|A misconception: different sterilizing technologies are interchangeable. They are not.|
In our non-hospital environment you can certainly give your clients the greatest confidence that the items in use are sterile.
Items should be cleaned, dried and placed into sealable sterilization pouches. Though air is a source of microbes to possibly contaminate items after washing and before bagging, even hospital air has been measured to contain an estimated load of only 128 microbes per cubic meter, so air is not of great concern unless you live in areas that have a heavy soil particle air count. Soils are the predominant source of spores.
require biological testing for the item and validation before the implant is considered
safe to use.
To be consistent with sterilization technology practiced medically, implantables would be held until biological sterility has been proven and only then released for use. In other words, an implant is not considered safe until it has been biologically tested, not merely run through a sterilization process: it must be Spore- Tested before use.
Sterilizing liquids are not a substitute for heat sterilization. Cold sterilization liquids were developed for the high level disinfection of medical equipment that cannot be heat sterilized without damage, such as camera lenses. They provide the highest level of disinfection currently possible for these instruments and are used, not from choice, but necessity. Liquid sterilants would not be used if the products they are designed for could withstand heat sterilization.
Their use is not acceptable practice for the items we use because more appropriate and suitable heat sterilization is available. The most widespread misconception is that different sterilizing technologies are interchangeable.
Evaluation of the suitability of the product and use of the most effective
sterilization technique is the cardinal rule.