Disposable chlorine dioxide wipes for high-level disinfection in the ENT department: A systematic review

Disposable chlorine dioxide wipes for high-level disinfection in the ENT department: A systematic review:



Publication date: Available online 4 February 2020

Source: American Journal of Otolaryngology

Author(s): Margherita Tofanelli, Vincenzo Capriotti, Carmelo Saraniti, Alberto Vito Marcuzzo, Paolo Boscolo-Rizzo, Giancarlo Tirelli

Abstract

Background

Nasopharyngoscope reprocessing methods should be effective, rapid and reproducible with moderate cost. Tristel Trio Wipes system (TTWS) is a manual reprocessing method based on chlorine dioxide that has lately emerged in ENT department. This review aims to collect evidence on this system.

Methods

The PubMed, Web of Science and Cochrane Library databases were searched for all the studies on TTWS or one of its components. Data were grouped according to the study type.

Results

Ten articles were included in the review. TTWS ensured high-level disinfection in laboratory and clinical setting. Although the limitations of the manual systems, TTWS proved to be faster than automated endoscope reprocessing (AER) and safe for patients and health-care workers. TTWS represented cheaper system than AER or sheaths in low- and medium-volume centers.

Conclusion

TTWS could be a valid, safe and fast HLD method for nasopharyngoscopes, with reasonable costs for medium-low reprocessing volumes.