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By Dr. med. Ernst Stein (auth.)

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Sample text

The exceptions are operating rooms and other places where invasive procedures are performed. As a rule, 2-3 h after disinfection of the floor, the number of bacteria is just as high as following simple moist wiping or mopping . It is thus recommended to perform targeted disinfection on obviously contaminated sites using a disposable paper towel and single-use protective gloves. The mops, wiping clothes, and similar items should be washed at 70°C rather than chemically disinfected. The standard approach to cleaning floors in a medical setting is to use two mops and change them after each room has been cleaned.

One must distinguish between simple hygienic hand disinfection and the much more complicated and lengthier process of pre-operative surgical disinfection of the hands [4, 13, 16, 28, 30, 31, 37). Hygienic Hand Disinfection Alcoholic products (such as Spitaderm) are almost exclusively employed for routine hand disinfection. 21. The main advantage of these products is their rapid onset of action [9). The disinfectant is poured or squirted into the cupped hand, and then rubbed over both hands until they appear dry.

This position is very useful for rectosigmoidoscopy because in most cases air insufflation is not needed. In addition, because the bowel contents shift forward, stool and mucus material is only rarely found in the proctoscope or rectoscope. A final advantage is that it affords excellent visualization of the perianal region. The dorsal lithotomy position (Fig. 10, lower panel) has the disadvantage that the abdominal contents compress the sigmoid colon, so air insufflation is always needed. An advantage is that any gynecological examination table can be used to put patients in this position.

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