Sonntag H G
Abteilung Hygiene und Medizinische Mikrobiologie, Universität Heidelberg.
Zentralbl Hyg Umweltmed. 1991 Mar;191(2-3):171-81.
There is a contrary course between the development of high sophisticated instruments which are used in all medical fields on the one hand and the establishment of relevant hygienic measurements for the processing of such instruments on the other hand. For this situation the following reasons can be mentioned: 1. Along the technical development of these instruments the hygienist is not consulted 2. The processing of such instruments is delegated to assistant personal and their critical comments are not realised by those clinicians who are responsible for the use of these instruments and 3. nosocomial infections triggered by still contaminated instruments will be concealed by perioperative antibiotic prophylaxis. There are many examples for instruments which cannot be processed in the right way and which are specially used in surgery in endoscopy and in intensive care units. The constructive cooperation between the technician the clinician using the instruments and the hygienist alone will provide the elimination of technical and psychological barriers in this field and allow the construction and use of those instruments which can be processed in a hygienic relevant way.
一方面，用于所有医学领域的高度精密仪器在不断发展；另一方面，针对此类仪器处理的相关卫生测量措施却未能确立。对于这种情况，可提及以下几点原因：1. 随着这些仪器的技术发展，未向卫生学家咨询；2. 此类仪器的处理工作交给了助理人员，而负责使用这些仪器的临床医生并未意识到他们的关键意见；3. 仍受污染的仪器引发的医院感染会被围手术期抗生素预防措施所掩盖。有许多仪器无法得到正确处理的例子，这些仪器特别用于外科手术、内窥镜检查和重症监护病房。只有技术人员、使用仪器的临床医生和卫生学家之间进行建设性的合作，才能消除该领域的技术和心理障碍，并允许构建和使用能够以符合卫生要求的方式进行处理的仪器。
