Disinfection and Sterilization in Health Care Facilities: An Overview and Current Issues

Infect Dis Clin North Am. 2021 Sep;35(3):575-607. doi: 10.1016/j.idc.2021.04.004.

Abstract

All invasive procedures involve contact by a medical device or surgical instrument with a patient's sterile tissue or mucous membranes. The level of disinfection is dependent on the intended use of the object: critical, semicritical, or noncritical. New issues and practices can affect the risk of infection associated with devices and surfaces. Endoscopes continue to represent a nosocomial hazard. The contaminated surface environment in hospital rooms is important in the transmission of health care-associated pathogens. Thoroughness of cleaning must be monitored and no-touch room decontamination technology should be. In general, emerging pathogens are susceptible to currently available disinfectants.

Keywords: Disinfectants; Disinfection; High-level disinfection; Room decontamination; Sterilization.

Publication types

  • Review

MeSH terms

  • Cross Infection / prevention & control*
  • Delivery of Health Care / organization & administration*
  • Disinfectants*
  • Disinfection / methods*
  • Endoscopes
  • Equipment Contamination / prevention & control*
  • Equipment and Supplies, Hospital
  • Hospitals
  • Humans
  • Sterilization / methods*
  • Temperature

Substances

  • Disinfectants