Cabralda T, Wadhwa N K, Suh H
Stony Brook Kidney Center (Dialysis Clinic, Inc.), State University of New York, New York, USA.
Adv Perit Dial. 1998;14:142-4.
The goal of this study was to compare the safety and efficacy of Amuchina 50% solution versus that of povidone-iodine 10% solution for transfer-set change in peritoneal dialysis (PD) patients in a tertiary referral university hospital. The transfer sets were changed using povidone-iodine 10% solution as disinfectant prior to March 1995. Thereafter Amuchina 50% solution was used. Thus data were collected on all the transfer sets changed between January 1993 and August 1997. Amuchina is an electrolytic chloroxidizer. Chlorine is the active ingredient with a pH of 9.5-10.5. Amuchina 50% solution contains chlorine (0.55%). One hundred ninety-nine transfer sets were changed using povidone-iodine 10% solution in 60 PD patients from January 1993 to March 1995. One hundred twenty-eight transfer sets were changed using Amuchina 50% solution in 65 patients from April 1995 to August 1997. The soaking times and nursing times were 2 and 5 minutes, respectively, with Amuchina, and 10 and 20 minutes, respectively, with povidone-iodine 10%. No episode of peritonitis occurred related to transfer-set change in either group. The transfer-set change using Amuchina 50% solution is safe and cost-effective in PD patients.
本研究的目的是在一所三级转诊大学医院中，比较50%阿慕洁溶液与10%聚维酮碘溶液用于腹膜透析（PD）患者更换连接管时的安全性和有效性。在1995年3月之前，使用10%聚维酮碘溶液作为消毒剂更换连接管。此后使用50%阿慕洁溶液。因此收集了1993年1月至1997年8月期间所有更换连接管的数据。阿慕洁是一种电解氯氧化剂。氯是活性成分，pH值为9.5 - 10.5。50%阿慕洁溶液含氯（0.55%）。1993年1月至1995年3月，60例PD患者使用10%聚维酮碘溶液更换了199根连接管。1995年4月至1997年8月，65例患者使用50%阿慕洁溶液更换了128根连接管。使用阿慕洁时浸泡时间和护理时间分别为2分钟和5分钟，使用10%聚维酮碘时分别为10分钟和20分钟。两组均未发生与更换连接管相关的腹膜炎发作。在PD患者中，使用50%阿慕洁溶液更换连接管是安全且具有成本效益的。
