超音波ユーザーが超音波プローブに必要とされる適切な消毒レベルを判断する際に役立つ幅広いガイドラインが世界中で利用可能です。
粘膜や非接触の皮膚に接触するすべての超音波プローブについて、ガイドラインでは、殺菌、殺ウイルス、殺真菌、殺マイコバクテリアの効果が実証された高水準消毒(HLD)を推奨しています。
表1.超音波プローブの再処理に関する
米国連邦政府のガイドライン、国家規格、専門学会のガイドライン。また、HLDと超音波プローブの再処理を扱った国際的なガイドラインも掲載しています。
発行機関 |
ガイドライン/規格の名称 |
年 |
---|---|---|
米国 |
||
Centre for Disease Control and Prevention (CDC)
|
Guideline for Disinfection and Sterilization in Healthcare Facilities |
2019 |
Food and Drug Administration (FDA) |
Marketing Clearance of Diagnostic Ultrasound Systems and Transducers |
2019 |
American National Standards Institute (ANSI), Association for the Advancement of Medical Instrumentation (AAMI) |
ST58:2013 Chemical sterilization and high-level disinfection in health care facilities |
2013 |
Society of Diagnostic Medical Sonography (SDMS) |
Guidelines for infection prevention and control in sonography: reprocessing the ultrasound transducer |
2020 |
American Institute of Ultrasound in Medicine (AIUM) |
Guidelines for Cleaning and Preparing External- and Internal-Use Ultrasound Transducers and Equipment Between Patients as well as Safe Handling and Use of Ultrasound Coupling Gel |
2020 |
世界 |
||
World Federation for Hospital Sterilisation Sciences |
Guideline for Reusable Medical Devices |
2019 |
World Federation for Ultrasound in Medicine and Biology |
Guidelines for Cleaning Transvaginal Ultrasound Transducers Between Patients |
2017 |
欧州 |
||
欧州放射線学会 |
Infection prevention and control in ultrasound - best practice recommendations from the European Society of Radiology Ultrasound Working Group |
2017 |
European Committee for Medical Ultrasound Safety |
Best Practice recommendations for cleaning and disinfection of ultrasound transducers whilst maintaining transducer integrity |
2017 |
Svensk Förening för Obstetrik och Gynekologi(スウェーデン) |
SFOG råd angående transducerskydd och desinfektion av ultraljudsprober vid all gynekologisk och obstetrisk ultraljudsundersökning inom öppen och slutenvård |
2019 |
Hoge Gezondheidsraad / Conseil Supérieur de la Santé(ベルギー) |
Aanbevelingen inzake de infectiepreventie en het beheer van warmtegevoelige endocavitaire endoscpen en medische hulpmiddelen |
2019 |
Ministère des Solidarités et de la Santé(フランス) |
Proposition technique du groupe de travail national. Prevention du risque infectieux associe aux actes d'echographie endocavitaire: 28 |
2019 |
Werkgroep Infectie Preventie(オランダ) |
Reiniging, desinfectie en sterilisatie van medische hulpmiddelen voor hergebruik niet-kritisch, semi-kritisch of kritisch gebruik: 56 |
2017 |
Stuurgroep Flexibele Endoscopen Reiniging en Desinfectie(オランダ) |
Kwaliteitshandboek Reiniging en Desinfectie Flexibele Endoscopen: 118 |
2016 |
Kommission für Krankenhaushygiene und Infektionsprävention(ドイツ) |
Anforderungen an die Hygiene bei der Aufbereitung von Medizinprodukten. Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz: 66 |
2012 |
Direzione Sanitaria AUSL Pescara(イタリア) |
Linee Guida per la “Corretta gestione di Procedure Assistenziali e Igienico-Sanitarie in Setting di Cura Ospedalieri e Territoriali”: 88 |
2009 |
英国およびアイルランド |
||
British Medical Ultrasound Society & Society & College of Radiographers |
Guidelines For Professional Ultrasound Practice |
2017 |
Health Facilities Scotland/Health Protection Scotland |
NHSScotland Guidance for Decontamination of Semi-Critical Ultrasound Probes; Semi-invasive and Non-invasive Ultrasound Probes |
2017 |
Health Service Executive Ireland |
HSE Guidance for Decontamination of Semi-critical Ultrasound Probes; Semi‐invasive and Non‐invasive Ultrasound Probes |
2016 |
オーストラリアおよびニュージーランド |
||
Australasian College for Infection Prevention and Control/Australasian Society for Ultrasound in Medicine |
Guidelines for Reprocessing Ultrasound Transducers |
2017 |
College of Intensive Care Medicine of Australia and New Zealand (CICM) |
Prevention of pathogen transmission during ultrasound use in the Intensive Care Unit: Recommendations from the College of Intensive Care Medicine Ultrasound Special Interest Group (USIG). |
2019 |
National Health and Medical Research Council (NHMRC) |
Australian Guidelines for the Prevention and Control of Infection in Healthcare. Canberra, Australia: NHMRC; 2019 |
2019 |
Standards Australia (AS), Standards New Zealand (NZS) |
AS 5369:2023 Reprocessing of reusable medical devices and other devices in health and non-health related facilities |
2023 |
カナダ |
||
CSA Group |
CAN/CSA-Z314-18 Canadian medical device reprocessing |
2018 |