similar fashion, they behave this way in the body when antibiotics try to
attack them. They create a resistance and actually have the ability to share
this information to the other colonies via quorum sensing.
The most effective way of removal is vigorous mechanical action with
a cleaning pad or brush or cleaning pad specifically designed for the purpose of biofilm removal and the use of an effective enzyme in combination with one another. Effective processing and point of use cleaning are
essential in preventing their development.
Areas Of Concern
Preventing formation is a essential to success. Effective cleaning and
removal in timely manner is key. However, particulates must be considered. Particulates are a concern because biofilm or lint/particles in blood
stream cause platelets to trigger. Biofilm attaches to particulates and
enhance survival. Fibrin forms in an effort to seal off the invaders and
anchors to anything nearby. This can cause adhesions which thicken.
Adhesions cause pain and strangle organs in the human body.
Common Sources Of Particulates
• Mopping in the operating room or CSSD with non microfiber cot-
• Sweeping or dry dusting with non microfiber material
• Transport carts not properly cleaned
• Poor air filtration
• High traffic areas in
• CSSD assembly of
sets using cotton
towels for drying and
• The use of cotton
fiber towels in CSSD
and the operating
• Dust /dirt/ hair
• Cotton towels
• Poorly cleaned reus-
• Dried blood
• Biofilm fragments
Prevention of excess particulates can be achieved by utilizing non linting microfiber wipes and low lint tray lining products for CSSD, and disposable microfiber mops and cleaning kits for operating room turnovers.
Reducing towel usage in surgery lowers lint and is necessary ensure they
are low linting “OR-grade” towels.