{"id":1118,"date":"2021-03-16T18:03:53","date_gmt":"2021-03-16T18:03:53","guid":{"rendered":"https:\/\/tristel.com\/ch-fr\/?post_type=tristel-science&p=1118"},"modified":"2024-03-08T09:51:32","modified_gmt":"2024-03-08T08:51:32","slug":"limportance-de-la-desinfection-des-sondes-dechographie-endovaginales","status":"publish","type":"tristel-science","link":"https:\/\/tristel.com\/ch-fr\/triology\/article\/limportance-de-la-desinfection-des-sondes-dechographie-endovaginales\/","title":{"rendered":"L’importance de la d\u00e9sinfection des sondes d\u2019\u00e9chographie endovaginales"},"content":{"rendered":"

D\u00e9sinfection de haut niveau des sondes d’\u00e9chographie endovaginales<\/span><\/p>\n\n\n\n
\n

Que sont les sondes endovaginales ?\u00a0<\/span><\/h4>\n

Les sondes endovaginales sont des dispositifs \u00e9chographiques pelviens, qui utilisent des ondes \u00e0 haute fr\u00e9quence pour cr\u00e9er des images1<\/sup>. Elles permettent d\u2019examiner les organes reproducteurs f\u00e9minins, comme le vagin, le col de l\u2019ut\u00e9rus, l\u2019ut\u00e9rus, les trompes de Fallope et les ovaires, afin d\u2019identifier des anomalies et de diagnostiquer des maladies1<\/sup>. Les examens r\u00e9alis\u00e9s avec une sonde endovaginale sont des examens internes qui impliquent d\u2019introduire une sonde dans le vagin \u00e0 une profondeur de 5 \u00e0 7,5 cm1<\/sup><\/p>\n<\/td>\n

\n

\"Examen<\/span><\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

 <\/p>\n

Pourquoi les sondes endovaginales n\u00e9cessitent une d\u00e9sinfection de haut niveau ?<\/span><\/h4>\n

1. Recommandations de contr\u00f4le des infections<\/span><\/h3>\n

Les recommandations de contr\u00f4le des infections suivent la classification de Spaulding. Elle repose sur le risque infectieux des dispositifs utilis\u00e9s dans les proc\u00e9dures sur des patients2<\/sup>. Lors de l\u2019insertion d\u2019une sonde endovaginale dans le vagin d\u2019une patiente, la sonde touche les muqueuses intactes du col de l\u2019ut\u00e9rus et de la paroi vaginale. Ainsi, selon la classification de Spaulding (Tableau 1.), les sondes endovaginales n\u00e9cessitent une d\u00e9sinfection de haut niveau apr\u00e8s utilisation2<\/sup>.<\/p>\n

 <\/p>\n

\"La<\/p>\n

Table 1.<\/strong> La classification de Spaulding\u00b2<\/span><\/p>\n

 <\/p>\n

2. Risques de microperforation et de fuite du prot\u00e8ge sonde\u00a0<\/span><\/h3>\n

Les recommandations en vigueur dans le monde entier pr\u00e9conisent l\u2019utilisation d\u2019un prot\u00e8ge-sonde afin de r\u00e9duire les contaminations lors des proc\u00e9dures endovaginales3-12<\/sup>. La contamination reste cependant possible en raison des microperforations, d\u2019une rupture partielle ou compl\u00e8te du prot\u00e8ge-sonde pendant son utilisation ou d\u2019un mauvais placement du prot\u00e8ge-sonde sur la sonde (Figure 1.). Certains prot\u00e8ge-sondes du commerce utilis\u00e9s en \u00e9chographie poss\u00e8dent des taux de fuite inacceptablement \u00e9lev\u00e9s (jusqu\u2019\u00e0 81 %) et n\u2019offrent nullement une protection fiable contre les agents infectieux, en particulier les virus13<\/sup>.<\/p>\n

\"Risques<\/p>\n

Figure 1.<\/strong> Risques de microperforation et de rupture du prot\u00e8ge-sonde<\/span><\/p>\n

