From Regulatory to Technical High-Level Disinfection of Surfaces: A Risk Approach

Adiela María Cort&eacut

Abstract

Cleaning, disinfection and High-level disinfection are essential steps that must be carried out under international parameters. These guidelines should be considered when talking about institutions providing health care, because having elements that have direct (instrumental) or indirect (surface) contact with the patient puts their safety and health at risk. Research has shown that 55% of the surfaces inside the health centers still be with the presence of microorganisms that can cause disease, the most common nosocomial infections within health centers are related to potential reservoirs, where opportunistic pathogens have the necessary conditions to grow and proliferate (organic matter), which is why, to avoid transmission of these pathogens, the chain must be interrupted. It has been proved that the cleaning must be carried out with enzymatic powder formulations, since these are more stable than their liquid counterparts, in the same way; it has been proved that disinfectants that have better microbicide action are those based on aldehydes and peroxygenated compounds