Indicações e limitações dos diferentes detergentes utilizados no processamento de produtos para a saúde

Objective: To identify studies that address indications and limitations of different detergents used in the processing of medical devices. Method: Integrative review that included publications in Scientific Electronic Library Online, Science Direct, Scopus, Web of Science and PubMed, from 2000 to 2016, in English and in Portuguese. Results: Nine studies were identified. Alkaline detergents remove dirt well, its use is indicated for automated equipment, and they are suitable in processes that use hard water, compatible with surgical stainless steel instruments. They may damage the medical device and react with aluminum, zinc, non-ferrous metals, rubber and latex. Enzymatic detergents are compatible with various materials and, due to the presence of enzymes, remove different types of dirt from the instrument. Conclusion: Although alkaline and enzymatic detergents present similarities, the choice of the product requires knowledge of its action, observing the characteristics of use, compatibility with the medical device and water quality.