Evidence map›Paper›PMID 28621298›Full record

ArticleEndoscopic ultrasound

Is the Stella™ 5L system an effective cold sterilization technique for needle-based confocal miniprobes?

Cai-Xia Wang, Yuan-Yuan Chen, Feng Yang, Fan Yang, Jin-Tao Guo, Siyu Sun, Ling Fan

Abstract read
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Article in Endoscopic ultrasound. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Cai-Xia WangEndoscopy Center, Shengjing Hospital of China Medical University, Shenyang 110004, Liaoning Province, China.
Yuan-Yuan ChenEndoscopy Center, Shengjing Hospital of China Medical University, Shenyang 110004, Liaoning Province, China.
Feng YangEndoscopy Center, Shengjing Hospital of China Medical University, Shenyang 110004, Liaoning Province, China.
Fan YangEndoscopy Center, Shengjing Hospital of China Medical University, Shenyang 110004, Liaoning Province, China.
Jin-Tao GuoEndoscopy Center, Shengjing Hospital of China Medical University, Shenyang 110004, Liaoning Province, China.
Siyu SunEndoscopy Center, Shengjing Hospital of China Medical University, Shenyang 110004, Liaoning Province, China.
Ling FanDepartment of Nursing, Shengjing Hospital of China Medical University, Shenyang 110004, Liaoning Province, China.
China Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectiveNeedle-based confocal laser endomicroscopy (nCLE) under endoscopic ultrasound guidance is a newly developed imaging technique for pancreatic lesions and lymph nodes, enabling a subcellular level of resolution. The confocal miniprobe is an invasive instrument designed to be reused up to 10 times. Therefore, a method that ensures the complete elimination of microbial contaminants on the device is necessary. We studied the bactericidal efficacy of the Stella™ system, which purports to achieve this objective. MATERIALS AND

methodsThe surfaces of three nCLE miniprobes were contaminated with suspensions of Bacillus atrophaeus (ATCC9372). One probe was randomly selected to count the bacterial load on the surface. The other two probes were manually cleaned and rinsed. One probe was randomly selected to count bacteria on the surface, and the other probe was sterilized using the Stella™ 5L endoscopic sterilization system before obtaining the bacterial count. The process was repeated for 20 cycles to evaluate the microbicidal efficacy of the Stella™ 5L endoscopic sterilization system. These miniprobes were immersed in the Stella Fuse disinfectant for 72 h. After the 72 h of immersion, the weight loss of probes was determined using a high precision electronic scale to examine corrosion following disinfection. The change in image quality was evaluated by an endoscopist.

resultsFrom an initial contamination level of 4.48 × 106 ± 1.57 × 106 cfu/mL on the surface of the probes, the bacterial count was reduced to 4.25 × 102 ± 1.95 × 102 cfu/mL after manual cleaning (including enzyme washing), and no microorganisms were recovered after 20 cycles with the Stella™ 5L system. The probe weights before and after 72 h of immersion were 45.769 (45.768-45.771) g and 45.762 (45.752-45.768) g, respectively. No change in image quality was observed.

conclusionThis study shows that the Stella™ 5L system is capable of the complete elimination of microorganism contamination in a short period and avoids the toxicity of typical disinfectants. It is a safe, cheap, and efficient sterilization approach that provides a new option for nCLE miniprobe sterilization.

Identifiers

PMID28621298
PMCPMC5488524
OpenAlexW2625124524

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LicenceCC BY-NC-SA
Read underepoch 390

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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.