Stérilisation et désinfection [ WHOPI2105 ]

Focussed on 9 themes (equivalent to 15 hours of lectures) :

Theme 1 : Legislation

Theme 2 : Architecture, personnel, environment

Theme 3 : Cleaning - disinfection and controls

Theme 4 : Packaging and controls

Theme 5 : Sterilization methods and controls of the load

Theme 6 : Validation of each sterilization method

Theme 7 : Quality assurance, tracking and documentation

Theme 8 : Prions

Theme 9 : Instruments

   General objectives :

To give the student the theoretical and practical skills to be able to conceive and implement in a hospital institution the whole of the processes related to sterilization, as part of a global quality assurance system.

   Specific objectives

1. To master, by an in-depth scientific training, the most recent data regarding washing-disinfection and sterilization.

2. To acquire the aptitude to objectively respond to the questions related to the washing-disinfection and sterilization.

3. To tackle on a scientific way the research on washing-disinfection and sterilization.

4. To learn writing a specific procedure.

During the evaluation based on a written examination, the student, confronted with original practical problems, must be able to explain and justify the solutions he suggests to put into practice.   

The course makes the link between the legal regulations (Laws, Royal Decrees and Departmental Orders) and the practice experience gained by the students during their training period in a sterilization service.

Plan of the course

1. Introduction

a. History

b. Definitions

2. Legislation

a. Belgian

b. European.

3. Quality assurance and tracking

4. Environmental controls

a. Air

b. Water

c. Surfaces

d. Hands

5. Premises

6. Personnel

7. Qualitative aspects

8. Quantitative aspects

9. Treatments prior to sterilization

a. Chemicals

b. Manual treatment

i. Washing and disinfection

c. Automated treatment

i. Techniques

ii. Washing and thermal disinfection

iii. Controls of the washing process

1. Thermometric controls

2. Stain tests

iv. Controls of thermal disinfection

10. Techniques of sterilization

a. Dry heat sterilisation

i. Technique and Technology

ii. Guideline values

iii. Principles for loading and Controls

iv. Validation

v. Depyrogenation

b. Moist heat sterilization

i. Technique

ii. Guideline values

iii. Principles for loading and unloading

iv. Controls

1. Physico-chemical indicators

2. Microbiological indicators

3. Thermometric controls

v. Validation

1. Surgical instruments

2. Pharmaceutical Productions

c. Ethylene Oxide

i. Technique

ii. Guideline values

iii. Controls

1. Physico-chemical indicators

2. Microbiological indicators

3. Thermometric controls

iv. Validation

d. Hydrogen Peroxide

i. Technique

ii. Guideline values

iii. Controls

1. Physico-chemical indicators

2. Microbiological indicators

3. Thermometric controls

iv. Validation

e. Radiations

i. Gamma Rays

ii. Accelerated electrons

iii. Physico-chemical indicators

iv. Microbiological indicators

11. Packaging

a. One-Use packaging

i. Types

ii. Controls

iii. Sealing devices

1. Controls

b. Containers

i. Controls

12. Prions

a. History

b. Cleaning and disinfection

c. Sterilization

13. Maintenance of equipments

14. Treatment of new instruments

15. Specificity of dental instruments