Ichikawa Takao
Department of Anesthesiology, Niigata Prefectural Muikamachi Hospital, Minami-uonuma 949-6623.
Masui. 2010 May;59(5):571-6.
To prevent patient's infections caused by medical devices, anesthesiologists should understand "Infection Level" and the methods for washing, disinfecting and sterilizing of the devices used in the operating theater. There is evidence that failure to properly disinfect or sterilize equipment carried risk for person-to-person transmission of Pseudomonas aeruginosa and ended in patient's injury. Disinfection and sterilization are essential to ensure that medical and surgical instruments do not transmit infectious pathogens to patients. We also must know that some devices are damaged by disinfectants or sterilizing agents. Cleaning is the removal of visible soil from objects and surfaces and normally is accomplished manually or mechanically using water with detergents or enzymatic products. The authorities concerned regurate the reuse of single use medical devices.
为防止患者因医疗器械而发生感染,麻醉医生应了解“感染等级”以及手术室所用器械的清洗、消毒和灭菌方法。有证据表明,设备消毒或灭菌不当会有铜绿假单胞菌人际传播的风险,并导致患者受伤。消毒和灭菌对于确保医疗和外科器械不将感染性病原体传播给患者至关重要。我们还必须知道,有些器械会被消毒剂或灭菌剂损坏。清洁是指清除物体和表面可见的污垢,通常使用含有洗涤剂或酶产品的水通过手动或机械方式完成。有关当局对一次性使用医疗器械的重复使用进行管理。