三种消毒剂对内镜的消毒效果观察  

Comparison of three different disinfectants used in disinfection of digestive endoscopy

作　　者：李伟红[1] 冯丽娟[1] 冯惠莉[1] 何琴琴 邱英 LI Wei-hong;FENG Li-juan;FENG Hui-li;HE Qin 一 qin;QIU Ying(Huzhou Central Hospital of Zhejiang Province,Huzhou Zhejiang 313000,China)

机构地区：[1]浙江省湖州市中心医院,浙江湖州313000

出　　处：《中国消毒学杂志》2019年第3期177-179,共3页Chinese Journal of Disinfection

基　　金：浙江省湖州市科技计划项目(2015GY15)

摘　　要：目的观察邻苯二甲醛、含氯消毒剂和过氧乙酸对消化内镜的消毒效果。方法采用模拟现场消毒试验方法,检测和比较此3种化学消毒剂对消化内镜消毒、灭菌及临床使用的效果。结果 5 500 mg/L邻苯二甲醛、2 000 mg/L一元稳定型过氧乙酸和有效氯为5 000 mg/L的复方含氯消毒剂等对内镜模拟管腔浸泡作用5 min,对载体上枯草杆菌黑色变种芽孢杀灭率均达到99. 999%。一元稳定型过氧乙酸和复方含氯消毒剂分别作用10 min和30 min,模拟内镜管腔内载体上细菌芽孢的杀灭率为100%。结论此3种消毒剂在5 min内均可对内镜模拟管腔进行高水平消毒,并且过氧乙酸和复方含氯消毒剂的综合性价比相对较高。Objective To compare the clinical effects of three kinds of different disinfectants used in disinfection of digestive endoscopy,which included O-phthaladehyde,unit stable peracetic acid and compound chlorine disinfectant.Methods The simulated field test was used to detect and compare the disinfection、sterilization and clinical application effects of three kinds different disinfectants for digestive endoscopy.Results When 5 500 mg/L of O-phthaladehyde,2 000 mg/L of one unit peracetic acid and 5 000 mg/L of compound chlorine disinfectant were used for the simulated lumens of endoscope after immersion of 5 min,the killing rate of Bacillus subtilis var.niger on carriers could reach 99.999%.The killing rate of Bacillus subtilis var.niger on the carriers of simulated lumens of endoscope could reach 100% after exposure to unit stable peracetic acid and compound chlorine disinfectant for 10 min and 30 min respectively.Conclusion Three kinds of different disinfectants can achieve the high level disinfection of endoscope within 5 min,and the unit peracetic acid and compound chlorine disinfectant have a comparatively higher comprehensive cost/benifit value.

关 键 词：邻苯二甲醛 过氧乙酸 复方含氯消毒液 内镜消毒 

分 类 号：R187.2[医药卫生—流行病学]