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Article CommentaryCommentary

Steam Sterilization Chemical Indicators Are Not Adequate for Monitoring Real Steam Sterilization Cycles

Paulo Roberto Laranjeira, Rafael Queiroz de Souza, Jeane Aparecida Gonzales Bronzatti and Kazuko Uchigawa Graziano
PDA Journal of Pharmaceutical Science and Technology July 2020, 74 (4) 435-438; DOI: https://doi.org/10.5731/pdajpst.2019.009886
Paulo Roberto Laranjeira
1Cardinal Health, 7000 Cardinal Place, Dublin, OH 43017; and
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  • For correspondence: prlaranjeira@gmail.com
Rafael Queiroz de Souza
2 Nursing School (EEUSP), University of São Paulo, Brazil.
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Jeane Aparecida Gonzales Bronzatti
2 Nursing School (EEUSP), University of São Paulo, Brazil.
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Kazuko Uchigawa Graziano
2 Nursing School (EEUSP), University of São Paulo, Brazil.
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Abstract

Chemical indicators are commonly used in hospitals to monitor steam sterilization conditions, indicating that medical devices are safe to be used. The results are stored for future evidence in the event of an infection incident root cause analysis. This type of indicator is also becoming an option for cycle monitoring in pharmaceutical steam sterilizers, improving cycle control. They are constructed and tested according to published standards, but contradictory results between chemical indicators and cycle printouts have a critical impact on process control. We found that Type 6 chemical indicators used in steam sterilizer cycles did not perform according to their intended use, showing an “approved” result in a “failed” cycle (a false positive). This study demonstrated that Type 6 chemical indicator specifications are not adequate for monitoring steam sterilizers. A change in standards is therefore needed.

  • Chemical indicators
  • Cycle monitoring
  • Process indicators
  • Biological indicators
  • Steam sterilization, Medical device
  • © PDA, Inc. 2020
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PDA Journal of Pharmaceutical Science and Technology: 74 (4)
PDA Journal of Pharmaceutical Science and Technology
Vol. 74, Issue 4
July/August 2020
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Steam Sterilization Chemical Indicators Are Not Adequate for Monitoring Real Steam Sterilization Cycles
Paulo Roberto Laranjeira, Rafael Queiroz de Souza, Jeane Aparecida Gonzales Bronzatti, Kazuko Uchigawa Graziano
PDA Journal of Pharmaceutical Science and Technology Jul 2020, 74 (4) 435-438; DOI: 10.5731/pdajpst.2019.009886

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Steam Sterilization Chemical Indicators Are Not Adequate for Monitoring Real Steam Sterilization Cycles
Paulo Roberto Laranjeira, Rafael Queiroz de Souza, Jeane Aparecida Gonzales Bronzatti, Kazuko Uchigawa Graziano
PDA Journal of Pharmaceutical Science and Technology Jul 2020, 74 (4) 435-438; DOI: 10.5731/pdajpst.2019.009886
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  • Retrospective Evaluation of Cycled Resin in Viral Clearance Studies - A Multiple Company Collaboration - Post ICH Q5A(R2) Review
  • Addressing Medical Device Extractables and Leachables via Non-Target Analysis (NTA); The Analytical Evaluation Threshold (AET) and Quantitation
  • Expanding the Use of Moist Heat for Terminal Sterilization
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Keywords

  • Chemical indicators
  • Cycle monitoring
  • Process indicators
  • Biological indicators
  • Steam sterilization, Medical device

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