La contamination peut subsister m\u00eame lorsque la sonde endovaginale est prot\u00e9g\u00e9e et fait l\u2019objet d\u2019une d\u00e9sinfection de niveau interm\u00e9diaire ou de bas niveau14-17<\/sup>. Si une sonde endovaginale n\u2019est pas d\u00e9sinfect\u00e9e de fa\u00e7on appropri\u00e9e, si le prot\u00e8ge-sonde comporte des microperforations ou des ruptures ou s\u2019il n\u2019est pas plac\u00e9 de mani\u00e8re appropri\u00e9e, une transmission nosocomiale de patiente \u00e0 patiente ou de patiente au professionnel de la sant\u00e9 risque de survenir. L\u2019utilisation de d\u00e9sinfectants inappropri\u00e9s sur les sondes ne r\u00e9duit pas le niveau de contamination microbienne \u00e0 un niveau s\u00fbr pour une utilisation sur la patiente suivante. Des agents pathog\u00e8nes peuvent \u00e9galement \u00eatre pr\u00e9sents pendant une p\u00e9riode prolong\u00e9e en cas de d\u00e9sinfection insatisfaisante d\u2019une surface ou d\u2019un dispositif5<\/sup>. Par exemple, le papillomavirus humain (HPV) peut survivre jusqu\u2019\u00e0 sept jours sur les surfaces18<\/sup>.<\/p>\n

 <\/p>\n

3. Contamination du fil et de la prise de la sonde endovaginale<\/span><\/h3>\n\n\n\n
\n

Voici les \u00e9l\u00e9ments d\u2019une sonde endovaginale (Figure 2.) qui sont \u00e0 risque de contamination sanguine ou microbienne :
\n\u2022 Tige \u00e0 ins\u00e9rer, introduite dans le vagin de la patiente20,21<\/sup>
\n\u2022 Manche du dispositif20,21<\/sup>
\n\u2022 Fil et prise de la sonde20,21<\/sup>
\nLa d\u00e9sinfection de haut niveau pr\u00e9vient la propagation des agents pathog\u00e8nes nocifs de patiente \u00e0 patiente, tout en prot\u00e9geant les professionnels de la sant\u00e9 pendant les proc\u00e9dures. Certaines unit\u00e9s de d\u00e9contamination automatis\u00e9es ne peuvent d\u00e9sinfecter que la tige \u00e0 ins\u00e9rer de la sonde endovaginale. Tristel Duo ULT<\/a> et Tristel Trio Wipes System <\/a>sont con\u00e7us pour d\u00e9sinfecter la sonde dans son int\u00e9gralit\u00e9, de la prise et du fil jusqu\u2019\u00e0 la tige \u00e0 ins\u00e9rer.<\/p>\n<\/td>\n

<\/td>\n\n

\"\u00c9l\u00e9ments<\/p>\n

Figure 2.<\/strong> \u00c9l\u00e9ments d’une sonde endovaginale standard<\/span><\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

4. Risques de spores bact\u00e9riennes dans l’environnement\u00a0<\/span><\/h3>\n

Les spores bact\u00e9riennes, comme Bacillus subtilis<\/em>, sont pr\u00e9sentes dans notre environnement et sont consid\u00e9r\u00e9es comme un contaminant environnemental22<\/sup>. Il n\u2019est n\u00e9cessaire de conserver ou de d\u00e9contaminer les sondes endovaginales dans un endroit st\u00e9rile, ce qui pourrait recontaminer les dispositifs apr\u00e8s d\u00e9sinfection. Les spores bact\u00e9riennes sont consid\u00e9r\u00e9es comme les micro-organismes les plus r\u00e9sistants aux d\u00e9sinfectants (Figure 3) et la st\u00e9rilisation est n\u00e9cessaire pour d\u00e9truire des taux \u00e9lev\u00e9s de spores. Etant donn\u00e9 que les sondes endovaginales ne tol\u00e8rent pas les temp\u00e9ratures \u00e9lev\u00e9es utilis\u00e9es lors de la st\u00e9rilisation et qu\u2019elles peuvent \u00eatre endommag\u00e9es par la chaleur ainsi que par les produits chimiques agressifs, il est essentiel d\u2019avoir recours \u00e0 une solution appropri\u00e9e telle que la d\u00e9sinfection de haut niveau.<\/p>\n

