 February | 30 | 46 | 76 |
| 2020 January | 49 | 44 | 93 |
| 2019 December | 29 | 46 | 75 |
| 2019 November | 16 | 39 | 55 |
| 2019 October | 17 | 49 | 66 |
| 2019 September | 21 | 49 | 70 |
| 2019 August | 18 | 38 | 56 |
| 2019 July | 21 | 42 | 63 |
| 2019 June | 24 | 50 | 74 |
| 2019 May | 29 | 63 | 92 |
| 2019 April | 49 | 52 | 101 |
| 2019 March | 26 | 40 | 66 |
| 2019 February | 15 | 35 | 50 |
| 2019 January | 16 | 38 | 54 |
| 2018 December | 18 | 24 | 42 |
| 2018 November | 32 | 31 | 63 |
| 2018 October | 44 | 20 | 64 |
| 2018 September | 35 | 17 | 52 |
| 2018 May | 8 | 2 | 10 |
| 2018 April | 7 | 3 | 10 |
| 2018 March | 7 | 8 | 15 |
| 2018 February | 12 | 29 | 41 |
| 2018 January | 5 | 3 | 8 |
| 2017 December | 11 | 20 | 31 |
| 2017 November | 7 | 31 | 38 |
| 2017 October | 15 | 38 | 53 |
| 2017 September | 9 | 14 | 23 |
| 2017 August | 9 | 22 | 31 |
| 2017 July | 6 | 21 | 27 |
| 2017 June | 11 | 31 | 42 |
| 2017 May | 11 | 29 | 40 |
| 2017 April | 14 | 19 | 33 |
| 2017 March | 11 | 41 | 52 |
| 2017 February | 6 | 15 | 21 |
| 2017 January | 3 | 6 | 9 |
| 2016 December | 11 | 12 | 23 |
| 2016 November | 23 | 21 | 44 |
| 2016 October | 28 | 35 | 63 |
| 2016 September | 16 | 28 | 44 |
| 2016 August | 21 | 10 | 31 |
| 2016 July | 28 | 11 | 39 |
| 2016 June | 25 | 15 | 40 |
| 2016 May | 25 | 14 | 39 |
| 2016 April | 7 | 0 | 7 |
| 2016 March | 7 | 0 | 7 |
| 2016 February | 13 | 0 | 13 |
| 2016 January | 19 | 6 | 25 |
| 2015 December | 25 | 18 | 43 |
| 2015 November | 37 | 11 | 48 |
| 2015 October | 6 | 1 | 7 |
| 2015 September | 1 | 0 | 1 |
| 2015 June | 1 | 0 | 1 |
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