ArticleHealthcare (Basel, Switzerland)2021
ATP Bioluminescence for Assessing the Efficacy of the Manual Cleaning Procedure during the Reprocessing of Reusable Surgical Instruments.
Article in Healthcare (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 19 citations in OpenAlex.
- The role of ATP bioluminescence in monitoring surface hygiene in hospital settings: a comprehensive review.Antimicrobial resistance and infection control · 2026Review
- Impact of moisturizing pretreatments on small reusable dental instruments cleanliness and mechanics.PloS one · 2026Article
- Silent Spread ofHealthcare (Basel, Switzerland) · 2025Article
- Hygiene Assessment of Buffalo Milking Parlours in Campania Region, Italy: A Preliminary Study by Using ATP Luminometry and Bacteriological Investigation.Animals : an open access journal from MDPI · 2024Article
- Comparing contamination rates of sterile-covered and uncovered transducers for ultrasound-guided peripheral intravenous lines.The ultrasound journal · 2024Article
- Adenosine triphosphate (ATP) sampling algorithm for monitoring the cleanliness of surgical instruments.PloS one · 2023Article
- Development of a "Scissor-Tip-Separator" for adjustment of scissor blade separation and prevention of scissor blade damage during steam sterilization.Patient safety in surgery · 2022Article
- Controlling Infectious Risk in Transfusion: Assessing the Effectiveness of Skin Disinfection in Blood Donors.Healthcare (Basel, Switzerland) · 2022Article
- Cleanability of Metal Surface Finishes Found in Medical Devices and the Environment of Care.Biomedical instrumentation & technology · 2022Article
- Antimicrobial Resistance, Healthcare-Associated Infections, and Environmental Microbial Contamination.Healthcare (Basel, Switzerland) · 2022Article
- Multicenter comparative study of three "non-destructive" methods of detecting the cleanliness of the da Vinci surgical robotic instrument.Gland surgery · 2021Article
Corrections and comments
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Authors and funding
10 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Achieving sterilization by adopting proper practices is essential to ensure that surgical instruments do not transmit microorganisms to patients. As the effectiveness of sterilization mandates effective cleaning, it is necessary to verify the success of cleaning procedures. In this study, we used the adenosine triphosphate (ATP) bioluminescence method for assessing the efficacy of the manual cleaning procedure during the reprocessing of reusable surgical instruments. The ATP bioluminescence assay was performed on 140 surgical instruments of 12 different types, both before being cleaned (baseline) and after each of the cleaning procedures (i.e., decontamination, manual washing, drying, and visual inspection). For each instrument, two swabs were used as follows: one to sample the entire surface (test point 1) and the other to sample the most difficult part of the surface to clean (test point 2). Overall, for each type of instrument, there was a decrease in contamination ranging from 99.6 to >99.9% (log reduction from 2.40 to 3.76). Thus, in order to standardize the assessment of cleanliness, it may be useful to introduce the bioluminescence method into the daily routine or, at least, at regular time intervals as a complementary check combined with visual inspection. This would allow real-time verification of the achievement of an adequate level of cleanliness.
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