\"R\u00e9sistance<\/p>\n

Figure 3.<\/strong> R\u00e9sistance des micro-organismes aux d\u00e9sinfectants. Adapt\u00e9 de Centers for Disease Control and Prevention (2008)2<\/sup><\/span><\/p>\n

 <\/p>\n

La d\u00e9sinfection de haut niveau des sondes endovaginales r\u00e9duit le risque de transmission de patiente \u00e0 patiente et de patiente \u00e0 professionnel de la sant\u00e9<\/span><\/h4>\n

 <\/p>\n

Une \u00e9tude de Meyers et al. (2014) a d\u00e9montr\u00e9 que les d\u00e9sinfectants de haut niveau mentionn\u00e9s dans les recommandations mondiales de d\u00e9contamination ne sont pas efficaces pour d\u00e9truire le HPV23<\/sup>. Jusqu\u2019\u00e0 peu, il n\u2019\u00e9tait pas possible de tester l\u2019efficacit\u00e9 des d\u00e9sinfectants contre le HPV natif. En l\u2019absence de m\u00e9thodes disponibles, les organismes de r\u00e9glementation recommandent d\u2019effectuer des tests sur un polyomavirus SV40 de substitution, utilis\u00e9 comme indicateur d\u2019efficacit\u00e9 contre le HPV. Cependant, le profil de r\u00e9sistance aux d\u00e9sinfectants compar\u00e9 des deux virus n\u2019a pas \u00e9t\u00e9 \u00e9tudi\u00e9. Cela signifie que l\u2019efficacit\u00e9 contre le polyomavirus SV40 de substitution n\u2019\u00e9quivaut pas forc\u00e9ment \u00e0 l\u2019efficacit\u00e9 contre le HPV23.<\/p>\n

La Soci\u00e9t\u00e9 de M\u00e9decine Maternelle et F\u0153tale (Society for Maternal-Fetal Medicine) a r\u00e9cemment publi\u00e9 (2020) des recommandations concernant la s\u00e9curit\u00e9 des patientes. Ces recommandations portent sur la r\u00e9duction du risque de transmission d\u2019infections lors des examens r\u00e9alis\u00e9s avec une sonde endovaginale et pr\u00e9conisent de respecter les pratiques suivantes:<\/p>\n

\u2022 Un usage unique des prot\u00e8ge-sondes pour chaque examen avec sonde endovaginale1<\/sup>3<\/sup>.
\n\u2022 Une utilisation de poches de gel d\u2019\u00e9chographie \u00e0 usage unique st\u00e9riles1<\/sup>3<\/sup>.
\n\u2022 Le nettoyage, c\u2019est-\u00e0-dire l\u2019\u00e9limination des \u00e9l\u00e9ments contaminant comme le gel et les d\u00e9bris qui peuvent r\u00e9duire l\u2019efficacit\u00e9
\nde la d\u00e9sinfection sur les sondes endovaginales apr\u00e8s chaque examen1<\/sup>3<\/sup>.
\n\u2022 La d\u00e9sinfection de haut niveau \u00e0 l\u2019aide d\u2019un agent dont l\u2019efficacit\u00e9 contre le HPV a \u00e9t\u00e9 prouv\u00e9e1<\/sup>3<\/sup>. <\/strong><\/p>\n

 <\/p>\n

Une \u00e9tude scientifique de Meyers et al. (2020)<\/a> d\u00e9montre que Tristel Trio Wipes System et Tristel Duo ULT poss\u00e8dent une efficacit\u00e9 contre l\u2019infection \u00e0 HPV16 et \u00e0 HPV18 sur du mat\u00e9riel comme les sondes d\u2019\u00e9chographie endovaginales
\nen 30 secondes24<\/sup>.<\/strong><\/h5>\n

