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表面干燥病毒对常见消毒程序的抵抗力。

Resistance of surface-dried virus to common disinfection procedures.

作者信息

Terpstra F G, van den Blink A E, Bos L M, Boots A G C, Brinkhuis F H M, Gijsen E, van Remmerden Y, Schuitemaker H, van 't Wout A B

机构信息

Sanquin Research, Landsteiner Laboratory, Center for Infection and Immunity Amsterdam, Academic Medical Center of the University of Amsterdam, Amsterdam, The Netherlands.

出版信息

J Hosp Infect. 2007 Aug;66(4):332-8. doi: 10.1016/j.jhin.2007.05.005. Epub 2007 Jun 29.

Abstract

It is believed that surface-dried viruses can remain infectious and may therefore pose a threat to public health. To help address this issue, we studied 0.1 N NaOH and 0.1% hypochlorite for their capacity to inactivate surface-dried lipid-enveloped (LE) [human immunodeficiency virus (HIV), bovine viral diarrhoea virus (BVDV) and pseudorabies virus (PRV)] and non-lipid-enveloped [NLE; canine parvovirus (CPV) and hepatitis A virus (HAV)] viruses in a background of either plasma or culture medium. In addition, 80% ethanol was tested on surface-dried LE viruses. Without treatment, surface-dried LE viruses remained infectious for at least one week and NLE viruses for more than one month. Irrespective of the disinfectant, inactivation decreased for viruses dried in plasma, which is more representative of viral contaminated blood than virus in culture medium. Inactivation by all disinfectants improved when preceded by rehydration, although the infectivity of CPV actually increased after rehydration and disinfection may thus be overestimated in the absence of rehydration. This is the first comprehensive study of five important (model) viruses in a surface-dried state showing persistence of infectivity, resistance to three commonly used disinfectants and restoration of susceptibility after rehydration. Our results may have implications for hygiene measurements in the prevention of virus transmission.

摘要

据信,表面干燥的病毒仍具传染性,因此可能对公众健康构成威胁。为帮助解决这一问题,我们研究了0.1N氢氧化钠和0.1%次氯酸盐在血浆或培养基背景下灭活表面干燥的脂质包膜(LE)[人类免疫缺陷病毒(HIV)、牛病毒性腹泻病毒(BVDV)和伪狂犬病病毒(PRV)]以及非脂质包膜[NLE;犬细小病毒(CPV)和甲型肝炎病毒(HAV)]病毒的能力。此外,还对表面干燥的LE病毒进行了80%乙醇测试。未经处理时,表面干燥的LE病毒至少能保持传染性一周,NLE病毒则能保持一个多月。无论使用何种消毒剂,在血浆中干燥的病毒的灭活率都会降低,血浆比培养基中的病毒更能代表受病毒污染的血液。在复水后,所有消毒剂的灭活效果均有所改善,不过复水后CPV的感染力实际上有所增加,因此在未复水的情况下,消毒效果可能被高估。这是首次对处于表面干燥状态的五种重要(模型)病毒进行的全面研究,研究表明这些病毒具有传染性持久性、对三种常用消毒剂的抗性以及复水后敏感性的恢复。我们的研究结果可能对预防病毒传播的卫生措施具有启示意义。

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