论文信息 - Design of a Low-Cost Autoclave for Developing World Health Clinics

Design of a Low-Cost Autoclave for Developing World Health Clinics

Incidence of surgical site infection is 2–5 times higher in developing nations as compared to developed nations. A low-cost, easy to use autoclave was designed to address the unique technical, behavioral, and market challenges present in rural, health posts of the developing world. A thorough stakeholder analysis was performed very early in the design process to address non-technical needs for sustained user adoption as well as manufacturability and scalability. Twelve partnering clinics in Nepal trialed these autoclaves from July until December 2012. Usage statistics and follow-up observations highlight important factors for successful adoption. These findings were used to improve the autoclave design. The goal of this paper is to detail a case study and methodology to incorporate multiple stakeholder needs into the early design process.Copyright © 2012 by ASME

[1] B. Allegranzi,et al. Burden of endemic health-care-associated infection in developing countries: systematic review and meta-analysis , 2011, The Lancet.

[2] Marleen Boelaert,et al. Incidence of Surgical-Site Infections and the Validity of the National Nosocomial Infections Surveillance System Risk Index in a General Surgical Ward in Santa Cruz, Bolivia , 2003, Infection Control & Hospital Epidemiology.

[3] N. McIntosh,et al. Infection prevention: guidelines for healthcare facilities with limited resources. , 2003 .

[4] F. A. Oyawale,et al. Design and construction of an autoclave , 2007 .

[5] Virginia A Merchant,et al. Infection Prevention , 2021, Chemistry & Industry.

[6] M A Barone,et al. Adaptation and validation of a portable steam sterilizer for processing intrauterine device insertion instruments and supplies in low-resource settings. , 1997, American journal of infection control.

[7] David J. Weber,et al. Disinfection and Sterilization In Healthcare Facilities , 2004 .

[8] R. Lewis,et al. Practical Guide to Autoclave Validation by , 2002 .

[9] E. Lingaas,et al. Surgical-site infections at Kilimanjaro Christian Medical Center. , 2003, The Journal of hospital infection.

[10] Hassan Mshinda,et al. Risk Factors for Surgical Site Infection in a Tanzanian District Hospital: A Challenge for the Traditional National Nosocomial Infections Surveillance System Index , 2006, Infection Control & Hospital Epidemiology.