 <\/p>\n

\"Tristel<\/p>\n

 <\/p>\n\n\n\n\n
\"Tristel<\/td>\n<\/td>\n\n

Tristel Trio Wipes System<\/span><\/h4>\n

Produit de r\u00e9f\u00e9rence pour la d\u00e9contamination manuelle des dispositifs m\u00e9dicaux invasifs sans canal op\u00e9rteur et non invasifs.<\/p>\n

Temps de contact de 30 secondes<\/strong><\/p>\n

Cliquez ici<\/a> pour en savoir plus sur Tristel Trio Wipes System.<\/span><\/td>\n<\/tr>\n

\n
\"Tristel<\/h5>\n<\/td>\n
…<\/span><\/td>\n\n

Tristel Duo ULT<\/span><\/h4>\n

Mousse d\u00e9sinfectante de haut niveau \u00e0 base de ClO2<\/sub> pour les sondes d\u2019\u00e9chographie endocavitaires et les transducteurs cutan\u00e9s, dont les fils, les prises et les panneaux de commande.<\/p>\n

Temps de contact de 30 secondes<\/strong><\/p>\n

Cliquez ici<\/a>\u00a0pour en savoir plus sur Tristel Duo ULT.<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

 <\/p>\n

References<\/span><\/p>\n

1. NHS. 2018. Ultrasound Scan. [online] Available at: <https:\/\/www.nhs.uk\/conditions\/ultrasound-scan\/<\/a>> [Accessed 3 October 2020].<\/span><\/p>\n

2. Centers for Disease Control and Prevention (2008) Guideline for Disinfection and Sterilization in Healthcare Facilities, 2008 Available at: https:\/\/www.cdc.gov\/infectioncontrol\/pdf\/guidelines\/disinfection-guidelines-H.pdf<\/a> [Accessed 3 October 2020]<\/span><\/p>\n

3. Abramowicz JS, Evans DH, Fowlkes JB, Marsal K, TerHaar G, on behalf of the WFUMB Safety Committee. Guidelines for cleaning transvaginal ultrasound transducers between patients. Ultrasound in Med & Biol, 2017; 43(5):1076-1079.<\/span><\/p>\n

4. EFSUMB (European Federation of Societies for Ultrasound in Medicine and Biology) -2017; http:\/\/www.efsumb.org\/safety\/resources\/2017-probe_cleaning.pdf.<\/a><\/span><\/p>\n

5. Prevention Du Risque Infectieux Associe Aux Actes D\u2019echographie Endocavitaire https:\/\/solidarites-sante.gouv.fr\/IMG\/pdf\/fiches_sondes.pdf<\/a>.<\/span><\/p>\n

6. Nyhsen, C., Humphreys, H., Koerner, R., Grenier, N., Brady, A., Sidhu, P., Nicolau, C., Mostbeck, G., D\u2019Onofrio, M., Gangi, A. and Claudon, M., 2017. Infection prevention and control in ultrasound – best practice recommendations from the European Society of Radiology Ultrasound Working Group. Insights into Imaging, 8(6), pp.523-535.<\/span><\/p>\n

7. Guidelines for reprocessing ultrasound transducers AJUM, 2017, 20;1:30-40.<\/span><\/p>\n

8. BMUS \/ SOR (British Medical Ultrasound Society \/ Society and College of Radiology) -2017; https:\/\/www.bmus.org\/policies-statements-guidelines\/professional-guidance\/guidelines-for-professional-ultrasound-practice\/<\/a><\/span><\/p>\n

9. Irish Health Service Executive (HSE) Quality Improvement Division – Decontamination Safety Programme (2017) HSE guidance for decontamination of semi\u2010critical ultrasound probes; Semi\u2010invasive and Non\u2010invasive Ultrasound Probes QPSD-GL-028-1 http:\/\/wwwhseie\/eng\/about\/Who\/QID\/nationalsafetyprogrammes\/decontamination\/Ultrasound-Probe-Decontamination-Guidance-Feb-17pdf<\/span><\/p>\n

