Scientific Programme

• Opening Session
  Moderators:
  Carlos Carreiras, Portugal - Mayor of Cascais
  Elaine Pina, Portugal - PNCI Coordinator
  Wim Renders, Belgium - WFHSS President
  Luisa Nogueira, Portugal - Chair of the Local Organizing Committee (ANES)
  • Wim Renders (Belgium):
    Welcome Speech
    [in English]
• Lecture
  Moderator: Elaine Pina (Portugal) PNCI Coordinator-National Infection Control Programme
  • Valeska Stempliuk (USA) Specialist in Infection Prevention and Control - PAHO/WHO:
    Sterilization - challenges in the 21st century!
    [in English; PDF File; ]
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    Abstract

    The quality and safety of the disinfection and sterilization processes varies a lot, despite the wide Access to scientific information and the opportunities for Professional improvement. Even when we just consider one country, the different hospitals of the different geographical regions are under unequal conditions, which means that it is difficult to follow the national and international recommendations on this topic. The human resources training, the incorporation of sterilization and disinfection technology and the cost of processes play a critical role in the maintenance or in the correction of such inequalities. This presentation’s objective is to discuss the reasons for the safety differences and the effectiveness of sterilization and disinfection practices, its consequences and the challenges to overcome them.
• Panel 1: Cleaning (I)
  Moderator: Luísa Nogueira (Portugal) President - ANES - Portuguese Association of Sterilization
  • Anke Carter (Germany) Consultant Health Care - MMM Group;
    Jurgen Gebel (Germany) Microbiologist - Institute for Hygiene and Public Health - Bonn University:
    Validation of manual cleaning and desinfection procedures
    [in English; PDF File; ]
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    Abstract

    Guideline for the standardized manual cleaning and chemical disinfection of medical devices- In August 2008 a working group comprising representatives of the German Society for Sterile Supply (DGSV), the German Society for Hospital Hygiene (DGKH ), and the instrument preparation working group (AKI) was founded to develop a guideline for the standardized manual cleaning and chemical disinfection (hereafter "Manual cleaning and disinfection") of medical devices. Based on the experience and results in the development of the "Guideline of DGKH, DGSV and AKI for the validation and routine control of the mechanical cleaning and thermal disinfection process for medical devices and principles of equipment selection" the following objectives were set:
    Provision of study materials for the creation of operator-specific work instructions for manual reprocessing of medical devices depending on the design and the classification of medical devices.
    Provision of methods and acceptance criteria to verify the operator-specific work instructions with regard to the results of the cleaning and disinfection as well as to detect chemical residues after the manual cleaning and chemical disinfection.
    
    At the start the performance and the success of previous working practices in Central Sterile Supply Departments (CSSD) for manual cleaning were verified in laboratory studies. In a practical field test, ten “Crile forceps” soiled as for use in the performance qualification (PQ) as part of the validation of automated cleaning and disinfection processes, were cleaned manually in nine CSSDs in accordance with the respective present work regulations in those departments. The performances differ in their implementation as well as using different cleaning agents and methods. With the insertion into an ultrasonic bath very good cleaning results with protein levels below 100 mg / specimen could be achieved by all trial participants. Without ultrasound a number of specimens of several panelists showed residual protein levels greater than 100 mg / specimen, with the highest value at 200 mg / test (W. Michels and K. Roth, Zentr Steril 2010; 18 (36-39).
    
    At the same time tests were carried out in the laboratory of the Institute for Hygiene and Public Health at the University of Bonn and in the test laboratory by Miele&Cie for the manual cleaning and disinfection of dissecting forceps and Crile forceps. Crile forceps were used to obtain comparability to the mechanical cleaning and thermal disinfection. The results of the various tests are presented in the lecture. It became clear that the current approach in clinical practice for manual cleaning and disinfection is often not sufficiently effective.
    
    The laboratory experiments were carried out using different approaches. Based on the results mentioned above first standardized steps to improve the cleaning and disinfection were developed. These steps were summarized in a standard operating procedure (SOP) and a second field test was conducted in various CSSD. Unlike in the first practical test, the same operating procedure was used in all departments. Variable parameters, such as the duration of individual process steps, brushes and cleaning agents used were documented by the operators. The expectation to improve the results significantly through standardization of individual steps without the use of ultrasound could not be fulfilled. The results were only slightly better than those in the first practice field test. The conclusion was that probably not all possible influencing factors for cleaning and disinfection had been considered even though the steps described in SOP were followed. The instructions have to be more precise.
    Essential for consistently high quality cleaning and disinfection is a sufficient contact between the cleaning and / or disinfectant solution to the pollution and the medical device. In case of instruments with a box joint, such as the Crile forceps, a "mechanical" support, such as opening and closing of the forceps during cleaning, using an ultrasonic bath and/or brushing is required. Other technical factors that influence the outcome of manual cleaning and disinfection are:
    - water quality
    - cleaning agents: the type and concentration
    - disinfectant: type, concentration and reaction time
    - design of instruments / medical devices
    - type, quantity, dryness of the contamination on the instruments
    - type of aids used for the procedure, for example
                 -  brushes
                 - water and compressed air
                 - ultrasound
    
    Since these factors are not the same in each CSSD there won’t be any "finished" work instructions for manual cleaning and disinfection in the guideline. Instead flow charts will be provided, which can be used in CSSDs to develop specific SOPs for their instruments.
    
    The guideline is also dealing with Medical Devices of the category "critical B". The German RKI / BfArM recommendation states that in principle, instruments in this category must be cleaned mechanically and thermally disinfected in a washer/disinfector. Only in justified exceptions, and having undertaken a risk analysis and assessment, manual cleaning and disinfection of an instrument classified into the group “critical B” is an option.
    
    Three examples of flow charts for manual cleaning and disinfection of different instrument groups according to their risk classification following the RKI / BfArM recommendation have been created. These are sample charts for:
    - a critical instrument of group A > (Volkmann) sharp spoon
    - a critical instrument of group B with joint, but without the hollow tube > Crile forceps
    - a critical instrument of group B with joint and hollow tube > arthroscopy trocar
    
    Currently, these flow charts are presented as a draft and tests have been carried out in the laboratory. The results will be provided in the lecture.
    
    If instruments are cleaned and disinfected manually using a standardized procedure, all steps carried out have to be documented. The success of the procedures has to be verified. Methods for verification are currently being developed within the group. This work will take some time; therefore, the publication of the guideline is currently not useful. The working group plans to publish the guideline at the earliest next year (2012). Current state of work is as follows:
    - legal and normative foundations are extensively worked out (nearly finished)
    - requirements for standardization are extensively worked out (nearly finished)
    - Three flow charts depending on the design and the classification of medical devices are finished. Work on verification has been started
    - Recommendations for Checking in view of the flow charts
               - cleaning - in preparation
               - disinfection - in preparation
               - residual chemicals-determination - in preparation
    
    The development of the guideline could not be done without the support of the staff in CSSDs and laboratories who performed all practical and/or laboratory tests. Therefore, the members of the working group would like to thank all those very much who have supported the work over the past three years.
  • Robert Mettin (Germany) Permanent Reseacher - Georg-August-University Goettingen:
    Cleaning with ultrasound: The secret life of bubbles
    [in English; PDF File; ]
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    Abstract

    The cleaning agents in ultrasonic cleaners are actually bubbles that emerge at sufficiently high ultrasonic intensity (acoustic cavitation). In the presentation, fundamentals of acoustic cavitation are proposed (e.g. ultrasonic fields, cavitation bubble dynamics, sonoluminescence), and applications are highlighted (e.g. sonochemistry and cleaning).
• Panel 2: Cleaning (II)
  Moderator: Isabel Malta (Portugal) Director of the Central Sterile Supply Department - Portuguese Oncology Institute, Porto
  • Diana Bijl (The Netherlands) Expert Sterile Medical Devices - Diana Bijl Consultancy:
    New insights in cleaning of highly complex minimal invasive surgery
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    Abstract

