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[环氧乙烷气体灭菌法的研究。1. 灭菌程序与灭菌效果]

[Studies on the method of sterilization with ethylene oxide gas. 1. Sterilization procedure and sterilizing effect].

作者信息

Arimoto H, Ukisu S, Yamada Y, Sano K, Kanri T

出版信息

Shigaku. 1989 Dec;77(4):1343-8.

PMID:2489348
Abstract

Undertaken to ensure perfection of sterilization with ethylene oxide gas (EO gas) in routine clinical laboratory practice, an investigation was made of the relationship between sterilization procedure and sterilizing effect using the film bag delivery system and chamber system. Using a biological indicator as a monitor of sterilizing effect, the efficiency of sterilization was studied under various likely conditions and compared. The results led to the following conclusions: 1. Sterilization with EO gas by the film bag delivery system, because of this procedure being unable to be performed at a constant temperature, was shown to prove inadequate due to insufficient exposure to gas especially in winter season (when room temperature fell below 10 degrees C). 2. With the EO gas sterilization method using the film bag delivery system, which is believed to be effective within the ordinary range of humidity of the atmosphere, sterilizing effect was recognized to be affected by excess wetting of an object of sterilization that was caused by inadvertent manipulation or due to a predisposing attribute of the object, such as shape or outline. 3. All materials are sterilized upon being packaged. It is necessary therefore to make best choice of package material with respect of texture and size. Reuse influence to sterilizing effect. 4. The method of sterilization with EO gas using the chamber system has the advantage in that operating conditions are all automatically controlled. For this reason, there was not a single instance of failure to sterilize due to inappropriateness of temperature and humidity. From these results it is concluded that sterilising effect was affected by sterilization procedure and condition.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

为确保常规临床实验室实践中环氧乙烷气体(EO气体)灭菌的完美效果,使用薄膜袋输送系统和腔室系统对灭菌程序与灭菌效果之间的关系进行了调查。以生物指示剂作为灭菌效果的监测指标,研究并比较了在各种可能条件下的灭菌效率。结果得出以下结论:1. 使用薄膜袋输送系统进行EO气体灭菌,由于该程序无法在恒温下进行,特别是在冬季(室温低于10摄氏度)时,气体暴露不足,显示出灭菌效果不佳。2. 对于使用薄膜袋输送系统的EO气体灭菌方法,一般认为在大气湿度的正常范围内有效,但灭菌效果被认为会受到因操作不慎或物体的固有属性(如形状或轮廓)导致的灭菌对象过度湿润的影响。3. 所有材料在包装后进行灭菌。因此,有必要在质地和尺寸方面对包装材料做出最佳选择。重复使用会影响灭菌效果。4. 使用腔室系统的EO气体灭菌方法的优点是操作条件全部自动控制。因此,没有因温度和湿度不合适而导致灭菌失败的情况。从这些结果可以得出结论,灭菌效果受灭菌程序和条件的影响。(摘要截短为250字)

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