10. Health Facilities Scotland Decontamination Services (2016) NHS Scotland guidance for decontamination of semi-critical ultrasound probes; semi-invasive and non-invasive ultrasound probes http:\/\/wwwhpsscotnhsuk\/documents\/hai\/infectioncontrol\/guidelines\/NHSScotland-Guidance-for-Decontaminationof-Semi-Critical-Ultrasound-Probespdf<\/span><\/p>\n

11. Guidelines for Reprocessing Ultrasound Transducers by the Australasian Society for Ultrasound in Medicine and the Australasian College for Infection Prevention and Control (2017) AJUM 20 (1) http:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ajum.12042\/epdf<\/a><\/span><\/p>\n

12. Rutala WA, Weber D. Reprocessing semicritical items. Am J Infect Control. 2016;44:e53\u2013e62. doi: 10.1016\/j.ajic.2015.12.029.<\/span><\/p>\n

13. Hamm, R., Combs, C. and Davidson, C., 2020. Society for Maternal-Fetal Medicine Special Statement: Reducing the risk of transmitting infection by transvaginal ultrasound examination. American Journal of Obstetrics and Gynecology, 223(3), pp.B2-B6.<\/span><\/p>\n

14. M\u2019Zali, F., Bounizra, C., Leroy, S., Mekki, Y., Quentin-Noury, C., Kann, M. (2014) \u2018Persistence of MicrobialContamination on Transvaginal Ultrasound Probes despite Low-Level Disinfection Procedure\u2019, PLoS ONE, vol. 9, no. 4 [Online]. DOI: 10.1371\/journal.pone.0093368 (Accessed 17 June 2018).<\/span><\/p>\n

15. Ma, S., Yeung, A., Chan, P., Graham, C. (2014) High level disinfection reduces HPV contamination of transvaginal sonography probes in the emergency department [Online]. Available at: https:\/\/emj.bmj.com\/content\/30\/6\/472.responses#high-level-disinfection-reduces-hpv-contamination-of-transvaginal-sonography-probes-in-the-emergency-department (Accessed 26 July 2018).<\/span><\/p>\n

16. Casalegno, JS., Carval, K., Eibach, D., Valdeyron, ML., Lamblin, G., Jacquemoud, H., Mellier, G., Lina, B., Gaucherand, P., Mathevet, P., Mekki1, Y. (2012) \u2018High Risk HPV Contamination of Endocavity Vaginal Ultrasound Probes: An Underestimated Route of Nosocomial Infection?\u2019, PLoS ONE, vol. 7, no. 10 [Online]. DOI: doi:10.1371\/journal.pone.0048137 (Accessed 23 June 2018).<\/span><\/p>\n

17. Strauss, S., Sastry, P., Sonnex, C., Edwards, S, Gray, J. (2002) \u2018Contamination of environmental surfaces by genital human papillomaviruses\u2019,<\/span><\/p>\n

18. Roden, R., Lowy, D., Schiller, J. (1997) \u2018Papillomavirus Is Resistant to Desiccation\u2019, The Journal of Infectious Diseases, vol. 176, no. 5., pp. 1076-1079 [Online] DOI: https:\/\/doi.org\/10.1086\/516515<\/span><\/p>\n

19. Basseal, J., Westerway, S. and Hyett, J., 2020. Analysis of the integrity of ultrasound probe covers used for transvaginal examinations. Infection, Disease & Health, 25(2), pp.77-81<\/span><\/p>\n

20. Westerway, S. C., Basseal, J. M., Brockway, A., Hyett, J. A., Carter, D. A. (2016) \u2018Potential Infection Control Risks Associated with Ultrasound Equipment \u2013 A Bacterial Perspective\u2019, Ultrasound in Medicine & Biology [Online] DOI: 10.1016\/j.ultrasmedbio.2016.09.004 (Accessed 25 October 2018).<\/span><\/p>\n

