{"id":4251,"date":"2017-07-12T11:15:47","date_gmt":"2017-07-12T09:15:47","guid":{"rendered":"https:\/\/web1.server250a.stx-server.de\/2017\/07\/12\/mrsa-und-die-folgen-fuer-medizinische-geraete\/"},"modified":"2020-02-25T11:32:12","modified_gmt":"2020-02-25T10:32:12","slug":"mrsa-and-its-consequences-for-medical-electric-devices","status":"publish","type":"post","link":"http:\/\/dev.web1.server250a.stx-server.de\/en\/news\/mrsa-and-its-consequences-for-medical-electric-devices\/","title":{"rendered":"MRSA and its consequences for medical electric devices"},"content":{"rendered":"<div class=\"teaser\">\n<h2>Resistance to disinfectants<\/h2>\n<\/div>\n<h2>What means MRSA?<\/h2>\n<p>MRSA is the abbreviation of\u00a0<b>M<\/b>ethicillin-<b>R<\/b>esistant\u00a0<b>S<\/b>taphylococcus\u00a0<b>A<\/b>ureus. The antibiotic Methicillin and many further antibiotics are ineffective against these bacteria.<br \/>\nVery often, MRSA is used as a synonym for multi-resistant germs.<br \/>\nFor healthy people, such germs are non-hazardous most of the time, they are upon the skin and do not cause an infection. Only if these bacteria get inside the body, an infection can lead to a serious illness.<br \/>\nAccording to the current state of research, the wrong use of antibiotics supports the origin of multi-resistant germs. Hospitals are very critical sectors, where patients with a weak physical constitution get in contact to a lot of germs, which can easily enter the patients\u2019 body via open wounds.<br \/>\nMRSA germs are transmitted in three ways: human to human, object to human, and animal to human. Most often is the transmission from human to human by direct contact. Touching contaminated surfaces such as door handles, handrails, and objects cause an indirect transmission. Besides, germs stick very well to plastic materials and stainless steel.<\/p>\n<h2>Effects on ME devices<\/h2>\n<p>In order to confront the spreading of germs, hospitals apply new standards on hygiene. According to relevant professional magazines like \u201eBundesgesundheitsblatt\u201c (federal health magazine) and \u201eEmpfehlungen des Robert Koch Instituts\u201c (recommendation of Robert Koch health institute), a periodic surface disinfection of all patient-near areas is demanded.\u201e (\u2026) A surface disinfection, min. once per day (wiping disinfection) of all areas near patients (bedframe, bedside table, wet area and similar) is necessary, upon demand it should be extended to include further potentially contaminated surfaces (see standards for hospital hygiene and infection preventing, Anlage 6.12 [17] \u201chome cleaning and surface disinfection\u201d). All contact surfaces of devices used by the patient (e.g. buttons of ultrasonic devices, ECG electrodes and leads) have to be wipe-disinfected with disinfectant agents of the DGHM lists directly after use and before being removed from the room. Stethoscopes, thermometers, and similar have to be used patient-related and disinfected immediately after usage. (\u2026)\u201c<sup>4<\/sup>\u00a0\u00a0Hence, all surfaces of medical electric devices including accessories which have been touched by the patient or are within his reach should be cleaned.<\/p>\n<h2>Disinfectants<\/h2>\n<p>Disinfectants are agents which lead to a drastic reduction of the number of germs on a surface after application. Usual reduction rates are min. 10-5.<br \/>\nThe effect against bacteria (bactericide), viruses (antiviral), fungi (fungicidal), and spores (sporocide) depends on the kind of disinfection agent and its dosage.<br \/>\nThe choice of disinfection agents does not only depend on the efficiency against certain germs. It also depends on other factors, e.g. material compatibility and skin sensitivity have to be observed.<br \/>\nThere are various chemicals which can be used for disinfection, examples:<\/p>\n<ul>\n<li>ethanol<\/li>\n<li>isopropyl<\/li>\n<li>chlorine<\/li>\n<li>iodine<\/li>\n<li>amphotensides<\/li>\n<li>quaterny ammonium compounds (amines)<\/li>\n<li>aldehyde (formaldehyde)<\/li>\n<li>peroxide<\/li>\n<\/ul>\n<p>Very often, manufacturers of disinfectants use mixtures of these substances. Depending on the type of application, they add further substances to create special characteristics, such as balancing the skin&#8217;s lipid content after hand disinfection or a special long-term protection.<\/p>\n<h2>Disinfectants and plastic housings<\/h2>\n<p>The usage of disinfectants on plastic housings or plastic components like leads or sealings has to be critically considered because a number of these disinfectants react with plastic materials and can even destroy them.<br \/>\n<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.friwo.de\/fileadmin\/_processed_\/csm_Gehaeuse_fe2e5898bc.jpg\" alt=\"\" width=\"300\" height=\"220\" data-htmlarea-file-uid=\"1079\" data-htmlarea-file-table=\"sys_file\" \/><br \/>\nPic. shows an example of a housing, tested by FRIWO: after applying for a short while a high dose of a commonly used aggressive surface disinfectant, cracks were formed which led to destruction of the housing.