{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T12:41:20Z","timestamp":1789130480607,"version":"build-2803163510"},"reference-count":88,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2025,8,19]],"date-time":"2025-08-19T00:00:00Z","timestamp":1755561600000},"content-version":"unspecified","delay-in-days":230,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Disaster med. public health prep."],"published-print":{"date-parts":[[2025]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1935789325101730_sec1\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Field hospitals are deployable hospitals that treat patients directly on site before they are transported to permanent medical facilities. The supply of sterile surgical instruments is important, but not every field hospital is equipped with a sterile processing department. This concept therefore attempts to test a method of reprocessing surgical instruments under field conditions that can at least provide a provisional form of disinfection in case of logistic breakdowns.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1935789325101730_sec2\" sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Development, testing, and evaluation of a provisional chemical reprocessing procedure for reusable surgical instruments using hydrogen peroxide. The evaluation was carried out visually, microbiologically, and with regard to material damage.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1935789325101730_sec3\" sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The concept is easy to implement but requires thorough training. The reprocessed surgical instruments were free of residual protein, showed no bacteriological growth, and were not damaged by the chemical reprocessing even after 10 cycles.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1935789325101730_sec4\" sec-type=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Provisional reprocessing of reusable surgical instruments seems possible using high-level chemical disinfection with hydrogen peroxide (3% for 150 minutes or 7.5% for 30 minutes) in case of necessity due to logistic breakdowns and patients that need immediate treatment. In addition, a multibarrier approach that includes hygiene measures and antibiotic stewardship is required to effectively reduce the risk of surgical site infections.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/dmp.2025.10173","type":"journal-article","created":{"date-parts":[[2025,8,19]],"date-time":"2025-08-19T06:40:41Z","timestamp":1755585641000},"source":"Crossref","is-referenced-by-count":1,"title":["Provisional Reprocessing of Medical Devices in Field Hospitals: Evaluation of Chemical Approaches for Feasibility and Effectiveness"],"prefix":"10.1017","volume":"19","author":[{"given":"Ute","family":"Bailey-Monje","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/041nas322","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Bonn"},{"id":[{"id":"https:\/\/ror.org\/05wwp6197","id-type":"ROR","asserted-by":"publisher"}],"name":"Bundeswehr Central Hospital Koblenz"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elena","family":"Becker","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/05wwp6197","id-type":"ROR","asserted-by":"publisher"}],"name":"Bundeswehr Central Hospital Koblenz"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sven","family":"Funke","sequence":"additional","affiliation":[{"name":"Bundeswehr 2nd Medical Regiment"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eugen","family":"Gubajdulin","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/05wwp6197","id-type":"ROR","asserted-by":"publisher"}],"name":"Bundeswehr Central Hospital Koblenz"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ralf Matthias","family":"Hagen","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/05wwp6197","id-type":"ROR","asserted-by":"publisher"}],"name":"Bundeswehr Central Hospital Koblenz"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerhard","family":"Kirmse","sequence":"additional","affiliation":[{"name":"Aesculap AG, Am Aesculap Platz"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Konstantin","family":"L\u00fctz","sequence":"additional","affiliation":[{"name":"Bundeswehr 2nd Medical Regiment"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nico T.","family":"Mutters","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/041nas322","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Bonn"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ricarda Maria","family":"Schmithausen","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/05wwp6197","id-type":"ROR","asserted-by":"publisher"}],"name":"Bundeswehr Central Hospital Koblenz"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruth","family":"Weppler","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/05wwp6197","id-type":"ROR","asserted-by":"publisher"}],"name":"Bundeswehr Central Hospital Koblenz"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8029-5264","authenticated-orcid":false,"given":"Manuel","family":"D\u00f6hla","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/041nas322","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Bonn"},{"id":[{"id":"https:\/\/ror.org\/05wwp6197","id-type":"ROR","asserted-by":"publisher"}],"name":"Bundeswehr Central Hospital Koblenz"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2025,8,19]]},"reference":[{"key":"S1935789325101730_r51","first-page":"180","article-title":"Requirements for the construction, reconstruction and operation of a Reprocessing Unit for Medical Devices (RUMED): Part 15: Contingency concept for a RUMED to deal with expected and unexpected operational disruptions","volume":"29","author":"Jones","year":"2021","journal-title":"Zentralsterilisation."},{"key":"S1935789325101730_r58","doi-asserted-by":"publisher","DOI":"10.1128\/am.30.4.710-711.1975"},{"key":"S1935789325101730_r4","unstructured":"4. 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