    Twenty 20 years ago minimal invasive surgery (MIS) was widely introduced as a new operating technique in the operating theatre. Less operative trauma, reduced post-operative pain, less incidence of wound infections and shorter hospital stay, thus resulting in earlier return to normal life and productive work are the advantages. For these reasons, minimally invasive surgery has emerged as a highly competitive new sub-specialty within various fields of surgery. Special medical equipment may be used, such as fiber optic cables, miniature video cameras and special surgical instruments handled via tubes inserted into the body through small openings in its surface. The process of minimally invasive surgery has augmented the development of highly complex instruments with lumens, joints, cables and bending tips. The restricted vision, the difficulty in handling of the instruments (new hand-eye coordination skills are needed), the lack of tactile perception and the limited working area are factors which add to the technical complexity of this surgical approach. The comfort of the surgeon is a big issue in designing the instruments but less attention is paid to the fact that after the operation the instruments has to be cleaned and sterilized in a proper way.
    
    So these instruments are a real challenge not only for the Central Sterile Supply Department (CSSD) but also for the manufacturers of washer disinfectors and detergents. Because by the urgent request of the CSSD’s, manufacturers of washer disinfectors but also suppliers of detergents did a lot of investigations to the cleaning efficiency of the processes on the CSSD and modified the machines and processes, sometimes in cooperation with the manufacturer of the instruments.
    
    In this lecture I will show the attendees the results of the studies and investigations and I will talk about new insights in the cleaning of these highly instruments like the relevance of the flow in the tubes, the choice of the detergent and the relevance of a manual pre-cleaning.
  • Christine Denis (France) Chief Pharmacist CSSD - CHRU ( University/regional hospital) of Lille:
    Are the cleaners safe for medical devices? Story of an unfortunate experience
    [in English; PDF File; ]
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    Abstract

    In washer disinfectors we use a large range of detergents, disinfectants and final rinse aids/lubricants. A case of depolymerisation of polyoxymethyl (component of a lot of instruments in loan orthopaedic trays) brought about by cleaners led us to a lot of questions:
    Are these cleaners safe for medical devices?
    Are they laboratory-tested on all types of medical devices before launching?
    At the opposite, do medical devices’ providers test their instruments in all kinds of cleaning situations?
    Do they produce precise enough instructions about recommended cleaners?
    
    All the questions have to be asked and the answers are not so patent….
• Panel 3: Traceability
  Moderator: Duygu Percin (Turkey) Associate Professor - Department of Microbiology - University Faculty of Medicine Kayseri
  • Cristina Rato (Portugal) Nursing Officer of the Central Support Steril Devices - Hospital da Luz:
    Medical device tracking - Myth or reality
    [in Portuguese; PDF File; ]
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    Abstract

    With the advent of the computer and today´s tracking technologies, there are some possibilities to solve the issues of the management of a CSSD. There are systems capable of monitoring the instruments, the processing cycle including the provision of cleaning and assembly instructions as well as the sterilization and biological monitoring systems. Instrument sets can be tracked through the entire cycle, and the information can be tied to specific instruments sets to keep everyone informed regarding the instruments or set status. Instruments orders and repairs can be entered into the overall system and tracked through the procurement cycle. This information obtained through this system will allow materials management to standardize products and vendors. This is one of the most important portions of the instrument tracking system. The sterile processing management should have the ability to utilize the system for training and quality control purposes. Sets and individual instruments can be traced to an individual employee. This will provide sterile processing management with the ability to take corrective action and to review the productivity of the CSSD as well as individual employees.
  • Christophe Lambert (France) President - French Association of Sterilisation:
    Individual traceability of surgical instruments: guide of application
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    Abstract

    Within the framework of the sterilisation of the sterile medical devices, the requirement of traceability is inseparable of the system of quality assurance. However this traceability of products and processes applies only to the packaging and ever to the instrument. And nevertheless, it is well this last one who is used in the contact with the patient!
    In an internal study, the author and his co-workers showed that during the reprocessing of one caesarian composition, about 15 % of instruments were replaced at each reorganization.
    Different French experimental sites investigated these solutions and grouped together at the initiative of the French association of Sterilisation to share their experiences. The coordinator of the group presents the various solutions applicable in establishments of health. The guidelines for the implementation of an individual traceability of surgical instruments is available on www. afs.asso.fr
• Panel 4: International practices
  Moderator: Amália Espada (Portugal) Responsible for CSSD - Hospital do Espírito Santo de Évora, E.P.E.
  • Ana Paula Coutinho (Denmark) Technical Officer - Infection Prevention and Control, Alert and Response Operations, Division of Communicable Diseases, Health Security & Environment - World Health Organization - Regional Office for Europe:
    Sterilization with limited resources, what is essential?
    [in Portuguese; PDF File; ]
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    Abstract

    Infection Control Specialist with 10 years of experience in outbreak response and disaster management in Europe, Africa and Middle East. Solid background on communicable diseases and hospital epidemiology. Assisting countries facing public health events of national or international concern by ensuring rapid appropriate technical support on site or remotely. Assisting national outbreak preparedness initiatives by advising on the implementation of control and preventive measures for containment of epidemic threats.
  • Gillian Sills (United Kingdom) Director of Education:
    Global warning - what next?
    [in English; PDF File; ]
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    Abstract

    This presentation will give an overview of the international situation in relation to the current concerns of practitioners employed in decontamination scientific services. It will highlight the differences in standards and practices and offer some potential solutions to the world’s pressing need for patient safety and positive outcomes.
  • Tillo Miorini (Austria) President - Austrian Society for Sterile Supply:
    The RUMED concept - a new WFHSS guideline
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    Abstract

    In Austria, the Medical Devices Act stipulates in it´s ordinance to come that there are different categories of Reprocessing Units for Medical Devices. Why that? Why not talking of CSSD´s? That’s very easy to explain:
    1) Not all of the units, that are reprocessing medical devices are centralized (e.g. departments for endoscopy, anesthesia, ICU, but as well doctor´s offices, rehabilitation centres, or homes for the elderly do not have CSSDs)
    2) Not all of the units perform sterilization (e.g. departments for endoscopy, anesthesia)
    
    Because not all of the given requirements are applicable for the different facilities there was a need to classify them in 3 categories dependent on the risk connected with the use of the medical devices as well as the risk involved in reprocessing them. Due to the fact that the ordinance is still in waiting position the Austrian Society for Sterile Supply (ÖGSV) decided to make a guideline out of it (with the authorization of the Ministry of Health). A part of this guideline is the RUMED concept, which was adopted (and adapted) by the education/guideline group of the WFHSS.
    
    The question, which RUMED belongs to which category depends on the risk group, as defined by the Robert-Koch-Institute (RKI).
    
    RUMED Category I is allowed to reprocess MDs of the risk group “non-critical”,” semicritical A” and “critical A”.
    RUMED Category II additionally may reprocess “semicritical B” and
    RUMED Category III (which is comparable with a CSSD) of course can reprocess all of them.
    
    The three categories have to meet different requirements concerning Quality assurance, Structural requirements, Staff qualifications and Technical equipment. Part of the RUMED concept is as well the “Concept for continuing professional development courses”, which will be introduced during the lecture.
    