<\/p>\n<p>As modern plastic materials have to have further features like non-flammability (UL-94V0) and stability, their chemical compatibility differs according to the type of plastic material.<\/p>\n<p>Polycarbonates for example, do react heavily with amines and therefore, they are unsuitable for disinfection with agents containing ammonium compounds like amines. Often, the resistance of plastic housings against the more simple disinfectants like isopropyl\/water mixtures is higher than against more complex disinfectants.<\/p>\n<p>A general release of disinfection agents is almost impossible for an ME device manufacturer because the chemical interaction of disinfectants and additives can hardly be assessed. In addition to this, the manufacturers of disinfection agents continually adjust their products.<br \/>\nActually, ME device manufacturers have only one possibility, i.e. to test single disinfectants and state the results together with test time and dose in their device specification. Due to the fact that this is time and cost consuming, they mostly waive on this for accessory parts and exclude the use of chemical detergents and disinfectants.<\/p>\n<h2>FRIWO and disinfecting agents<\/h2>\n<p>FRIWO Ger\u00e4tebau GmbH has been producing power supplies for the medical electric sector for many years. We are your competent partner to advise and help you determine the right power supply solution with required resistance against disinfectants or specify suitable disinfection agents for your power supply.<\/p>\n<p>Please contact us, we look forward to help you: phone +49 (0)2532 \/ 810 \u2013\u00a0<a title=\"\u00d6ffnet ein Fenster zum Versenden der E-Mail\">sales(at)friwo.com<\/a><br \/>\nFRIWO Ger\u00e4tebau GmbH \u2013 Von-Liebig-Str. 11 &#8211; 49346 Ostbevern \u2013 www.friwo.com<\/p>\n<p>Sources:<br \/>\n1. \u201eBundeszentrale f\u00fcr gesundheitliche Aufkl\u00e4rung\u201c (federal center for health information)\u00a0<a href=\"http:\/\/www.infektionsschutz.de\/\" target=\"_blank\" rel=\"noopener noreferrer\">www.infektionsschutz.de<\/a><br \/>\n2. \u201eRobert Koch-Institut\u201c (Robert Koch institute), D-13302 Berlin, www.RKI.de<br \/>\n3. \u201eEmpfehlungen zur Pr\u00e4vention und Kontrolle von Methicillin-resistenten Staphylococcus aureus-St\u00e4mmen (MRSA) in medizinischen und pflegerischen Einrichtungen\u201c (recommendations to prevent and control MRSA in medical and care facilities)<br \/>\n\u201eBundesgesundheitsblatt\u201c (federal health magazine) 2014 \u00b7 57:696\u2013732 DOI 10.1007\/s00103- 014 -1980 \u2013x<br \/>\n\u00a9 Springer-Verlag Berlin Heidelberg 2014<br \/>\n4. Empfehlung zur Pr\u00e4vention und Kontrolle von Methicillin-resistenten Staphylococcus aureus-St\u00e4mmen (MRSA) in Krankenh\u00e4usern und anderen medizinischen Einrichtungen (recommendations to prevent and control MRSA in hospitals and other medical facilities)<br \/>\n\u201eBundesgesundheitsblatt &#8211; Gesundheitsforschung \u2013 Gesundheitsschutz\u201c 1999 \u00b7 42: 954\u2013958<br \/>\n\u00a9 Springer-Verlag 1999 (federal health magazine \u2013 health research \u2013 health protection)<br \/>\n5. \u201eDeutsche Gesellschaft f\u00fcr Hygiene und Mikrobiologie e.V.\u201c (German association for hygiene and micro biology)\u00a0 www.dghm.org<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Resistance to disinfectants What means MRSA? MRSA is the abbreviation of\u00a0Methicillin-Resistant\u00a0Staphylococcus\u00a0Aureus. The antibiotic Methicillin and many further antibiotics are ineffective against these bacteria. Very often, MRSA is used as a synonym for multi-resistant germs. For healthy people, such germs are non-hazardous most of the time, they are upon the skin and do not cause an [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":3387,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[19],"tags":[],"class_list":["post-4251","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>MRSA and its consequences for medical electric devices - FRIWO<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"http:\/\/dev.web1.server250a.stx-server.de\/en\/news\/mrsa-and-its-consequences-for-medical-electric-devices\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"MRSA and its consequences for medical electric devices - FRIWO\" \/>\n<meta property=\"og:description\" content=\"Resistance to disinfectants What means MRSA? MRSA is the abbreviation of\u00a0Methicillin-Resistant\u00a0Staphylococcus\u00a0Aureus. The antibiotic Methicillin and many further antibiotics are ineffective against these bacteria. Very often, MRSA is used as a synonym for multi-resistant germs. 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