Single-use devices (SUDs): How often are they reused in sterile sites in Australia?

Abstract

The objectives of the study were threefold: to determine in Australian hospitals the extent that medical devices are reused in sterile sites when labelled 'single use only', to assess the adequacy of cleaning and sterilising procedures before reuse and to estimate the possible incidence of cross-infection if these devices are reused. The setting consisted of all Australian hospitals with more than 45 beds and undertaking medical and surgical procedures (461 hospitals). A self-administered questionnaire survey was used to collect results. Questionnaires were sent to hospital infection control practitioners in 2001 requesting information about reuse in sterile sites of single-use medical devices (SUDs), the extent of reuse, the cleaning and sterilising processes involved, and the reasons for reuse. Responses were received from 189 hospitals (41%). Reuse occurred in 28 (15%) either at the time of the survey or within the previous 12 months (CI = 10-21%). More reuse occurred in the larger hospitals (50% if >300 beds) than in smaller hospitals (13% if 100-300 beds). Diathermy pencils, even though relatively inexpensive, were the most frequently reused devices (10 hospitals). The main reason given for reuse was cost saving. No cross infections were reported. Reuse of medical devices labelled 'single use only' and used in sterile sites remains common in Australian hospitals but this use has decreased since 1994 (a fall of reuse from 68% to 15%). Most devices appear to be unsuitable for reuse. There are now many studies that show these devices cannot be adequately cleaned and/or sterilised. We strongly advise against further reuse of these items.