    Mag. Dr. Tillo Miorini
    President of the Austrian Society for Sterile Supply
• Panel 5: Environmental factors
  Moderator: Judite Neves (Portugal) Director of the Health Products Directorate - INFARMED - National Authority of Medicines and Health Products, I.P.
  • Manuela Cano (Portugal) Responsible for Air Quality Laboratory at the Air and Occupational Health Unit, Environmental Health Department - National Institute of Health Dr. Ricardo Jorge (INSA):
    Environmental control
    [in English; PDF File; ]
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    Abstract

    Maria Manuela Cano has a MSc in Toxicology by the University of Birmingham, is graduated in Biochemistry by the University of Coimbra, she is a member of the technical staff of the Environmental Health Department of the National Institute of Health Dr. Ricardo Jorge since 1994, being at the moment responsible by the Air Quality Laboratory at the Air and Occupational Health Unit.
    Her work experience is related with the monitoring of indoor air quality with the identification of potential sources of contamination and recommendation of better practices in order to correct abnormal situations, being also involved in the monitoring of occupational exposure to biological agents.
    She was invited as a lecturer in several post-graduate courses, namely on Occupational Health, Qualified Experts on Indoor Air Quality and Biological Risks in Workplaces. She participates in some technical committees of standardization and working groups on Indoor air Quality and Exposure to Biological Agents. She has published some papers and technical booklets.
  • Gisela Cristina Mendes (Portugal) Technical Director and Quality Assurance Manager - Bastos Viegas:
    Meeting the challenges of medical device packaging
    [in English; PDF File; ]
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    Abstract

    The relevance and importance of the packaging and sterilisation activities for the safety of the patient is unquestionable. The sterile packaging systems for medical devices need to ensure the sterility of their contents until opened for use and ensure aseptic presentation. In parallel with sterile packaging system itself, the device characteristics, the type of protective packaging (if applicable), and the transport and storage systems will all play a role in challenging its attributes.
    
    Each facility should evaluate the performance of each sterile barrier system or packaging system in order to ensure that conditions for sterilization, storage, and handling can be met. The ISO 11607-1:2006 sets the requirements for materials, sterile barrier systems, and packaging systems, including the qualification of the packaging system design and evaluation of that design and ISO 1607-2:2006 sets requirements for packaging process validation. The scopes of both of these standards apply to health care facilities and wherever medical devices are packaged and sterilized.
    
    The presentation will focus and provide guidance on interpreting the ISO 11607 to heath care facilities. A brief overview of the more common test methods and the rationale behind their applicability is described and guidance for conformance to ISO 11607-1 and on conformance to ISO 11607-2 is explored. Moreover, the works also highlights potential materials for use in a given application and focuses on the three common choices and main types of sterile barrier systems, which are (1) sealable pouches and reels, called preformed sterile barrier systems (PSBS), (2) sterilization wrap and (3) rigid reusable container. The validation requirements for forming sealing and assembly processes are detailed and emphasis is given to the design and validation of the packaging process during installation qualification (IQ), operational qualification (OQ) and performance qualification (PQ) of the (1) (heat) sealing process for PSBS, (2) wrapping process, (3) container process and through handling, distribution and storage.
  • Terry McAuley (Australia) Sterilisation and Infection Control Consultant:
    Specifications for temperature and humidity in sterile storage environments - Where's the evidence?
    [in English; PDF File; ]
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    Abstract

    Australia is a large country with diverse climactic conditions. Maintenance of the temperature and humidity in sterile storage environments poses particular challenges. Recent episodes of extreme climatic conditions highlighted that some air conditioning systems were unable to maintain specified requirements, with many Sterilising Department Managers facing the dilemma of having to discard single use sterile medical devices and reprocess in-house produced instruments and sets. This presentation will answer the following commonly asked questions:
    - Why is maintenance of temperature and humidity conditions important for maintenance of sterility?
    - Is there a real risk of contamination of sterile items when storage conditions exceed specified requirements?
    - How do I manage in situations where temperature and/or humidity are noted to be outside acceptable limits?
• Panel 6: Advanced technologies
  Moderator: Valeska Stempliuk (USA) Specialist in Infection Prevention and Control - PAHO/WHO
  • Hervé Ney (Switzerland) Head Manager of the CSSD - University Hospitals of Geneva:
    Once upon a time in a lumen after washing process
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    Abstract

    "Only well cleaned devices can be well sterilized: an old rule taught, professed, repeated in the training course and in sterile supply department! Mr J. Huys wrote on page 81 of the French version of the book "Steam sterilization of medical devices " that cleaning is regarded as the most important step in reprocessing of sterile products. Sterilization has its definition as SAL: Sterility Assurance Level. How to target a CAL: Cleanliness Assurance Level? Of course, many industrial laboratories offer tests for the detection of residual, qualitative or quantitative protein, and equipment are deemed more efficient with the ultrasound to irrigation devices or specific conveyors in the washer-disinfectors. Surgical instrumentation is more complex, and the standardization of procedures and protocols for cleaning in sterilization services leads to repetitive supported, sometimes without taking the time to consider the relevance of such application. Hollow medical devices with lumen are interesting from this point of view: the hollow body is more difficult to clean. Are our procedures effective? We wanted to make a qualitative observation. The STF Test Soil ® stain was used on different needles and instruments to hollow body lengths and different diameters. Manual cleaning with a brush, assistance of a Steamer ® steam cleaner or not, apparatus with irrigation or non-ultrasound, and cleaning in washer-desinfectors with adapters have been observed. We realized that macroscopic and microscopic examinations, with optical assistance to observe the interior of the instruments, allow to account for the level of efficacy of different methods. Many questions appeared:
    - Is it possible to ensure the effectiveness of the cleaning for all medical devices?
    - Should we not mandate the pre-disinfection at the point of use to ensure effective cleaning for CSSD?
    - Each takes into account the peculiarity of medical devices, beyond the approaches of standardization of protocols?
    - Is there a variety of medical devices, the same as for patients?
    Then, between lights and shadows, about what Dominique Goullet mentions in the magazine of Zentral sterilisation 2/2009, how can we talk about cleaning medical devices without being able to define it in advance?
  • Alberto Bertucco (Italy) Full Professor of Chemical Engineering - University of Padua:
    Developing new sterilization methods of medical devices by supercritical fluids
    [in English; PDF File; ]
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    Abstract

    The aim of this presentation is to show how fluids at a supercritical state, i.e. above their critical temperature and pressure, may be exploited to achieve pasteurization and sterilization of substrates and materials in general, and specifically of biomedical devices. A short introduction will provide essential information about supercritical fluids (SFs) and their relevant properties, their potential in the field of hospital sterile supply, including advantages and disadvantages of SF-based techniques. Secondly, the ability of SF to decrease and/or annul microbiological activity of both vegetative and latent forms will be addressed, and deactivation mechanisms will be briefly discussed. The attention will then be focused to potential applications of SFs for the effective treatment of biomedical devices in view of their reuse, and the case of cardiac interventional catheters will be discussed with details. The presentation will be closed by some concluding and outlook remarks.
• Panel 7: Training, psycho-social and other risks
  Moderator: Maria Glória Aboim (Portugal) Vice-president - ANES - Portuguese Association of Sterilization
  • Caroline Conneely (Ireland) Central Decontamination Unit Manager - Children's University Hospital:
    Standards are the instruments to manage risk and quality in the CSSD
    [in English; PDF File; ]
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    Abstract

    Implementation of Quality Management Systems specific to medical devices i.e. ISO 13485:2003 and registration to the Medical Device Directive 93/42 EEC requires application of risk management processes which are compliant to ISO 14971:2009 (Application of Risk Management to Medical Devices). This process ensures safe effective management of decontamination risks to patient safety.
    
