High Level Disinfection of Ultrasound Probes

What procedure will your probe be used for?

Applying the correct level of disinfection is based on the procedure the probe is going to be used for on the next patient.

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Why HLD?

1 in 25 patients will acquire an infection during a hospital stay¹.
Up to 70% of HAIs are preventable using existing infection prevention practices³.
12.9% of transducers are contaminated with pathogenic bacteria following routine disinfection⁵.
Up to 9% of barrier sheaths and condoms leak⁷.
Of the 1.7 million people infected in U.S. hospitals, 98,987 die⁴. As a result, there are more efforts around controlling and preventing HAIs than ever before - and the disinfection of ultrasound transducers can play a critical part in that.
Up to 7.5% of transvaginal ultrasound transducers were found to have HPV DNA, a known cause of cervical cancer, after low-level disinfection with wipes⁶.
One of the Top 5 non compliance findings by The Joint Commission is reducing risk of infections associated with medical devices or equipment⁸.

GE HLD Solutions

Guidelines & Recommendations

CDC
“ …because condoms/probe covers can fail, the [semi-critical ultrasound] probe also should be high level disinfected.” ⁹

AIUM
“ All internal transducers (e.g., vaginal, rectal, and transesophageal transducers) as well as intraoperative transducers require high level disinfection before they can be used on another patient.” “Because of the potential disruption of the barrier sheath, high level disinfection with chemical agents is necessary.” ¹⁰

FDA
“ Semi-critical devices…sterilize these devices between uses whenever feasible, but high level disinfection is minimallyn acceptable.”

AAMI
“ Semi-critical devices should be sterilized, if possible. However, if sterilization is not feasible, the, device, at a minimum, must be subjected to a high level disinfection process…” ¹¹

THE JOINT COMMISSION
“ Semi-critical devices that contact mucous membranes or non-intact skin should minimally undergo high level disinfection.” “ Store the device in a manner that will protect from damage or contamination and that is consistent with national guidelines and manufacturers’ recommendations such as hanging vertically in a cabinet and storing in a clean environment.” ¹²

AORN
“ …A new recommendation for high-level disinfection or sterilization of endocavity ultrasound probes highlights the risk for probe contamination with lower levels of disinfection, even when a sheath or cover is used. ” ¹³

Ultrasound Transducers

GE Healthcare Ultrasound transducers are designed for reliability and durability. By following recommended care and handling procedures, you can help maximize your transducer's performance and product life. This website provides a summary, please consult the basic system manual for further information

trophon EPR High Level Disinfection for Ultrasound Probes

1. Electronically accessed. https://www.cdc.gov/nchs/data/nvsr/nvsr61/nvsr61_04.pdf
2. Marchetti, A. and Rossiter, R. (2013). J Med Econ 2013 Dec;16(12):1399-404.
3. Scott RD. Atlanta: Centers for Disease Control and Prevention (2009).
4. Klevens, M et al., Estimating Health Care-Associated Infections and Deaths in U.S. Hospitals,. Public Health Rep. 122: 160-66, 2007 (2002 Data).
5. Leroy SJ. Hosp Infect 2013 83(2):99-106.
6. Ma S et al. Emerg Med J. 2013 30(6):472-5.
7. Vickery K et al. J Inf Pub Health 2013; in press.
8. Electronically accessed: thejointcommission.org. May 2014. Issue Two. Improperly sterilized or high-level disinfected equipment.
9. RutalaWA, Weber DJ, HICPAC. Guideline for Disinfection and Sterilization in Healthcare Facilities. USA: Centers for Disease Control; CDC 2008.
(https://www.cdc.gov/infectioncontrol/pdf/guidelines/disinfectionguidelines. pdf)
10. American Institute of Ultrasound in Medicine. Guidelines for cleaning and preparing external and internal-use ultrasound probes between patients. AIUM Official Statement.
Online at: http://www.aium.org/officialStatements/57. Accessed March 8, 2016.
11. http://www.aami.org/standards/index.aspx?navItemNumber=504.
12. Electronically accessed: Joint Commission Alert is Another Wake-Up Call for Awareness of Improper HLD or Sterilization.
http://www.infectioncontroltoday.com/articles/2014/08/joint-commission-alert-isa-another-wakeup-call-for-awareness-of-improper-hld-or-sterilization.aspx.
13. Association of periOperative Registered Nurses (AORN). In: Sharon A. Van Wicklin, editor. High-Level Disinfection. AORN Guidelines for periOperative Practice Online. Online:
AORN, Inc; 2018. p. I.HLD1-I.HLD24.

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