21. Keys, M., Sim, B., Thom, O., Tunbridge, M., Barnett, A., Fraser, J. (2015) \u2018Efforts to Attenuate the Spread of Infection (EASI): a prospective, observational multicentre survey of ultrasound equipment in Australian emergency departments and intensive care units\u2019, Critical care and resuscitation, vol. 17, no. 1, pp. 43-46 [Online]. Available at: https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/25702761 (Accessed 04 April 2019).<\/span><\/p>\n

22. Allos, B.M., Blaser, M.J., Platts-Mills, J. and Kosek, M., 2014. Campylobacter Species – Infectious Disease and Antimicrobial Agents. [online] Antimicrobe.org. Available at: http:\/\/www.antimicrobe.org\/new\/b91.asp<\/a> [Accessed 5 August 2020].<\/span><\/p>\n

23. Meyers, J., Ryndock, E., Conway, M., Meyers, C. and Robison, R., 2014. Susceptibility of high-risk human papillomavirus type 16 to clinical disinfectants. Journal of Antimicrobial Chemotherapy, 69(6), pp.1546-1550.<\/span><\/p>\n

24. Meyers, C., Milici, J., Robison, R. (2020) \u2018The Ability of Two Chlorine Dioxide Chemistries to Inactivate Human Papillomavirus-contaminated Endocavitary Ultrasound Probes and Nasendoscopes\u2019. Published IN THE JOURNAL OF MEDICAL VIROLOGY [Online] Available at: bit.ly\/HPVARTICLE<\/a><\/span><\/p>\n

25. World Health Organization. 2018. Human Papillomavirus (HPV). [online] Available at: <https:\/\/www.who.int\/immunization\/diseases\/hpv\/en\/<\/a>> [Accessed 19 October 2020].<\/span><\/p>\n