    This presentation identifies universal patient safety risks responsible for healthcare adverse events and identifies the impact they have on the patient outcomes. Implementing quality management systems specific to medical devices ensures the Decontamination Unit identifies all risks relating to their processes and minimises the occurrence of adverse events.
    
    The Childrens University Hospitals journey to implementing a QMS which was externally validated by a Notified Body in 2009 presented a steep learning curve to the organisation. The presentation discusses the benefits for the Decontamination Unit and the service users in terms of providing quality assurance and optimizing patient safety. Further benefits include utilising the essential elements of the QMS throughout the organisation with positive risk management results.
  • Marisa Salanova (Spain) Full Professor on Social Psychology - University Jaume I, Castellón:
    Psycho-social risks in closed environments
    [in English; PDF File; ]
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    Abstract

    The presentation will cover the basic psychosocial risks at work especially related with hospital work and closed environments. First it starts with a definition of job stress and why it happens. Stress is due a misfit between job demands and job and personal resources and then it has consequences such as burnout, anxiety, depression and mobbing among others. High overload and poor social relationships, lack of autonomy, role conflict, poor supervision and role ambiguity among others, are the main stressors at work. Of course, personal and team resources such as efficacy beliefs, optimism, and emotional inteligence are the main “buffers” of job stress as well. Results from recent research concerning psychosocial risks at work are shown. The application of these results to hospital sterilization areas and their implications will be discussed basically how to prevent job stress at work.
  • João Leite (Portugal) Psychologist:
    How to improve the training methodologies to be more efficient
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    Abstract

    There is no doubt about the value of training!
    However, this is one of the activities that is always getting cut down in any service.
    Why?
    Most of them comes from within. From those designing it, from those who give the training, from its own lack of productivity.
    In this presentation, we shall highlight the reason why training is given, its engineering and the requirements we should all place in its execution.
    Using the andragogy model as the starting point we are going to identify and dismantle some ready made ideas that have contributed for the on-the-job training devaluation...despite the fact that everyone keeps referring that... there is no doubt about the value of training!
• Panel 8: Airborne microbial contamination risks
  Moderator: Birte Oskarsson (Sweden) Vice President - WFHSS - World Forum for Hospital Sterile Supply
  • Berit Reinmüller (Sweden) Docent of Energy and Environment Building Services Engineering - Chalmers University of Technology;
    Bengt Ljungqvist (Sweden) Professor of Energy and Environment Building Services Engineering - Chalmers University of Technology:
    Ventilation and airborne contamination
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    Abstract

    A short introduction to ventilation and airborne contamination is given and some technical terms are explained such as differences between air volume flows and air change rates. The simpliest mathematical model to express the relation between concentration and airborne contaminants and air volume flows is the dilution principle. This relation will be discussed and information given when it is appropriate to use. Comments to some “historical thruths” regarding dispersion of airborne microbial contamination in hospitals will be discussed.
  • Berit Reinmüller (Sweden) Docent of Energy and Environment Building Services Engineering - Chalmers University of Technology:
    Clothing systems used in operating rooms and in clean areas
    [in English; PDF File; ]
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    Abstract

    Different types of clothing systems will be discussed, where results from laboratory tests and from ongoing operations will be presented. The laboratory tests have shown that the number of washing cycles affects the filtration efficiency of the clothing system. Results from ongoing surgery show that the filtration efficiency is better for tight polyester materials than those of mixed materials (cotton/polyester).. The role of clothing quality, comfort, microbiological cleanliness and patient safety will be discussed and illustrated. To achieve low concentrations of microbiological contaminants in the air for operating rooms, for central sterile supply departments and for decentralized sterilization facilities.
  • Bengt Ljungqvist (Sweden) Professor of Energy and Environment Building Services Engineering - Chalmers University of Technology:
    Air movements and dispersion of contaminants
    [in English; PDF File; ]
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    Abstract

    The presentation will cover the basic properties of dispersion of airborne contaminants such as diffusion, convective transport and gravitation and furthermore accumulation of contaminants in wakes and vortices.. Airborne contaminants can be transported from one room to another due to e.g., temperature differences between rooms. This can occur during door openings and some examples will be given. Furthermore during unloading of autoclaves entrainment of room air can occur and create contamination risks. Results from recent research concerning potential contamination risks in pharmaceutical industry are shown. The application of these results to sterile supply areas and their implications will be discussed.

Scientific Programme

• Opening Ceremony
  • Wim Renders (Belgium):
    Welcome Speech
    [in English]
  • Antonio Tadeu Fernandes (Brazil):
    The importance of materials processing in hospital infection control
    [in Portuguese; PDF File; ]
• Session 1
  • Thomas K. "Chip" Moore (United States):
    Your Sterilizer is not your Father's Water Heater - It's a Class II Medical Device
    [in English; PDF File; ]
  • Yaffa Raz (Israel):
    Queuing and Chaos Theories Application in CSSD
    [in English; PDF File; ]
• Session 2
  • Professor L'Hocine Yahia (Canada):
    The Effects of Steam Sterilization on Stainless Steel Instruments
    [in English; PDF File; ]
  • Dr. Michelle J. Alfa (Canada):
    Reprocessing of Implants: What are the Issues?
    [in English; PDF File; ]
  • Hartmut Dunkelberg, Ulrich Schmelz (Germany):
    Determination of the efficacy of sterile barrier systems against microbial challenges during transport and storage
    [in English; PDF File; ]
• Session 3
  • Wayne Spencer (United Kingdom):
    Outsourcing Decontamination Services - An English Experience
    [in English; PDF File; ]
  • Silma Pinheiro (Brazil):
    Quality Indicators in the CMS
    [in Portuguese; PDF File; ]
• Session 4
  • Jean-Marc Legentil (Canada):
    The Toyota/Lean Approach Applied to Health Care
    [in English; PDF File; ]
• Session 5
  • Magda Diab Elschahawi, Alexander Blacky (Austria):
    Challenging the STERRAD 100NX Sterilizer under experimental "clean" and "dirty" conditions
    [in English; PDF File; ]
  • Lisa Huber (United States):
    Challenges in the US approach to Disinfection and Sterilization
    [in English; PDF File; ]
• Session 6
  • Niels Buchrieser, Tillo Miorini (Austria):
    Comparative Study upon Cleaning Indicators for Washer-disinfectors for Flexible Endoscopes and Routine Control after Maintenance and Repair
    [in English; PDF File; ]
  • Peter de Haas (The Netherlands):
    Central Processing of Flexible Endoscopes
    [in English; PDF File; ]
• Session 7
  • Georg Spaun (Austria):
    Disinfection of Surgical Procedures Undertaken with the NOTES Technique (Natural Orifice Translumenal Endoscopic Surgery)
    [in English; PDF File; ]
• Session 8
  • Robson R. Dias (Brazil):
    The Quality of Water - How Should One Choose the Best Water Treatment
    [in Portuguese; PDF File; ]
  • Jeane Aparecida Gonzalez Bronzatti (Brazil):
    Ergonomics in the CMS
    [in Portuguese; PDF File; ]
• Session 9
  • Janaína Anchieta Costa (Brazil):
    Nursing Activities at the CSSD: Subsidies to Evaluate the Personnel
    [in Portuguese; PDF File; ]

