Provides an evidence base for the cleaning efficacy for a washer disinfector used in general dental practice.
Provides an evidence base that cheaper detergents can be as effective as more expensive detergent options used in general dental practice.
Sets out estimated cost savings using cheaper detergents and shorter wash cycle times without compromising patient safety.
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NHS Scotland. Sterile Services Provision Review Group: Survey of Decontamination in General Dental Practice. NHS Scotland, 2005. Available at http://www.gov.scot/Publications/2004/11/20093/45208 (accessed December 2017).
Bagg J, Smith A J, Hurrell D, McHugh S, Irvine G . Pre-sterilisation cleaning of re-usable instruments in general dental practice. Br Dent J 2007; 202: E22. 10.1038/bdj.2007.124.
Scottish Executive, Health Department. NHS HDL (2005). 1, Decontamination – Compliance in Primary Care. Scottish Executive, Health Department, 11 January 2005. Available at http://www.sehd.scot.nhs.uk/mels/HDL2005_01.pdf (accessed December 2017).
Taylor M. Letter to all General Dental Practitioners. Washer Disinfector. Scottish Government, Chief Dental Officer, Dentistry Division, 2012. Available at http://www.sehd.scot.nhs.uk/publications/DC20121019washer.pdf (accessed December 2017).
NHS Scotland. Scottish Health Technical Memorandum 2030 Part 1 Design considerations: Washer disinfectors. NHS Scotland, 2001. Available at http://www.hfs.scot.nhs.uk/publications/1479742425-SHTM%202030%20Part%201%20Ver2.pdf (accessed December 2017).
NHS Scotland. Scottish Health Technical Memorandum 2030 Part 2 Operational management: Washer Disinfectors. NHS Scotland, 2001. Available at http://www.hfs.scot.nhs.uk/publications/1479742539-SHTM%202030%20Part%202%20Ver2.pdf (accessed December 2017).
NHS Scotland. Scottish Health Technical Memorandum 2030 Part 3 Validation and verification: Washer disinfectors. NHS Scotland, 2001. Available at http://www.hfs.scot.nhs.uk/publications/1479742648-SHTM%202030%20Part%203%20Ver2.pdf (accessed December 2017).
Health Protection Scotland. Local Decontamination Units: Guidance on the requirements for equipment, facilities and management. Health Protection Scotland, 2007. Available at http://www.nhsggc.org.uk/media/221200/ldu.pdf (accessed August 2018).
Vassey M, Budge C, Jones P et al. A quantitative assessment of residual protein levels on dental instruments reprocessed by manual, ultrasonic and automated cleaning methods. Br Dent J 2001; 210: E14.
British Standards Institution. BS EN ISO 15883-1: 2006 Washer-disinfectors – Part 1: General requirements, terms and definitions and tests. London: British Standards Institution, 2006.
British Standards Institution. BS EN ISO 15883–2: 2006 Washer-disinfectors Part 2: Requirements and tests for washer-disinfectors employing thermal disinfection for surgical instruments, anaesthetic equipment, bowls, dishes, receivers, utensils, glassware, etc. London: British Standards Institution, 2006.
International Organization for Standardization. ISO/TS 15883–5: 2005 Washer-disinfectors – Part 5: Test soils and methods for demonstrating cleaning efficacy. Geneva: International Organization for Standardization, 2005.
Tessarolo F, Caola I, Fedel M et al. Different experimental protocols for decontamination affect the cleaning of medical devices. A preliminary electron microscopy analysis. J Hosp Infect 2007; 65: 326–333.
Nakata S, F.R, Hanamura R, Interference of blood with the disinfectant process before washing. Central Service, 2007; 15: 440–450.
Kamer M, Staffeldt R P . Investigating the cleaning performance and protein-fixing properties of manual instrument disinfectants declared by the manufacturer as having cleaning activity. Central Service 2011; 6: 437–438.
Ungurs M, Hesp J R, Poolman T et al. Quantitative measurement of the efficacy of protein removal by cleaning formulations; comparative evaluation of prion-directed cleaning chemistries. J Hosp Infect 2010; 74: 144–151.
Smith G W, McNeil J, Ramage G, Smith A J . In vitro evaluation of cleaning efficacy of detergents recommended for use on dental instruments. Am J Infect Control 2012; 40: e255–259.
Calvert G, Murray C A, Hurrell D, Smith A J . Availability of manufacturers' information on efficacy and compatibility of detergents used for cleaning dental instruments. Br Dent J 2012; 212: E16.
Advisory Committee on Dangerous Pathogens. Transmissible Spongiform Encephalopathy. Safe Working and the Prevention of Infection, Annex C: General principles of decontamination and waste disposal. London: The Stationery Office, 2015. Available at https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/427855/Annex_C_v3.0.pdf (accessed December 2017).
Commission on Hospital Hygiene and Infection Protection & Federal Institute for Drugs and Medical Devices (BfArM). Hygiene requirements for the reprocessing of medical devices. Recommendation of the Commission for Hospital Hygiene and Infection Prevention (KRINKO) at the Robert Koch Institute (RKI) and the Federal Institute for Drugs and Medical Devices (BfArM). Bundesgesundheitsbl 2012; 55: 1244–1310.
This study was funded by a grant from the Chief Dental Officer for Scotland (University of Glasgow Grant No. 168,007–1). The washer disinfector was loaned by W&H UK Ltd. The corresponding suppliers donated the commercially available detergents.
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Winter, S., McDonagh, G., Lappin, D. et al. Assessing the efficacy and cost of detergents used in a primary care automated washer disinfector. Br Dent J 225, 315–319 (2018). https://doi.org/10.1038/sj.bdj.2018.643
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