Miner N A, Ross C
Respir Care. 1991 Feb;36(2):104-9.
Disinfecting solutions may vary in concentration and bactericidal activity with use, may have subjectively unpleasant characteristics, and may affect the appearance and physical condition of the equipment processed. We evaluated the high-level disinfectant ColdSpor (0.5% glutaraldehyde, 0.025% ortho-phenylphenol, and 0.005% para-tertiary amylphenol) by using it as the disinfecting agent in the processing of equipment for a large respiratory care service.
MATERIALS & METHOD: The type and quantity of equipment disinfected and the physical condition of the equipment were observed and recorded. Samples of the disinfectant solution were analyzed each week, and the antimicrobial activity of the solution was tested against clinical isolates and test cultures of Pseudomonas aeruginosa. The odor of the solution and ease of use were subjectively evaluated by two equipment-processing technicians.
More than 2,400 pieces of respiratory equipment were passed through the disinfectant solution during the 30-day study period. No changes in the appearance of the equipment were noted. Analysis revealed that 71% or more of the antimicrobial chemicals remained in the solution. Clinical isolates and test cultures of P aeruginosa showed no growth when cultured with samples of the solution in use up to 30 days. The two technicians subjectively judged the solution to have no noticeable odor and to produce no burning of the eyes.
The concentration of components of the glutaraldehyde-phenolic solution maintained bactericidal activity for as long as 30 days. The solution produced no apparent physical change in equipment and was subjectively acceptable to those processing equipment.
消毒溶液的浓度和杀菌活性可能会随着使用而变化,可能具有主观上令人不适的特性,并且可能会影响所处理设备的外观和物理状况。我们通过将高级消毒剂ColdSpor(0.5%戊二醛、0.025%邻苯基苯酚和0.005%对叔戊基苯酚)用作大型呼吸护理服务设备处理中的消毒剂来进行评估。
观察并记录消毒设备的类型和数量以及设备的物理状况。每周对消毒溶液样本进行分析,并测试该溶液对临床分离株和铜绿假单胞菌测试培养物的抗菌活性。由两名设备处理技术人员对溶液的气味和易用性进行主观评估。
在为期30天的研究期间,超过2400件呼吸设备通过了消毒溶液。未发现设备外观有变化。分析显示,71%或更多的抗菌化学物质仍留在溶液中。使用长达30天的溶液样本培养时,铜绿假单胞菌的临床分离株和测试培养物均未生长。两名技术人员主观判断该溶液无明显气味,且不会引起眼睛刺痛。
戊二醛 - 酚类溶液的成分浓度在长达30天的时间内保持杀菌活性。该溶液在设备上未产生明显的物理变化,并且对于处理设备的人员来说在主观上是可以接受的。