Scientific Programme

• Opening Ceremony
  Moderator: Konstantinos Mintzaridis
  • Wim Renders (WFHSS President):
    Welcome Speech
• Lecture
  Topic: Sterilization: Light and Shadow
  Moderators: Aphroditi Faitatzidou, Wim Renders
  • Dominique Goullet (France):
    Sterilization: Light and Shadow
    [PDF File; ]
• Lecture
  Topic: Guidelines for the use of disinfectants in hospital settings
  Moderators: Aphroditi Faitatzidou, Wim Renders
  • Eleni Tomprou (Greece):
    Guidelines for the use of disinfectants in hospital settings
    [PDF File; ]
• Session 1
  Topic: Cleaning
  Moderator: Duygu Percin
  • Michelle Alfa (Canada):
    Automated medical instrument washers: To clean or NOT to clean?
    [PDF File; ]
  • Tillo Miorini, Viola Buchrieser (Austria):
    Test soils, cleaning indicators and protein residual tests in comparison
    [PDF File; ]
  Information related to this lecture / presentation:
  • Martin Pfeifer (Pereg GmbH, Germany):
    Remarks on: "Test soils, cleaning indicators and protein residual tests in comparison"
    [PDF File; ]
• Session 2
  Topic: Control of Instruments
  Moderator: Pia Hilsberg
  • Bill Keevil (United Kingdom):
    Microscope assessment of surgical instrument cleanliness
    [PDF File; ]
  • Frédy Cavin (Switzerland):
    Establishment of a systematic monitoring for electrosurgery instruments in laparoscopy
    [PDF File; ]
• Lecture
  Topic: Sterilization Programs, Air Removal and Steam Penetration
  Moderator: Christina Tsikli
  • Peter Hooper (United Kingdom):
    Sterilization Programs, Air Removal and Steam Penetration
    [PDF File; ]
• Oral Presentations
  Moderator: Oonagh Ryan
  • François Kramp (France):
    Purchase a Heat Sealer - The right test for the right choice
    [PDF File; ]
  • Anu Tammemäe (Estonia):
    CSSD Technicians Practical Training Course
    [PDF File; ]
  • Costas Delezos (Greece):
    Side Effects to the Hospital Employees During the Use of Disinfectants and Antiseptics in the Central Sterilization Service Departments
    [PDF File; ]
  • Tomozo Yamamoto, Ryo Fushimi, Yushi Uetera, Kazuhisa Matsuda, Yutaka Shimazaki, Toshiaki Matsuyama, Ken Sakai, Yoji Harada, Masatake Shimizu, Ken Okubo, Hiroyoshi Kobayashi (Japan):
    Investigation about Log Reduction of Blood Contamination by Washer-Disinfectors
    [PDF File; ]
• Plenary Session
  Moderator: Emmanouil N. Velonakis
  • Emmanouil Papadogiannakis (Greece):
    Prion inactivation
    [PDF File; ]
  • Samuel Tat Hong Law (Hong Kong):
    Risk Management on Reuse Single Use Medical Device (SUD)
    [PDF File; ]
  • Heike Martiny, Simonis Anette (Germany):
    Reprocessing of dental instruments and angle handpieces
    [PDF File; ]
• Session 3
  Topic: Low Temperature Sterilization Methods
  Moderator: Birte Oskarsson
  • Gisela Cristina Mendes (Portugal):
    Modelling the inactivation of Bacillus subtilis spores by ethylene oxide processing
    [PDF File; ]
  • Francesco Tessarolo (Italy):
    Pyrogenic Risk in Reusing SUDs: Efficiency of Plasma Sterilization in Removing Endotoxins from Electrophysiology Catheters
    [PDF File; ]
  • Keiji Kanemitsu (Japan):
    Basic study and clinical application for LTSF (Low Temperature Sterilization Formaldehyde)
    [PDF File; ]
• Session 4
  Topic: Personnel Selection
  Moderator: Wim Renders
  • Els Vanhoven, Valerie Coussement (Belgium):
    From cleaning person to sterilization assistant: a talent management approach
    [PDF File; ]
  Information related to this lecture / presentation:
  • Els Vanhoven (Belgium):
    From cleaning person to sterilization assistant: a talent management approach
    Training Programme: Basic GrowthPath for new members of staff
    [PDF File; ]
  • Goedele Baekelandt (Belgium):
    Wanted: Professional education for heterogeneous group of CSSD staff: Yes, we can!
    [PDF File; ]
• Session 5
  Topic: Endoscope Reprocessing
  Moderator: Christine Denis
  • Pia Hilsberg (Denmark):
    Reusable Medical Equipment Reprocessed in a CSSD - Shelf life times
    [PDF File; ]
  • Tillo Miorini, Viola Buchrieser (Austria):
    Testing, Validation and Routine Control in Processing of flexible Endoscopes in Austria
    [PDF File; ]
• Plenary Session
  Moderator: Ioannis Koutelekos
  • Olivier Willième (Belgium):
    Surgical and Central Sterile Supplies Department: How to challenge a win/win approach?
    [PDF File; ]
  • Yaffa Raz (Israel):
    CSSD Vision on Joint Commission Accreditation
    [PDF File; ]
  • Joris van de Klundert (The Netherlands):
    Optimizing Sterilization Logistics in Hospitals
    [PDF File; ]
• Closing Ceremony
  Moderators: Aphroditi Faitatzidou, Wim Renders
  • Paolo Turri, Chiara Oggioni (Italy):
    We manage our sterilization errors: do you?
    [PDF File; ]
  • Francesco Tessarolo (Italy):
    Cleaning efficiency of pre-sterilization protocols for reusable dental burs
    [PDF File; ]
  • Marion Coussemacq, Christine Denis (France):
    Factors influencing aluminium foil test results in an ultrasonic cleaner
    [PDF File; ]

• Bengt Ternström:
  Place and role of sterilisation and disinfection in health care systems
  [PDF File; ]
• Anke Carter:
  Profile of sterilisation managers and workers - educational programme
  [PDF File; ]
• Anke Carter:
  Validated procedures in CSSD - Basic knowledge and requirements
  [PDF File; ]
• Winfried Michels:
  Qualification of equipment for washing and disinfection - validation
  [PDF File; ]
• Winfried Michels:
  Validation of washing and disinfection procedures - performance testing
  [PDF File; ]
• Jürgen Staffeldt:
  General information on application technologies, disinfection and detergents in automatic reprocessing of medical devices
  [PDF File; ]
• Günter Dotter:
  Sterilisation equipment characteristics - validation
  [PDF File; ]
• Peter Newson:
  Sterilization - recent changes to EN285 and EN ISO 15882
  [PDF File; ]
• Rudolf Glasmacher:
  Reprocessing of flexible endoscopes
  [PDF File; ]
• Wolfgang Merkens:
  Manual reprocessing of surgical instruments
  [PDF File; ]
• Rudi Salzbrunn:
  Low temperature steam ethylene oxide and low temperature steam formaldehyde sterilisation
  [PDF File; ]
• Tatiana Yermakova:
  Advances in hydrogen peroxide gas plasma sterilization
  [PDF File; ]
• Dr. Georgia Alevizopoulou:
  VHP Sterilization and Prion Inactivation
  [PDF File; ]
• Joost van Doornmalen:
  Penetration tests according to ISO 11140
  [PDF File; ]
• Dr. Ulrich Kaiser:
  New methods to monitor steam penetration into complex medical devices (MD) using Medical Device Simulators (MDS) and Batch Monitoring Systems (BMS)
  [PDF File; ]
• Gert Linder:
  Sterilisation and disinfection in small clinics, private practices and dentistry
  [PDF File; ]
• Ben Siegmund:
  Reprocessing of complex surgical instruments
  [PDF File; ]
• Dr. Lionel Pineau:
  Total solution for endoscope reprocessing
  [PDF File; ]
• Mr.Sc Hanna-Kaisa Kyyrönen:
  Pack Safely! Properties and Demands of Good Packaging Materials
  [PDF File; ]
• Daniel Söll:
  Sterile Container Packaging System
  [PDF File; ]
• Matijaž Prešern:
  Biological and chemical indicators
  [PDF File; ]

