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Record W2146852620 · doi:10.1017/cbo9780511544514.005

Cleaning and disinfection of airway equipment

2005· book-chapter· en· W2146852620 on OpenAlexaff
Anna Pearce

Bibliographic record

VenueCambridge University Press eBooks · 2005
Typebook-chapter
Languageen
FieldImmunology and Microbiology
TopicMedical Device Sterilization and Disinfection
Canadian institutionsSt. Thomas Hospital
Fundersnot available
KeywordsSterilization (economics)Human decontaminationWaste managementDisease transmissionMedical equipmentMedicineVirologyBusinessEngineeringNursing

Abstract

fetched live from OpenAlex

Decontamination is the combination of processes, including cleaning, disinfection and/or sterilization, used to render a reusable medical device safe for further use. It is important because of the risk of transmission of hospital acquired infections and transmissible spongiform encephalopathies. The recommendations of the Department of Health are clear and detail that single use disposable airway equipment should be used where possible. Where this is not possible, equipment should be sterilized by heat (autoclave) and where this is not possible cold, chemical sterilization or disinfection by an automated process should be used. The term disinfection means the elimination of all vegetative pathogenic organisms such as bacteria and viruses, and sterilization indicates the elimination of all pathogens including spores. For a terminally sterilized medical device to be labelled sterile, the theoretical probability of there being a viable microorganism present on the device should be equal to or less than 1 × 10 –6 . An additional infective agent, the abnormal prion protein PrP Sc , has great public health implications as it is the probable mechanism of transmission of variant Creutzfeldt–Jakob disease (vCJD). This prion protein cannot be eliminated by chemical means or temperatures reached in the standard autoclave. Temperatures approaching those required for incineration are needed. Reusable equipment should never be used in patients known or suspected of having vCJD unless the equipment is to be destroyed after use. In the case of flexible fibrescopes, dedicated endoscopes may be obtained from the National CJD Surveillance Unit in Edinburgh. All trusts should have Infection Control Committees and Teams which are responsible for preparing infection control policies to conform to all national and international standards and recommendations. Single use, disposable Single use equipment eliminates the risk of cross infection between patients through the airway device.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.001
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Other · Consensus signal: Other
Teacher disagreement score0.027
Threshold uncertainty score0.089

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0000.001
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0010.001
Science and technology studies0.0010.001
Scholarly communication0.0010.001
Open science0.0010.001
Research integrity0.0010.002
Insufficient payload (model declined to judge)0.0270.036

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.015
GPT teacher head0.202
Teacher spread0.187 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designNot applicable
Domainnot available
GenreOther

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2005
Admission routes1
Has abstractyes

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