Reychler Gregory, Bosschaerts Martine, Chevaillier Jean, Gaspar Véronique, Lessire Fred, Opdekamp Christian, Van Ginderdeuren Filip, Vanlaethem Sylvie, Vreys Myriam, Vrijsen Bart
Cystic Fibrosis Center, Ciniques Universitaires St-Luc (UCL), Brussels, Belgium.
J Aerosol Med Pulm Drug Deliv. 2009 Sep;22(3):239-43. doi: 10.1089/jamp.2008.0722.
Nebulizers are a potential source of contamination of the respiratory tract. Nevertheless, only a few clear guidelines regarding cleaning and disinfection of nebulizers are available. This survey aims to analyze the common household methods used by cystic fibrosis (CF) patients in Belgium.
A questionnaire about type of nebulizer, methods, and frequency of cleaning, disinfection, and drying was established by physiotherapists at the Belgian CF centers.
The Belgian CF Association sent this questionnaire to all Belgian CF patients. Of the 903 questionnaires distributed, 379 (42%) were returned. Fifty-two, 40 and 8% of patients used a vibrating-mesh nebulizer, jet nebulizer, or ultrasonic device, respectively. Ninety-eight percent of patients cleaned their material and soap was used by 35% of patients. Disinfection was performed by 91% of the patients and was daily performed by 57% of patients. Thermal disinfection (boiling water or sterilizer), a hypochlorite-based solution, or acetic acid solution was used by 44, 29, and 25% of patients, respectively, to disinfect their nebulizers. Thermal disinfection was used by 37 and 53% of patients using a classical or vibrating-mesh nebulizer, respectively. After cleaning or disinfection, 91% of the material was dried. The high percentage of Belgian CF patients disinfecting their nebulizer proves that they seem aware of the hygiene problem. The lack of unanimous guidelines in Belgium at the time of the study perhaps explains the variety of methods used. The arrival of vibrating-mesh nebulizers has led to a change in disinfection methods.
雾化器是呼吸道潜在的污染源。然而，关于雾化器清洁和消毒的明确指南却很少。本调查旨在分析比利时囊性纤维化（CF）患者常用的家庭清洁方法。
比利时CF中心的物理治疗师编制了一份关于雾化器类型、清洁、消毒和干燥方法及频率的问卷。
比利时CF协会将此问卷发送给了所有比利时CF患者。在分发的903份问卷中，有379份（42%）被收回。分别有52%、40%和8%的患者使用振动网式雾化器、喷射式雾化器或超声设备。98%的患者会清洁其设备，35%的患者使用肥皂。91%的患者进行消毒，其中57%的患者每天进行消毒。分别有44%、29%和25%的患者使用热消毒（沸水或消毒器）、含次氯酸盐的溶液或醋酸溶液对雾化器进行消毒。使用传统雾化器或振动网式雾化器的患者中，分别有37%和53%的患者采用热消毒。清洁或消毒后，91%的设备会进行干燥处理。比利时CF患者对雾化器进行消毒的比例很高，这表明他们似乎意识到了卫生问题。研究时比利时缺乏统一的指南，这或许可以解释所使用方法的多样性。振动网式雾化器的出现导致了消毒方法的改变。