Opening Session

• Wim Renders (Bruges, Belgium):
  Welcome
  [in English]

Session I
Health Care Governance and Risk Management in Sterilization Centres

• Wim Renders (Bruges, Belgium):
  Introduction
  [in English]
• Barbara Mangiacavalli (Pavia, Italy):
  Health Care Governance
  [in Italian; PDF File; ]
• Gina Pugliese (Chicago - Illinois, United States of America):
  Patient Safety: Time for a process redesign
  [in English; PDF File; ]
• C. Moiset (Monza - MI, Italy):
  Accreditation with JCI (Joint Commission International)
  [in Italian; PDF File; ]
• Daniela Barzanó (Monza - MI, Italy):
  Risk analysis in sterilization centres
  [in Italian; PDF File; ]
• F. Weekers (Leuven, Belgium):
  Restructuring the CSSD at a University Hospital: Methodology and analysis
  [in English; PDF File; ]

Session II
Planning for Major Events or Disasters: Emergency and Management of Medical Supplies

• Gianluca Serafini (Ancona, Italy):
  Intra-hospital emergency plan for massive inflow of injured patients (PEIMAF)
  [in Italian; PDF File; ]
• Pascale Choquenet (Caen, France):
  Sterilization in the field
  [in English; PDF File; ]
• Dario Pistolesi (Abuzzano, Italy):
  Steam sterilizer for mobile field hospitals
  [in Italian; PDF File; ]

Session III
Regulatory Framework for the Sterilization Process

• G. Salerio (Italy):
  Evolution of the European technical standards in the field of sterilization
  [in Italian; PDF File; ]
• Dario Pistolesi (Milano, Italy):
  EN ISO 17665-1 Standard
  [in Italian; PDF File; ]
• L. Kingston (Normandy, Guildford Surrey, United Kingdom):
  EN 13060 Standard
  [in English; PDF File; ]

Session IV
Training and Responsibility

• Fredy Cavin (Lausanne, Switzerland):
  School for sterilization operators. The Swiss experience
  [in English; PDF File; ]
• A. Luperi, S. Casucci, R. Castellani Mannocci (Livorno, Italy):
  Skills and responsibilities of support staff in sterilization centres
  [in Italian; PDF File; ]

Session V
Confetti

• Christine Denis (Lille, France):
  RFDI coding of instruments
  [in English; PDF File; ]

Round Table
Sterilization of Medical Supplies as a Health Right in the World

• Assoc. Prof. Duygu Esel, MD (Kayseri, Turkey):
  Sterilization of Medical Supplies as a Health Right in Turkey
  [in English; PDF File; ]

• Wim Renders:
  Sterilization - is it useful?
  [PDF File; ]

Sterilization and Disinfection

• W. Renders, Belgium:
  Main principles in sterilization at hospitals
  [PDF File; ]
• D. Esel, Kayseri, Turkey:
  Disinfection policies at hospitals: Why? How? Where? When?
  [PDF File; ]

• Elzbieta Trafny:
  Combating Biofilms - a new challenge in medicine
  [in Polish; PDF File; ]
• Verona Schmidt:
  Potentials of an alkaline cleaner - Development tendencies for improving process safety
  [in English; PDF File; ]
• Urs B. Rosenberg:
  EN ISO 15883: The cleaning issue
  [in English; PDF File; ]
• Wilfried Michels:
  Objectives for use of washer/disinfectors and dependency of performance
  [in English; PDF File; ]
• Ben Siegmund:
  Ultrasonic Cleaning of today's instruments ...and tomorrow's
  [in English; PDF File; ]
• Ulrich Kaiser:
  New methods to monitor steam penetration into complex medical devices (MD) using Medical Device Simulators (MDS) and Batch Monitoring Systems (BMS)
  [in English; PDF File; ]
• Rita Gielen:
  Internal transport and storage of sterile goods within the CSD and the DS
  [in English; PDF File; ]
• Nicole Hirth:
  The role of cleaning in the manual reprocessing of medical devices and quality assessment of different cleaners
  [in English; PDF File; ]
• Peter Newson:
  The Removal and Inactivation of Prions
  [in English; PDF File; ]
• Emiel Goovaerts:
  High level disinfection of endoscopes - A central vision
  [in English; PDF File; ]
• Franz Kies:
  How to remove all those Bugs after using an Endoscope
  [in English; PDF File; ]

• Ir. L. W. Meinders:
  Safety of medical devices - Perspective of the users and controllers in laparoscopy
  [PDF File; ]
• Th. Fengler, E. Kraas:
  Operational Application of Instruments and Infection Prevention - the Surgeon´s View
  [PDF File; ]
• Frank Raymaekers:
  Purchasing of surgical instruments
  [PDF File; ]
• Ingeborg Griffioen:
  Universal criteria for the design of medical instruments
  [PDF File; ]
• Friedrich-Wilhelm Oertmann:
  Cleanable MIS-instruments, a challenge for the designer
  [PDF File; ]
• Diana Bijl, Philip de Vries:
  Clean care is safer care
  [PDF File; ]
• Klaus Roth:
  Classification of Instruments - Elaborating of a Reprocessing Instruction According to ISO 17664
  [PDF File; ]
• Dr. Winfried Michels:
  Future of the general washer disinfector?
  [PDF File; ]
• Frederike Tesser:
  Responsibilities of the parties involved
  [PDF File; ]
• Adrie de Bruijn:
  Instructions for the reprocessing of reusable medical devices - Does ISO 17664 make a difference?
  [PDF File; ]

• Wim Renders, WFHSS, Belgium:
  Opening Speech
  [in English]
• Dra. Adiela María Cortés, Colombia:
  Acción Detersiva y Efecto Bactericida en el Control de las Infecciones Nosocomiales
  [in Spanish; PDF File; ]
• Martha Elena Rodríguez Silva, Colombia:
  El Agua
  [in Spanish; PDF File; ]
• Frédérique Olivier, France:
  La Detergencia
  [in Spanish; PDF File; ]
• Segio Benitez Argentina:
  Determinación Rápida de la Actividad de Proteasa en Detergentes Enzimáticos
  [in Spanish; PDF File; ]
• Martha Rodríguez, Colombia:
  El Sal - En el Proceso de Esterilizacion
  [in Spanish; PDF File; ]
• Joost P.C.M van Doornmalen, The Netherlands:
  Physics of Sterilization
  [in English; PDF File; ]
• Nancy Chobin, United States:
  The Importance of Education for Central Sterilization Personnel
  [in Spanish; PDF File; ]
• Wim Renders, Belgium:
  Comments on Sterilization
  [in English; PDF File; ]
• Joost P.C.M van Doornmalen, The Netherlands:
  Validation in Healthcare
  [in English; PDF File; ]
• Wim Renders, Belgium:
  Re-use of single use medical devices?
  [in English; PDF File; ]
• Elisabeth Flórez, Colombia:
  Traceability
  [in Spanish; PDF File; ]
• Nancy Chobin, United States:
  Management of the Central Sterilization Department
  [in Spanish; PDF File; ]
• Johanne Louise Brændgaard, Denmark:
  Traceability System Implementation
  [in English; PDF File; ]
• Magally Dueñes Gómez, Colombia:
  Implementation of Special Surgical Set Systems - "In Search of Efficiency"
  [in Spanish; PDF File; ]

