Evidence map›Paper›PMID 27927920›Full record

ArticleJournal of clinical microbiology2017

Validation of Autoclave Protocols for Successful Decontamination of Category A Medical Waste Generated from Care of Patients with Serious Communicable Diseases.

Brian T Garibaldi, Mallory Reimers, Neysa Ernst, Gregory Bova, Elaine Nowakowski, James Bukowski, Brandon C Ellis, Chris Smith, Lauren Sauer, Kim Dionne and 3 more

Open access · bronzeAbstract readValidation Study
In one paragraph

Article in Journal of clinical microbiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.7field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 35 citations in OpenAlex.

  1. A Day in the Life of a Surgical Instrument: The Cycle of Sterilization.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2024
    Review
  2. Article
  3. Review
  4. Autoclaving as a Routine Method for the Decontamination of Animal Carcasses in a Biosafety Level 3 Facility.Applied biosafety : journal of the American Biological Safety Association · 2022
    Article
  5. Article
  6. The Use of Temperature and Pressure Data Loggers to Validate the Steam Sterilization of Category A Clinical Waste.Applied biosafety : journal of the American Biological Safety Association · 2022
    Article
  7. Article
  8. Article
  9. Article
  10. Development and Validation of Waste Decontamination Cycle in a Biosafety Level 3 Laboratory.Applied biosafety : journal of the American Biological Safety Association · 2020
    Article
  11. Review
  12. Disposal of the large volume of sputum positive forInfection prevention in practice · 2020
    Article
  13. Article
  14. High-Containment Pathogen Preparation in the Intensive Care Unit.Infectious disease clinics of North America · 2017
    Review
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 3 institutions in 1 country.

Brian T GaribaldiDivision of Pulmonary and Critical Care, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA bgariba1@jhmi.edu.ORCID 0000-0001-8632-5567
Mallory ReimersJohns Hopkins Hospital, Baltimore, Maryland, USA.
Neysa ErnstJohns Hopkins Hospital, Baltimore, Maryland, USA.
Gregory BovaJohns Hopkins Hospital, Baltimore, Maryland, USA.
Elaine NowakowskiJohns Hopkins Hospital, Baltimore, Maryland, USA.
James BukowskiJohns Hopkins Hospital, Baltimore, Maryland, USA.
Brandon C EllisDepartment of Pathology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Chris SmithJohns Hopkins Hospital, Baltimore, Maryland, USA.
Lauren SauerJohns Hopkins Office of Critical Event Preparedness and Response, Baltimore, Maryland, USA.
Kim DionneDepartment of Pathology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Karen C CarrollDepartment of Pathology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Lisa L MaragakisDivision of Infectious Diseases, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Nicole M ParrishDepartment of Pathology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Johns Hopkins Hospital · USJohns Hopkins University · USOffice of Readiness and Response · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In response to the Ebola outbreak in 2014, many hospitals designated specific areas to care for patients with Ebola and other highly infectious diseases. The safe handling of category A infectious substances is a unique challenge in this environment. One solution is on-site waste treatment with a steam sterilizer or autoclave. The Johns Hopkins Hospital (JHH) installed two pass-through autoclaves in its biocontainment unit (BCU). The JHH BCU and The Johns Hopkins biosafety level 3 (BSL-3) clinical microbiology laboratory designed and validated waste-handling protocols with simulated patient trash to ensure adequate sterilization. The results of the validation process revealed that autoclave factory default settings are potentially ineffective for certain types of medical waste and highlighted the critical role of waste packaging in successful sterilization. The lessons learned from the JHH validation process can inform the design of waste management protocols to ensure effective treatment of highly infectious medical waste.

Indexed as

Medical WasteCommunicable DiseasesHumansSterilizationMedical WasteautoclaveEbolamedical wasteserious communicable diseasessterilization

Identifiers

PMID27927920
PMCPMC5277525
OpenAlexW2560082487

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.