Assessment Of Different Methods Of Sterilization Of HSG Equipment In Radiology Departments In Enugu Urban

This study, Assessment of different methods of sterilization of HSG equipment in Radiology Department in Enugu Urban, was done using questionnaire and interviews methods of data collection. The main purpose of the study was to determine different methods of sterilizing equipment used during HSG procedures in our locality, to assess if attention is given to monitoring of methods used for sterilization of HSG equipment in our locality and to compare the different methods of sterilizing HSG equipment in Radiology departments with a view to recommending the best option available. Eight standard Radiology centers in Enugu Urban were used for this research and a total number of 70 questionnaires were used for the study. The results showed that three major methods of sterilizing HSG equipment are available in the locality of study, which includes high pressure steam (autoclave), Dry heat (oven), and chemicals. 47.84% of the centers make use of chemical,32.47% and 24.21% centers make use of high pressure stem (Autoclave) and dry heat (oven) respectively. The attention given to monitoring of HSG equipment is commendable as 97.57% of the centers monitor the procedure routinely. The result showed that most Radiology centers in Enugu Urban use chemical method of sterilization in preference to high pressure steam (Autoclave) which is a better method of sterilizing HSG equipment. The result simply showed that most Radiology centers in our locality are not in tone with current trend of sterilization as chemicals method of sterilization is hazardous to both patients and staff.

LIST OF TABLE
CHAPTER TABLES
Table I:  The number of registered radiological centers in Enugu Urban.
Table II: the distribution and location of radiological centers in Enugu Urban,
Table III: Distribution of radiological centers that conduct HSG exams and other related special exams
 
CHAPTER FOUR TABLES
Table 1: Response by respondents on how long they have worked in the department.
Table II: Distribution of frequency of HSG examination in Radiological departments in Enugu Urban.
Table III:  Distribution of respondent’s response on whether they are aware that HSG equipment are to be sterilized.
Table IV: Distribution of the frequency of sterilization of HSG equipment.
Table V: Distribution of number of HSG Procedures carried out per day in various Radiology Centers.
Table VI: This table shows the distribution of respondent’s response on different methods of sterilization used in their departments.
Table VII: The distribution of the types of chemical used in sterilization of HSG equipment in Radiology department
Table VIII: The distribution of Respondents response on their reason(s) behind their choice of methods of sterilization.
Table IX: Distribution of the frequency of monitoring sterilization process in Radiology departments in Enugu Urban.
Table X: Distribution of the frequency of the respondent’s participation in workshop/seminar in Radiology department in Enugu Urban.

TABLE OF CONTENTS
Title page - - - - - - - -  i
Approval page - - - - - - -  ii
Certification- - - - - - - -  iii
Dedication - - - - - - - -  iv
Acknowledgement- - - - - - -  v
List of Tables- - - - - - - -  vii
Abstract - - - - - - - -  ix
Table of Contents- - - - - - -  x

CHAPTER ONE: BACKGROUND OF THE STUDY
1.0. Introduction         1
1.1. Statement of Problem      4
1.2. Objectives of Study        5
1.3. Significance of Study       5
1.4. Scope of Study        5
1.5. Review of Related Literature 

CHAPTER TWO: BACKGROUND OF THE STUDY
2.0. Introduction        14
2.1. Basic Trolley Setting, During HSG Procedures   15
2.1.1. Radiation Sterilization       15
2.1.2. Methods of Heat Sterilization     17
2.1.3. Sterilization by Steam      19
2.1.4. Sterilization by Dry Heat      21
2.1.5. Chemical Sterilization      24
2.2. Monitoring Sterilization Procedures    29
2.3. Storage of Sterile HSG Equipment     31
2.4. Shelf Life of Sterilized HSG Equipment   32 
2.5. Other Sterilization Methods     34
2.5.1. Gas Sterilization       34
2.5.2. Other Chemical Sterilant 

CHAPTER THREE: RESEARCH METHODOLOGY
3.1. Research Design       37 
3.2. Target Population        37
3.3. Selection Criteria       38 
3.4. Source of Data         38
3.4.1 Primary Source Data      39
3.4.2 Secondary Source Data      39
3.5 Method of Data Collection      39

CHAPTER FOUR
Data Presentation And Analysis     47

CHAPTER FIVE: DISCUSSION, SUMMARY, RECOMMENDATION AND CONCLUSION
5.1 Discussion        60
5.2 Summary        65
5.3 Recommendation      66
5.4 Conclusions       68
5.5 Area of Further Studies     69
5.6 Limitations of The Study     69
APPENDIX
REFERENCES