• Wim Renders, Belgium:
  Introduction
  [in English]
• Y. Raz, Israel:
  Meeting the Informative Needs of a Multinational Forum
  [in English; PDF File; ]
• Wan Ngah, Malaysia:
  Processing of Medical Products in Malaysia
  [in English; PDF File; ]
• R. Berger, Austria:
  Safety of Medical Devices
  Medical Device Vigilance and Reporting
  [in English; PDF File; ]
• W. Ecker, Austria:
  Hygienic Management of Medical Devices in/for Health Care Facilities: The Austrian Approach
  [in English; PDF File; ]
• T. Miorini, Austria:
  EN ISO 15883 - A Milestone?
  [in English; PDF File; ]
• K. Roth, Germany:
  Generation of a Processing Instruction According to ISO 17664
  [in English; PDF File; ]
• Walter Koller, Austria:
  What is the place for Hydrogen peroxide plasma sterilisation in hospital sterile supply?
  [in English; PDF File; ]
• L. Marzi, Austria:
  Legal Aspects of Medical Product Reprocessing
  [in English; PDF File; ]
• R. Zierler, Austria:
  Acquisition of Medical Products
  [in English; PDF File; ]
• A. Percht, Austria:
  Acquisition of WDs (Washer-Disinfectors)
  [in English; PDF File; ]
• D. Bijl, Netherlands:
  Loaner instrumentation, the Dutch approach
  [in English; PDF File; ]
• H. Faber, Austria:
  Comparative Investigations Concerning Protein Detection on/in Medical Products
  [in English; PDF File; ]
• H. Taferner:
  Development of a Routine Control Plan Concerning Detection of Protein Residuals in MIS Instruments
  [in English; PDF File; ]
• T. Yamamoto, Japan:
  Investigation of Cleaning Efficacy conducted by Cleaning Evaluation/Determination Working Group in Japanese Hospital Settings
  [in English; PDF File; ]
• A. de Bruijn, Netherlands:
  Instructions for Reuse - Beware when buying
  [in English; PDF File; ]
• C. Denis, France:
  Evaluation of the Endotoxin Risk Posed by Use of Contaminated Water during Sterilisation
  [in English; PDF File; ]
• W. Schulz-Schaeffer, Germany:
  (v)CJD and Reprocessing of Medical Products
  [in English; PDF File; ]
• T. Enko, Austria:
  Validation of Sterilisation Processes - a Practical View
  [in English; PDF File; ]
• M. Gehrer, Austria:
  Validation of Cleaning and Disinfection Processes in WDs: Implementation of the OEGSV Guideline
  [in English; PDF File; ]
• T. Miorini, Austria:
  Testing and Validation: Crash, Breakdown and Bad Luck
  [in English; PDF File; ]
• U. Prüfert-Freese, Austria:
  Testing and Validation of Cleaning - Disinfection Processes for flexible Endoscopes
  [in English; PDF File; ]
• H. Martiny, Germany:
  Influence of different Parameters on the Cleaning of flexible Endoscopes
  [in English; PDF File; ]
• F. Bossi, Italy:
  The Role of Nursing in the Processing of Medical Products
  [in English; PDF File; ]
• R. Williams, Australia:
  "Credentialing" in Queensland
  [in English; PDF File; ]
• M. Semler, Austria:
  QM: They way to Certification according to ISO 9001 and ISO 13485
  [in English; PDF File; ]
• T. Kießling, Germany:
  3 Years Experience with Certification of Reprocessing Based on the German RKI/BfArM Recommendations
  [in English; PDF File; ]
• C. Denis, France:
  Instrument Traceability with RFID
  [in English; PDF File; ]
• K. Kolhonen, Finland:
  Wood Fiber Products in Health Care
  [in English; PDF File; ]
• R. Kellner, Austria:
  Outsourcing: Point of View of the Public Health Authority
  [in English; PDF File; ]

• Wim Renders:
  Annual WFHSS Workshop 2006 "CSSD"
  [in English; PDF File; ]
• Dr Jaffar Mohammed Nima'h:
  Bahrain Experience on Education and Training of CSS Personnel
  [in English; PDF File; ]
• Britt Klofsten:
  Getting Hospital Management Support for C.S.S.D. Practices and Protocols
  [in English; PDF File; ]
• Intisar Quritum:
  CSSD and Infection Control - How to Work Together
  [in English; PDF File; ]
• Peter Newson:
  Routine monitoring of the disinfection / washing process ISO 15883
  [in English; PDF File; ]
• Christian Siehe:
  Controlix ID bracelets - Patient safety and individual billing issues
  [in English; PDF File; ]
• Christian Winther:
  How to optimize and streamline your procedures in a CSSD with a computerized system?
  [in English; PDF File; ]
• Azad Saadalla:
  Validation Process
  [in English; PDF File; ]
• Markus Kamer:
  Cleaning Processes and Methods in CSSD
  [in English; PDF File; ]
• Edward Palmer:
  Ultrasonic Cleaning of Today’s Instruments ...and Tomorrow’s
  [in English; PDF File; ]
• Eng. Reyad Al-Darawsheh:
  Cleaning & Disinfection Instruments
  [in English; PDF File; ]
• Stephan Brinke-Seiferth:
  About Biofilm and prevention of nosocomial infection through water associated germs
  [in English; PDF File; ]
• Plenum / Podium
  • Tim Galekop:
    ISO 11607 - Council Directive 93/42/EEC Of June 14 1993 Concerning Medical Devices - Patient’s Safety and Staff’s Safety
    [in English; PDF File; ]
  • Dr Stefan Manhart:
    ISO 11607:2006 - focused on: Sealable Pouches and Reels
    [in English; PDF File; ]
  • Hans Wolf:
    Validation of heat sealing processes - ISO 11607 Part 2
    [in English; PDF File; ]
  • Elmar Heid:
    ISO 11607 - How to translate into action - Sterile Container Systems
    [in English; PDF File; ]
• Gillian A Sills:
  Historical Relections
  [in English; PDF File; ]
• Susan Borden:
  Where do we go from here? National and Regional Objectives
  [in English; PDF File; ]
• Ahmad Ghaddar:
  3 ETS - Electronic Test System - A Revolution in Testing Steam Sterilizers
  [in English; PDF File; ]

• Dr. Michelle J. Alfa, FCCM, St. Boniface General Hospital, Winnipeg, MB, Canada:
  Cleaning: Recent advances in products and processes and Real-time monitoring
  [in English; PDF File; ]

• Wim Renders:
  Opening Speech
  [in English]
• Ann Margrethe Berg, Department Manager CSSD:
  University Education of CSSD Managers in Norway
  [in English; PDF File; ]
• Maria Tuulse, Health Care Teacher:
  Education of CSSD Technicians in Sweden
  [in English; PDF File; ]
• Marie Banck, Manager CSSD:
  Working with certification - Experience from Sweden
  [in English; PDF File; ]
• Torben Abilgaard Pederson, Deputy Director / MSc, PhD:
  Danish Standard for CSSD
  [in English; PDF File; ]
• Klaus Roth, Managing Director:
  New cleaning processes: Oxivario and two other component procedures
  [in English; PDF File; ]
• Dr. Med. Dipl.-Ing. Thomas Fengler:
  Our own cleaning experiences and its Parameters - The Value of Ultrasound
  [in English; PDF File; ]
• Dr Anne Jacolot, Pharmacist / Manager of CSSD; Damien Talon, Pharmacist / Department Manager CSSD:
  Experience of Soil Test Used in Two French Hospitals: Hollow Instrumentation and Detergent Validation
  [in English; PDF File; ]
• Dr Damien Talon, Pharmacist / Department Manager CSSD:
  Experience of Soil Test Used in Two French Hospitals: Detergent Validation
  [in English; PDF File; ]
• Heidi Garberg Gule, Department Manager CSSD:
  Combi load experiences - a manager's view
  Validation of Combi load
  [in English; PDF File; ]
• Elise Kulseth, Quality Manager:
  Textile technology - fundamental principles
  [in Norwegian/English; PDF File; ]
• Anne Mette Koch, Health Protection Nurse:
  A change from disposable to reusable textiles in the OR - experiences from a Norwegian University Hospital
  [in Norwegian; PDF File; ]
• Dr. Sverre Fauske, Special Adviser HR Dep.:
  Job Satisfaction. Motivation. Confidence in CSSD workers
  [in English; PDF File; ]
• Joost van Dormalen, Manager Validation & Monitoring:
  Jack van Asten Memorial Lecture
  "Standards under continuous development"
  Meet your expectations
  [in English; PDF File; ]
• Ulrich Kaiser:
  Advantages and limitations of class 5 and 6 chemical indicators according to EN-ISO 11140-1
  [in English; PDF File; ]
• Terry McAuley:
  Bowie & Dick type testing
  [in English; PDF File; ]
• Cornelia Hugo:
  Loan instruments, an avoidable problem
  [in English; PDF File; ]
• Toni Zanette:
  Transparency of expenses by recording, calculation and billing of CSSD service
  [in English; PDF File; ]
• Kyrre Sæther, Head Nurse / Author:
  "Humour at Work"
  Sense of humour as working tool - clinical aspects
  [in English; PDF File; ]
• EFHSS Conference 2006 Poster Presentations
  • Assoc. Prof. Dr. Ozkan Tutuncu; Hulya Erbil, MSc:
    The Role of Quality Management System in Patient Safety Culture for Central Sterilization Units
    [in English; PDF File; ]

