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常用消毒剂和防腐剂对医院细菌类型的活性

[Activity of frequently used disinfectants and antiseptics against nosocomial bacterial types].

作者信息

Ozkurt Zülal, Altoparlak Ulkü, Erol Serpil, Celebi Selahattin

机构信息

Atatürk Universitesi Tip Fakültesi, Klinik Bakteriyoloji ve Infeksiyon Hastaliklari Anabilim Dali, Erzurum.

出版信息

Mikrobiyol Bul. 2003 Apr-Jun;37(2-3):157-62.

Abstract

In this study, bactericidal activity of widely used disinfectants and antiseptics (glutaraldehyde, laurylbispropylidentriamin 5 g and benzalkoniumchlorid 20 g, polyvinylpyrolidon iodine, benzalkonium chloride and sodium hypochloride) against some nosocomial bacterial isolates were investigated by qualitative and quantitative suspension test methods. One methicillin-resistant Staphylococcus aureus (MRSA), 6 multi drug-resistant Gram-negative hospital isolates (Escherichia coli, Pseudomonas aeruginosa, Enterobacter cloaca, Klebsiella pneumoniae, Citrobacter diversus, Serratia marcescens) and 3 standard strains of American Type Culture Collection (ATCC) bacteria (S. aureus, P. aeruginosa, E. coli) were tested against three different concentrations of disinfectants of which, manufacturer's recommended use-dilution, 1/2 and 1/4 of those recommended dilutions. All tested disinfectants were found effective in all three concentrations against nosocomial isolates in five minutes, by using both qualitative and quantitative suspension methods. When the test was repeated with albumine, bactericidal activities of disinfectants were found the same. Our findings showed that these disinfectants can be still used in safe for the sterilization in hospital, and routine disinfection protocols do not need to be alerted.

摘要

在本研究中,通过定性和定量悬液试验方法,研究了广泛使用的消毒剂和防腐剂(戊二醛、月桂基双丙基三胺5克和苯扎氯铵20克、聚乙烯吡咯烷酮碘、苯扎氯铵和次氯酸钠)对一些医院分离菌株的杀菌活性。测试了1株耐甲氧西林金黄色葡萄球菌(MRSA)、6株多重耐药革兰氏阴性医院分离株(大肠杆菌、铜绿假单胞菌、阴沟肠杆菌、肺炎克雷伯菌、奇异柠檬酸杆菌、粘质沙雷氏菌)以及3株美国典型培养物保藏中心(ATCC)标准菌株(金黄色葡萄球菌、铜绿假单胞菌、大肠杆菌)对三种不同浓度消毒剂的抗菌活性,这三种浓度分别为制造商推荐的使用稀释度、推荐稀释度的1/2和1/4。使用定性和定量悬液方法均发现,所有测试消毒剂在这三种浓度下5分钟内对医院分离株均有效。当用白蛋白重复试验时,发现消毒剂的杀菌活性相同。我们的研究结果表明,这些消毒剂在医院消毒中仍可安全使用,无需改变常规消毒方案。

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