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[高分子材料制成的医用骨科器械的消毒]

[Disinfection of medical orthopedic articles made of polymer materials].

作者信息

Vashkov V I, Bryskin M L, Vilenskiĭ V Ia, Isakov I S, Notkin B M, Polosina Iu A

出版信息

Polim Med. 1976;6(1):33-40.

PMID:1273009
Abstract

In traumatological hospitals the medical orthopedic articles made of polymer materials are contaminated by different microorganisms including pathogenic staphylococci, therefore they can serve as a factor of transmission of hospital-associated staphylococcal infections. Polymer materials used for medical orthopedic articles are not bactericidal. Mechanical cleaning with detergents does not provide sufficient elimination of microorganisms from orthopedic articles. This can be obtained by means of the treatment (immersion, wiping) with solutions of bactericidal preparations of various chemical orogin (chloramine, lithium hypochloride, chlorine, sulphochlorantine, hydrogen peroxide, peracetic acid, nitran). Medical orthopedic articles must be decontaminated before use. In the hospitals, disinfection of orthopedic articles should be performed at least once a day. Immersion of the articles made of porous materials into solutions of disinfectans with surface-active additives or into solutions of surface-active bactericides is a simple, readily available and effective method of treatment. Drawback of this method is that disinfectant solution partly remains in the pores and can be eliminated only by means of drying of the article in thermostate. Orthopedic articles of polyurethane foam can be decontaminated only by use of solutions of hydrogen peroxide and nirtan out of all the tested disinfectants. Medical orthopedic articles made of polymer materials have endured repeated treatment with disinfectant solutions without any change of their physical and mechanical properties. The usability of these articles did not deteriorate.

摘要

在创伤医院,由高分子材料制成的医用骨科用品会被包括致病性葡萄球菌在内的不同微生物污染,因此它们可能成为医院相关葡萄球菌感染传播的一个因素。用于医用骨科用品的高分子材料没有杀菌作用。用洗涤剂进行机械清洗不能充分去除骨科用品上的微生物。这可以通过用各种化学来源的杀菌制剂溶液(氯胺、次氯酸锂、氯、氯胺T、过氧化氢、过氧乙酸、硝呋太尔)进行处理(浸泡、擦拭)来实现。医用骨科用品在使用前必须进行去污处理。在医院里,骨科用品的消毒应至少每天进行一次。将由多孔材料制成的用品浸泡在含有表面活性添加剂的消毒剂溶液中或浸泡在表面活性杀菌剂溶液中,是一种简单、易于实施且有效的处理方法。该方法的缺点是消毒剂溶液会部分残留在孔隙中,只能通过在恒温箱中干燥用品来去除。在所有测试的消毒剂中,聚氨酯泡沫制成的骨科用品只能用过氧化氢溶液和硝呋太尔进行去污处理。由高分子材料制成的医用骨科用品经过多次消毒剂溶液处理后,其物理和机械性能没有任何变化。这些用品的可用性也没有下降。

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Polim Med. 1976;6(1):33-40.
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