• Wim Renders:
  Opening Session - Introduction
  [in English]
• Valerie O'Brien:
  The UK Approach
  [in English; PDF File; ]
• Nancy Chobin:
  What Sterile Processors Need to Know and Do: A Ten Year Analysis of Accreditation in the United States
  [in English; PDF File; ]
• Cornelia Hugo:
  Validation in the practice of sterile supply
  [in English; PDF File; ]
• Frank Schuurmans:
  Organisational redesign - did Bowie and Dick get their MBA?
  [in English; PDF File; ]
• Klaus Roth:
  Parametric control of cleaning processes in the age of vCJD
  [in English; PDF File; ]
• Peter Hooper:
  Product Release - a modern mythology?
  [in English; PDF File; ]
• Helga Gertrudis Sager de Agostino:
  Cleaning, decontamination and disinfection in Argentina
  [in English; PDF File; ]
• Adrie de Bruijn:
  The standard helix test in hospital sterilisers
  [in English; PDF File; ]
• A. A. van Sorge:
  Validation of a low temperature, low pressure, Hydrogen Peroxide Gas Plasma (HPGP) Sterilization System
  [in English; PDF File; ]
• Mike Pointer:
  Innovation in decontamination services
  [in English; PDF File; ]
• Simon Robitaille:
  Development of Ozone Sterilization
  [in English; PDF File; ]
• Jan Huys (presented by Dr. med. Andreas Mueller):
  Specifications of steam sterilizers for health facilities with limited resources
  [in English; PDF File; ]
• Elinor V Radke:
  Surviving the ride
  [in English; PDF File; ]
• David J Hurrell MSc FIHEEM AP(S):
  Jack van Asten Memorial Lecture
  [in English; PDF File; ]
• Jennifer Grainger:
  Risk Management for Instrumentation
  [in English; PDF File; ]
• Yaffa Raz:
  A Quality Based Approach for Error Reduction in Surgical Sets Assembly
  [in English; PDF File; ]
• Dr Bénédicte Gourieux:
  Analysing hazards: a tool for quality management
  [in English; PDF File; ]
• Phil Naylor:
  MDD and ISO13485:2003 Compliance - An Integrated Approach
  [in English; PDF File; ]
• Dr MV Martin:
  Decontamination of Instruments in Dentistry
  [in English; PDF File; ]
• Elizabeth Fradd:
  The Decontamination of Endoscopes - a review in Northern Ireland
  [in English; PDF File; ]
• Melanie van Limborgh:
  The Essential Relationships between Decontamination Services
  [in English; PDF File; ]
• Dr Douglas Telford:
  The Practical and Cost Implications of the different Instrument Identification Systems currently available
  [Conference Paper Abstract in English; PDF File; ]
• DSc 2005 Symposium: Developments in Instrument Reprocessing
  • Klaus Roth; Jürgen Gauer; Anna Draghici; Winfried Michels:
    Comparative assessment of various automated processes following prEN/ISO 15883-1
    [in English; PDF File; ]
• DSc 2005 Poster Presentations
  • Edna Rodrigues; Kazuko Uchikawa Graziano:
    Evaluation of the use and re-use of cotton fabrics as medical and hospital articles wraps in steam sterilization method
    [in English; PDF File; ]
  • Philip A de Vries:
    3M ETS (Electronic Test System) in a university hospital: Diagnostics beyond the BDT!
    [in English; PDF File; ]

• Wim Renders:
  Opening Session
  [in English]
• Dr Dominique Goullet:
  What's new in sterilisation... since Louis Pasteur?
  [in English; PDF File; ]
• A. Arzu Sayiner, MD:
  Infection Control and Sterilization Unit
  [in English; PDF File; ]
• Paul J. Sordellini:
  Industrial Ethylene Oxide Sterilization of Medical Devices
  [in English; PDF File; ]
• A. A. van Sorge, PhD:
  Validation of a low-temperature, low-pressure, vaporized aqueous hydrogen peroxide-based, plasma sterilization system - STERRAD®100S sterilizer
  [in English; PDF File; ]
• Dr Egil Lingaas:
  Bioburden estimation of reusable and single use medical devices - methodology and evaluation
  [in English; PDF File; ]
• Toni Zanette:
  Practical instructions for the Validation of cleaning and disinfection methods according to the recommendation of the German Society for Hospital Hygiene (DGKH) and according to the prEN ISO 15883
  [in English; PDF File; ]
• Paul Holland:
  Decontamination of Reusable Medical Devices: A Risk Management
  [in English; PDF File; ]
• Peter Newson:
  Sterilization Process Monitoring - 'In-Pack' Monitoring versus 'Load Control'
  [in English; PDF File; ]
• René Vis:
  Outsourcing the CSSD a threat? Or a challenge?!
  [in English; PDF File; ]

• Dr Dominique Goullet:
  How a quality system had to be implemented for the hospital sterilisation
  [in English; PDF File; ]
• Frédy Cavin:
  Certification d´un hôpital comme fabriquant de dispositifs médicaux
  [in French; PDF File; ]
• David J Hurrell:
  Washer-Disinfectors - EN 15883 and the role of the operator
  [in English; PDF File; ]
• S. Krüger, T. Hofmann, B. Zühlsdorf:
  Testanschmutzungen (TA) für die Kontrolle von Dekontaminationsgeräten
  [in German; PDF File; ]
• Bénédicte Gourieux:
  Qualification de la performance des laveurs désinfecteurs
  [in French; PDF File; ]
• Annette Beaugas:
  Maîtrise de l´air en stérilisation
  [in French; PDF File; ]
• Hans Wolf, Christian Wolf (HAWO):
  Verpackungsarten / Unterschiede
  [in German; PDF File; ]
• Christine Denis:
  La qualité des emballages
  [in French; PDF File; ]
• Dr Brian Kirk:
  Can Temperature And Pressure Datalogging Replace The Bowie and Dick Test?
  [in English; PDF File; ]
• Prof Dr Peter Heeg:
  Bioindikatoren - Sinn oder Unsinn?
  [in German; PDF File; ]
• Markus Zobrist, Dr. rer. nat., Inspektor:
  Umsetzung der MP-Gesetzgebung in der ZSVA
  [in German; PDF File; ]

• René Vis:
  Loan Instruments
  [in English]