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4. Mycobacterium chimaera in heater–cooler units: new technical approach for treatment, cleaning and disinfection protocol

Author

Neva Pasqualini, Andrea Blasio, Matteo Moro, Francesco De Simone, Alessandro Aina, Ilaria Giambuzzi, Michele De Bonis, Ottavio Alfieri, Nicola Colangelo, Alessandro Castiglioni, Colangelo, Nicola, Giambuzzi, Ilaria, Moro, Matteo, Pasqualini, Neva, Aina, Alessandro, De Simone, Francesco, Blasio, Andrea, Alfieri, Ottavio, Castiglioni, Alessandro, and De Bonis, Michele

Subjects
Radiology, Nuclear Medicine and Imaging, heater-exchanger, 030204 cardiovascular system & hematology, Heating, 03 medical and health sciences, chemistry.chemical_compound, 0302 clinical medicine, heater-cooler unit, Peracetic acid, Medicine, Humans, Mycobacterium chimaera, Radiology, Nuclear Medicine and imaging, Closed circuit, Advanced and Specialized Nursing, Mycobacterium Infections, Waste management, business.industry, Operation room, General Medicine, Equipment Design, Contamination, cardiopulmonary bypa, Disinfection, 030228 respiratory system, chemistry, Aerosol dispersion, business, Cardiology and Cardiovascular Medicine, Safety Research, cardiac surgery
Abstract

Mycobacterium chimaera infections have mainly been associated with the heater-cooler unit (HCU) and, ultimately, linked to contaminated aerosols in the operation room. The contamination status of HCUs seems to be influenced by the maintenance, therefore, according to the manufacturer’s recommendations, peracetic acid (Puristeril) was introduced to increase HCU cleaning and disinfection protocol maintenance. Aerosol dispersion from Puristeril during maintenance can cause adverse effects to nearby workers. We aim to describe our technique to reduce the impact of Puristeril on operating room staff and to limit dispersion of its aerosol in the environment by performing the cleaning procedure through a closed circuit.

Published
2018

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