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Otolaryngology, ENT & Sinus News Provided by the California Sinus CentersDisinfection of Flexible Fiberoptic Laryngoscopes After In Vitro Contamination With Staphylococcus aureus and Candida albicans [Original Article]January 16, 2012, 12:00 pm by Archives of Otolaryngology Head & Neck SurgeryObjective To determine the efficacy of various cleaning and disinfective methods in reducing bacterial and fungal load on flexible fiberoptic laryngoscopes (FFLs). Design In vitro model. Subjects Flexible fiberoptic laryngoscopes contaminated with Staphylococcus aureus and Candida albicans. Interventions Contamination with S aureus and C albicans was separately induced on FFLs, which were then disinfected with different protocols: 20-, 15-, 10-, and 5-minute soaks in ortho-phthalaldehyde (Cidex OPA; Johnson & Johnson) with or without presoaking in an enzymatic soap solution for 5 minutes; an isolated 5-minute soak in an enzymatic soap solution; a 30-second wipe with antibacterial soap and water; a 30-second wipe with isopropyl alcohol; a 30-second wipe with antibacterial soap, followed by a 30-second scrub with isopropyl alcohol; and a 30-second wipe with germicidal cloth, all accompanied by previous rinsing with 30 seconds of running tap water. Results All protocols except the isolated 5-minute soak in enzymatic soap solution were successful in completely disinfecting the FFLs after experimental contamination with S aureus or C albicans. Conclusion Various different cleaning methods appeared to properly disinfect FFLs after inoculation with S aureus and C albicans in an in vitro model.
More from Archives of Otolaryngology Head & Neck Surgery Incidence of Pediatric Acute Mastoiditis: 1997-2006 [Original Article] Archives of Otolaryngology Head & Neck Surgery: April 16, 2012, 12:00 pm Objectives To evaluate the incidence of acute mastoiditis in children in the United States over the years 1997 through 2006 and to explore possible explanations for the conflicting conclusions of recent studies Radiotherapy in Parotid Acinic Cell Carcinoma: Does It Have an Impact on Survival? [Original Article] Archives of Otolaryngology Head & Neck Surgery: April 16, 2012, 12:00 pm Objective Acinic (or acinar) cell carcinoma (ACC) represents approximately 10% of salivary gland malignant tumors and most commonly occurs in the parotid gland. It carries a propensity for locoregional and distant metastasis. Koi frenzy [About the Cover] Archives of Otolaryngology Head & Neck Surgery: April 1, 2012, 12:00 pm About This Journal [About This Journal] Archives of Otolaryngology Head & Neck Surgery: April 1, 2012, 12:00 pm Complications of Adenotonsillectomy in Patients Younger Than 3 Years [Original Article] Archives of Otolaryngology Head & Neck Surgery: April 1, 2012, 12:00 pm Objective To evaluate the complication rate for adenotonsillectomy in children younger than 3 years, without a diagnosis of severe obstructive sleep apnea, to assess the necessity for postoperative inpatient admission. Design Retrospective medical
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