 <\/p>\n

\u00a92021 Tristel Solution Limited. All rights reserved.<\/span><\/p>\n

 <\/p>\n","protected":false},"featured_media":1960,"template":"","class_list":["post-1118","tristel-science","type-tristel-science","status-publish","has-post-thumbnail","hentry"],"acf":[],"yoast_head":"\nD\u00e9sinfection de haut niveau des sondes d'\u00e9chographie endovaginales.<\/title>\n<meta name=\"description\" content=\"Les recommandations suivent la classification de Spaulding : une d\u00e9sinfection de haut niveau des sondes d'\u00e9chographie endovaginales.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/tristel.com\/ch-fr\/triology\/article\/limportance-de-la-desinfection-des-sondes-dechographie-endovaginales\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"L'importance de la d\u00e9sinfection des sondes d\u2019\u00e9chographie endovaginales\" \/>\n<meta property=\"og:description\" content=\"Les recommandations suivent la classification de Spaulding : une d\u00e9sinfection de haut niveau des sondes d'\u00e9chographie endovaginales.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/tristel.com\/ch-fr\/triology\/article\/limportance-de-la-desinfection-des-sondes-dechographie-endovaginales\/\" \/>\n<meta property=\"og:site_name\" content=\"Tristel - Switzerland - FR\" \/>\n<meta property=\"article:modified_time\" content=\"2024-03-08T08:51:32+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/tristel.com\/ch-fr\/wp-content\/uploads\/sites\/30\/2021\/03\/The-Importance-of-High-Level-Disinfection-on-Transvaginal-Ultrasound-TVUS-Probes-2.png\" \/>\n\t<meta property=\"og:image:width\" content=\"1251\" \/>\n\t<meta property=\"og:image:height\" content=\"730\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"10 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/tristel.com\\\/ch-fr\\\/triology\\\/article\\\/limportance-de-la-desinfection-des-sondes-dechographie-endovaginales\\\/\",\"url\":\"https:\\\/\\\/tristel.com\\\/ch-fr\\\/triology\\\/article\\\/limportance-de-la-desinfection-des-sondes-dechographie-endovaginales\\\/\",\"name\":\"D\u00e9sinfection de haut niveau des sondes d'\u00e9chographie endovaginales.\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/tristel.com\\\/ch-fr\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/tristel.com\\\/ch-fr\\\/triology\\\/article\\\/limportance-de-la-desinfection-des-sondes-dechographie-endovaginales\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/tristel.com\\\/ch-fr\\\/triology\\\/article\\\/limportance-de-la-desinfection-des-sondes-dechographie-endovaginales\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/tristel.com\\\/ch-fr\\\/wp-content\\\/uploads\\\/sites\\\/30\\\/2021\\\/03\\\/The-Importance-of-High-Level-Disinfection-on-Transvaginal-Ultrasound-TVUS-Probes-2.png\",\"datePublished\":\"2021-03-16T18:03:53+00:00\",\"dateModified\":\"2024-03-08T08:51:32+00:00\",\"description\":\"Les recommandations suivent la classification de Spaulding : une d\u00e9sinfection de haut niveau des sondes d'\u00e9chographie endovaginales.\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/tristel.com\\\/ch-fr\\\/triology\\\/article\\\/limportance-de-la-desinfection-des-sondes-dechographie-endovaginales\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/tristel.com\\\/ch-fr\\\/triology\\\/article\\\/limportance-de-la-desinfection-des-sondes-dechographie-endovaginales\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/tristel.com\\\/ch-fr\\\/triology\\\/article\\\/limportance-de-la-desinfection-des-sondes-dechographie-endovaginales\\\/#primaryimage\",\"url\":\"https:\\\/\\\/tristel.com\\\/ch-fr\\\/wp-content\\\/uploads\\\/sites\\\/30\\\/2021\\\/03\\\/The-Importance-of-High-Level-Disinfection-on-Transvaginal-Ultrasound-TVUS-Probes-2.png\",\"contentUrl\":\"https:\\\/\\\/tristel.com\\\/ch-fr\\\/wp-content\\\/uploads\\\/sites\\\/30\\\/2021\\\/03\\\/The-Importance-of-High-Level-Disinfection-on-Transvaginal-Ultrasound-TVUS-Probes-2.png\",\"width\":1251,\"height\":730,\"caption\":\"Triology: l'importance de la d\u00e9sinfection des sondes d\u2019\u00e9chographie endovaginales\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/tristel.com\\\/ch-fr\\\/triology\\\/article\\\/limportance-de-la-desinfection-des-sondes-dechographie-endovaginales\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/tristel.com\\\/ch-fr\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"L’importance de la d\u00e9sinfection des sondes d\u2019\u00e9chographie endovaginales\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/tristel.com\\\/ch-fr\\\/#website\",\"url\":\"https:\\\/\\\/tristel.com\\\/ch-fr\\\/\",\"name\":\"Tristel - Switzerland - FR\",\"description\":\"Tristel, pour la d\u00e9sinfection de haut niveau des dispositifs m\u00e9dicaux\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/tristel.com\\\/ch-fr\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"D\u00e9sinfection de haut niveau des sondes d'\u00e9chographie endovaginales.","description":"Les recommandations suivent la classification de Spaulding : une d\u00e9sinfection de haut niveau des sondes d'\u00e9chographie endovaginales.