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Thorough cleaning is required before high-level disinfection and sterilization because inorganic and organic materials that remain on the surfaces of instruments interfere with the effectiveness of these processes.
Medical devices that have contact with sterile body tissues or fluids are considered critical items. These items should be sterile when used because any microbial contamination could result in disease transmission. Such items include surgical instruments, biopsy forceps, and implanted medical devices.
On the outside, dilution is simple. It's the process of reducing the concentration of a liquid by mixing it with another liquid. In the context of cleansing agents, a disinfectant that comes in a concentrated form needs to be diluted by adding it to another liquid (like water) to make it effective.
There are three levels of infection control and they are Sanitation, Disinfection and Sterilization. Sanitation is the lowest level of infection control, but it is important to understand that though it may be the lowest it is not the least important. In the fight against pathogens it is probably the most important.
Sanitizing ? removes bacteria from surfaces. Disinfecting ? kills harmful bacteria and viruses from surfaces. Sterilizing ? kills all microorganisms from surfaces.