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In another place sterilized water is being discussed regarding contaminated water, (Pathogens and the like!), and Autoclaves!
Has anyone any views on the autoclaves from well respected companies in the UK. and there inability to sterilize their own water in the sterilization processes'?
The use of Ionized/sterile water and the like was the norm to prevent damage to the Autoclave surfaces. If these autoclaves are now shown to be unable to sterilize their own water, what chance is there for sterilizing the instruments placed in them? I don't believe that I'm writing this here never mind the claims made in other places!!!
Taking a leaf out of someone else's book here, "How say you?"
Colin. (Do we believe this?).
P.S. I am quite prepared to look foolish here, this is to important not to be discussed I think!
Actually, I don't know about not being able to sterilize their own water, but I do know this ....... At one time we used regular tap water in ours. Eventually it ruined the autoclave. With our new one we use the drinking water we bought in the cooler from the water company for the waiting room. Also good in theory, but a bad idea.......Learned our lesson well. Used deionized or sterilized water so as not to ruin the instrument!!!!!!!!!!!!!!!!!
Today I treated my Dentist's feet.
I asked him about sterile water. He knew about it, but currently uses de-ionised water in his autoclaves.
However, he did say that there is concern about CJD Prions not being killed. He also mentioned about endotoxins etc in the water, as the study we read elsewhere states.
Interestingly he said that some companies are very soon going to sell a new type of steriliser that utilises ozone, and is supposed to be more effective than autoclaving. He wants to read more independent reserch before spending the money though, as they probably won't be cheap.
The study about Sterile Water comes from the Society Website (I'm very reliably informed). I believe it. I don't yet do it though, however I will if it becomes the norm, and it becomes widespread in dentistry and podiatry.
I DO know that they used sterile water in my local nhs Podiatry dept before they went on to using hsdu sterilisation.If this becomes the norm I think it would cost approx £1 a litre bottle. So basically £1 to sterilise a batch of instruments.
This would not break the bank, but is another reason for people to stop charging stupid low fees.
My supplier Chiropody Express has just recently put a Rotajet Water Distiller into their Catalogue for £145.00, (Four litres/hour!). I was wondering why! I think you have the answer! Yet one more piece of expense to budget for as you say with a price rise?
The Ozone sounds interesting? Never heard of that one before, usually expensive at first of course, but still interesting.
I have been using de-ionised to date! think it might be time to move up one?
Colin, (Four litres/hr. I wonder what it tastes like?).
Last edited by C Bain : 27th May 2005 at 04:12 PM.
I use purified (de-ionised) water which I purchase from my local chemist, about 2 quid for 5 litres, I put the required amount of water plus some, through for one cycle, then run it again with instruments....is this wrong?....I have no idea!
Is it a sensible way of proceeding, taking 'all reasonable and practicable' ways of guarding against contamination taking into account the procedures I do....yes I think so.
Now please excuse me while I run for my protective armour and hat.
David looks like the only way forward is CSSD for instrument tracabilty, I think the time taken up with the new guide lines will out way the cost. So would like to know of available commersial companies who will supply private practioners, and could anyone tell me of there experiences. (spell check would be helpful on this site).
I also use a Prestige Autoclave & Ultrasonic cleaner. I use de ionised water, what would I use sterile water for when its heated to 134C.
CJD is an unknown quantity as yet I'm not sure any autoclave can sterilize against it.I'm not even sure there is a method of sterilization that wo't destroy the instrument, hence the instrument tracking in hospitals.