The choice of the right autoclave for a podiatry practice depends largely on the risk classification of the instruments used. This classification is determined by the practice operator based on the design and use on the patient and is part of the hygiene plan. Correct categorisation not only ensures patient safety, but also compliance with legal regulations and efficient instrument reprocessing.
1. pre-classification according to area of application
Instruments are initially categorised according to their area of application:
Non-critical instruments: Only touch intact skin. These instruments pose a low risk of infection.
Semi-critical instruments: Come into contact with mucous membranes or pathologically altered skin. There is a medium risk of infection here.
Critical instruments: Penetrate skin or mucous membranes or come into contact with blood, tissue or internal organs. These instruments have the highest risk of infection and require the strictest reprocessing requirements.
2. reclassification according to instrument design
In addition to the application-related classification, the design of the instruments is also taken into account. The suffix A, B or C stands for the following properties:
A: No cavities or hard-to-reach areas. These rigid instruments do not have any increased reprocessing requirements.
B: Have cavities or areas that are difficult to access, e.g. rough surfaces of cutters or joints of forceps. Here, targeted evacuation of the air is necessary before effective sterilisation can take place.
C: Complex instruments with cavities that cannot be sterilised with steam. As these instruments are not thermostable, they are not used in podiatry.
Sterilisation in podiatry: the correct reprocessing cycle
Sterilisation is always carried out on the basis of risk classification. As it is often difficult to assess whether the skin is pathologically altered or not before treatment, non-critical and semi-critical instruments are treated in the same way. Therefore, semi-critical instruments must first be cleaned and disinfected in a thermal disinfector, for example. They can then either be released directly or sterilised without packaging. Critical instruments, on the other hand, also undergo thorough cleaning and disinfection, but must be sterilised wrapped to ensure their long-term sterility. Depending on the instrument design, either a class B or class S autoclave is used - find out which autoclave offers the best solution for you in the following section.