By Dr. med. Ernst Stein (auth.)

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Additional info for Anorectal and Colon Diseases: Textbook and Color Atlas of Proctology

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It thus includes official recommendations for the control of non-reportable illnesses [8]. 22 The Proctologic Examination The document can be obtained from mhp-Verlag GmbH, Ostring 13, 65205 Wiesbaden, Germany (Tel. +49-6122-7709131). There are four major groups of disinfectants which cover the entire spectrum of requirements outlined in the above lists and other sources. They are discussed in more detail below. Aldehydes. This group has the broadest spectrum of action and is additionally valuable because it prevents the transfer of hepatitis viruses.

One major disadvantage is that they are flammable and can also be explosive. A major advantage is that they are effective after 30-60 s. This makes them ideal for hand and skin disinfection. For prophylaxis against hepatitis B virus and HIV, alcoholic solutions (such as Primasept M, Spitaderm) are recommended [8). Glucoprotamines. Glucoprotamines are a suitable alternative to aldehydes for treating surfaces. They are effective against bacteria, including mycobacteria, fungi, hepatitis B virus, and HIV.

Endoscopic equipment must be constructed out of material that is both easy to clean and that can be disinfected and sterilized effectively with heat. The equipment must be carefully cleaned prior to disinfection or sterilization. Parts which are difficult to clean can be treated with ultrasound devices. All accessories, such as biopsy instruments and cytology brushes, should also be sterilized with steam. The water container and the connecting hose which allow one to rinse the optical head should be sterilized daily.

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