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IPPF Med Bull. 1991 Oct;25(5):1-2.

Consensus on infection prevention guidelines.



An expert meeting on infection prevention was held in Baltimore on June 8-11, 1991, to establish consensus guidelines on infection control at family planning service delivery sites. Present were representatives of the Johns Hopkins Program for International Education in Gynecology and Obstetrics (JHPIEGO), the WHO, IPPF, USAID and cooperating agencies. It was decided that instruments that penetrate the blood stream, such as needles, syringes, trocars and scalpels, should be sterile. High level disinfection (HLD), which kills everything except bacterial endospores, is satisfactory when sterilization is not available. HLD is the only way to disinfect a laparoscope, the endoscope of which cannot tolerate heat. The standard conditions for autoclaving instruments were set at 121 degrees Celsius (250 degrees Fahrenheit) of temperature, 15 lb/square inch (106 KPa) pressure, for 20 minutes for unwrapped, of 30 minutes for wrapped items. Sterilization by dry heat means 170 degrees Celsius for 1 hour, or 160 degrees Celsius for 2 hours, with added time for reaching temperature and cooling. Boiling is only acceptable as a method of HLD, not for sterilization. Boiling at a rolling boil for 20 minutes was recommended, with no correction for altitude. In the absence of an autoclave, surgical drapes are best prepared by ironing, since hanging them to dry would contaminate them after boiling.

[Indexed for MEDLINE]

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