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/tristel.com\/ch-fr\/triology\/article\/limportance-de-la-desinfection-des-sondes-dechographie-endovaginales\/","og_locale":"en_US","og_type":"article","og_title":"L'importance de la d\u00e9sinfection des sondes d\u2019\u00e9chographie endovaginales","og_description":"Les recommandations suivent la classification de Spaulding : une d\u00e9sinfection de haut niveau des sondes d'\u00e9chographie endovaginales.","og_url":"https:\/\/tristel.com\/ch-fr\/triology\/article\/limportance-de-la-desinfection-des-sondes-dechographie-endovaginales\/","og_site_name":"Tristel - Switzerland - FR","article_modified_time":"2024-03-08T08:51:32+00:00","og_image":[{"width":1251,"height":730,"url":"https:\/\/tristel.com\/ch-fr\/wp-content\/uploads\/sites\/30\/2021\/03\/The-Importance-of-High-Level-Disinfection-on-Transvaginal-Ultrasound-TVUS-Probes-2.png","type":"image\/png"}],"twitter_card":"summary_large_image","twitter_misc":{"Est. reading time":"10 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/tristel.com\/ch-fr\/triology\/article\/limportance-de-la-desinfection-des-sondes-dechographie-endovaginales\/","url":"https:\/\/tristel.com\/ch-fr\/triology\/article\/limportance-de-la-desinfection-des-sondes-dechographie-endovaginales\/","name":"D\u00e9sinfection de haut niveau des sondes d'\u00e9chographie endovaginales.","isPartOf":{"@id":"https:\/\/tristel.com\/ch-fr\/#website"},"primaryImageOfPage":{"@id":"https:\/\/tristel.com\/ch-fr\/triology\/article\/limportance-de-la-desinfection-des-sondes-dechographie-endovaginales\/#primaryimage"},"image":{"@id":"https:\/\/tristel.com\/ch-fr\/triology\/article\/limportance-de-la-desinfection-des-sondes-dechographie-endovaginales\/#primaryimage"},"thumbnailUrl":"https:\/\/tristel.com\/ch-fr\/wp-content\/uploads\/sites\/30\/2021\/03\/The-Importance-of-High-Level-Disinfection-on-Transvaginal-Ultrasound-TVUS-Probes-2.png","datePublished":"2021-03-16T18:03:53+00:00","dateModified":"2024-03-08T08:51:32+00:00","description":"Les recommandations suivent la classification de Spaulding : une d\u00e9sinfection de haut niveau des sondes d'\u00e9chographie endovaginales.","breadcrumb":{"@id":"https:\/\/tristel.com\/ch-fr\/triology\/article\/limportance-de-la-desinfection-des-sondes-dechographie-endovaginales\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/tristel.com\/ch-fr\/triology\/article\/limportance-de-la-desinfection-des-sondes-dechographie-endovaginales\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/tristel.com\/ch-fr\/triology\/article\/limportance-de-la-desinfection-des-sondes-dechographie-endovaginales\/#primaryimage","url":"https:\/\/tristel.com\/ch-fr\/wp-content\/uploads\/sites\/30\/2021\/03\/The-Importance-of-High-Level-Disinfection-on-Transvaginal-Ultrasound-TVUS-Probes-2.png","contentUrl":"https:\/\/tristel.com\/ch-fr\/wp-content\/uploads\/sites\/30\/2021\/03\/The-Importance-of-High-Level-Disinfection-on-Transvaginal-Ultrasound-TVUS-Probes-2.png","width":1251,"height":730,"caption":"Triology: l'importance de la d\u00e9sinfection des sondes d\u2019\u00e9chographie endovaginales"},{"@type":"BreadcrumbList","@id":"https:\/\/tristel.com\/ch-fr\/triology\/article\/limportance-de-la-desinfection-des-sondes-dechographie-endovaginales\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/tristel.com\/ch-fr\/"},{"@type":"ListItem","position":2,"name":"L’importance de la d\u00e9sinfection des sondes d\u2019\u00e9chographie endovaginales"}]},{"@type":"WebSite","@id":"https:\/\/tristel.com\/ch-fr\/#website","url":"https:\/\/tristel.com\/ch-fr\/","name":"Tristel - Switzerland - FR","description":"Tristel, pour la d\u00e9sinfection de haut niveau des dispositifs m\u00e9dicaux","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/tristel.com\/ch-fr\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"}]}},"_links":{"self":[{"href":"https:\/\/tristel.com\/ch-fr\/wp-json\/wp\/v2\/tristel-science\/1118","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/tristel.com\/ch-fr\/wp-json\/wp\/v2\/tristel-science"}],"about":[{"href":"https:\/\/tristel.com\/ch-fr\/wp-json\/wp\/v2\/types\/tristel-science"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/tristel.com\/ch-fr\/wp-json\/wp\/v2\/media\/1960"}],"wp:attachment":[{"href":"https:\/\/tristel.com\/ch-fr\/wp-json\/wp\/v2\/media?parent=1118"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}