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对iPad进行消毒:评估有效方法。

Disinfecting the iPad: evaluating effective methods.

作者信息

Howell V, Thoppil A, Mariyaselvam M, Jones R, Young H, Sharma S, Blunt M, Young P

机构信息

The Queen Elizabeth Hospital, King's Lynn, Norfolk, UK.

The Queen Elizabeth Hospital, King's Lynn, Norfolk, UK.

出版信息

J Hosp Infect. 2014 Jun;87(2):77-83. doi: 10.1016/j.jhin.2014.01.012. Epub 2014 Mar 25.

Abstract

BACKGROUND

Tablet computers are increasingly used in healthcare, but they may carry nosocomial pathogens. There are few data available on how to clean an iPad effectively for use in the clinical setting.

AIM

We aimed to identify the most effective method of decontaminating the Apple iPad, without causing damage, and establish the duration of any residual effect.

METHODS

Following contamination with a microbial broth (meticillin-resistant Staphylococcus aureus (MRSA), vancomycin-resistant enterococcus (VRE) and Clostridium difficile), we examined efficacy of iPad disinfection in the laboratory using six different disinfectant wipes: Sani-Cloth CHG 2% (chlorhexidine 2%/alcohol 70%), Clorox, Tristel, Trigene, soap and water, and plain cloth. Following cleaning, iPads were recontaminated to examine residual activity. After 480 Sani-Cloth CHG 2% disinfecting episodes, functional and visual analysis of iPads was performed by blinded subjects.

FINDINGS

With the exception of Clostridium difficile, Sani-Cloth CHG 2% and Clorox wipes were most effective against MRSA and VRE, and they were significantly better than the Apple-recommended plain cloth (P ≤ 0.001). A substantial residual antimicrobial effect was seen for >6h after wiping the iPad with Sani-Cloth CHG 2% despite repeated recontamination and without further disinfection. The functionality or visual appearance of the iPad was not damaged by repeated use of Sani-Cloth CHG 2% wipes.

CONCLUSIONS

Sani-Cloth CHG 2% wipes effectively disinfect the iPad against MRSA and VRE, with a residual antibacterial effect and without causing damage.

摘要

背景

平板电脑在医疗保健领域的使用日益广泛,但它们可能携带医院病原体。关于如何有效清洁iPad以用于临床环境的数据很少。

目的

我们旨在确定对苹果iPad进行消毒且不造成损坏的最有效方法,并确定任何残留效果的持续时间。

方法

在用微生物肉汤(耐甲氧西林金黄色葡萄球菌(MRSA)、耐万古霉素肠球菌(VRE)和艰难梭菌)污染后,我们在实验室中使用六种不同的消毒湿巾检查iPad的消毒效果:2%氯己定/70%酒精的Sani-Cloth CHG、高乐氏、Tristel、Trigene、肥皂和水以及普通布。清洁后,对iPad重新污染以检查残留活性。在进行480次2%氯己定/70%酒精的Sani-Cloth CHG消毒后,由不知情的受试者对iPad进行功能和外观分析。

结果

除艰难梭菌外,2%氯己定/70%酒精的Sani-Cloth CHG和高乐氏湿巾对MRSA和VRE最有效,且明显优于苹果推荐的普通布(P≤0.001)。在用2%氯己定/70%酒精的Sani-Cloth CHG擦拭iPad后,尽管反复重新污染且未进一步消毒,但仍观察到>6小时的显著残留抗菌效果。反复使用2%氯己定/70%酒精的Sani-Cloth CHG湿巾不会损坏iPad的功能或外观。

结论

2%氯己定/70%酒精的Sani-Cloth CHG湿巾可有效对iPad进行消毒,抵抗MRSA和VRE,具有残留抗菌效果且不会造成损坏。

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