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用于保存切特尔氏产钳的防腐剂溶液的细菌学评估

Bacteriological Evaluation of Antiseptic Solutions Used to Keep Cheattle's Forceps.

作者信息

Agarwal Pawan, Singh Mahendra, Sharma D

机构信息

Department of Surgery, N.S.C.B. Government Medical College, 292/293 Napier town, Jabalpur, MP 482003 India.

出版信息

Indian J Surg. 2015 Dec;77(Suppl 3):1027-31. doi: 10.1007/s12262-014-1116-4. Epub 2014 Jun 11.

Abstract

There is little information available on the bacteriological contamination of Cheattle's forceps during routine use and the effects of antiseptic solutions. This study was conducted to detect infection in various antiseptics and disinfections in-use used for keeping the Cheattle's forceps in surgical wards. An aqueous solution of 0.5 and 1 % cetrimide/chlorhexidine, 2.4 % glutaraldehyde, 5 % povidone iodine, and 10 % chloroxylenol were compared using the normal saline as control. The samples from each bottle were sent for culture on the 3rd, 5th, and 7th day. All the culture reports were analyzed and statistically compared. A total of 2,160 samples were sent for culture from solutions including control over a period of 7 days. A total of 360 samples were sent for culture from each antiseptic solution. Out of 2,160 samples, 240 (11.11 %) were positive over a period of 7 days for contamination with microbial organisms. The most common organism isolated was Pseudomonas present in 140 samples followed by E. coli in 71 samples. S. aureus was present in seven samples, bacillus in ten samples, and Coaglase -ve Streptococcus and Klebsiella in six samples each. Number of positive culture consistently increased in normal saline and cetrimide/chlorhexidine, but povidone iodine, chloroxylenol, and glutaraldehyde did not show any positive culture on the 3rd day. Povidone iodine and glutaraldehyde showed positive culture on the 5th and 7th day, respectively., but they were statistically insignificant. On the 7th day, glutaraldehyde was the only solution which did not show any positive culture. We strongly recommend that the Cheattle's forceps should be kept in a bottle containing glutaraldehyde or chloroxylenol.

摘要

关于Cheattle钳在常规使用过程中的细菌污染情况以及防腐剂溶液的效果,目前可获取的信息较少。本研究旨在检测外科病房中用于保存Cheattle钳的各种防腐剂和消毒剂中的感染情况。将0.5%和1%的西曲溴铵/氯己定水溶液、2.4%的戊二醛、5%的聚维酮碘和10%的氯二甲酚与生理盐水作为对照进行比较。在第3天、第5天和第7天,将每个瓶子中的样本送去培养。对所有培养报告进行分析并进行统计学比较。在7天的时间里,从包括对照溶液在内的各种溶液中总共送去培养了2160个样本。每种防腐剂溶液送去培养360个样本。在2160个样本中,7天内有240个(11.11%)因微生物污染呈阳性。分离出的最常见微生物是140个样本中的铜绿假单胞菌,其次是71个样本中的大肠杆菌。金黄色葡萄球菌存在于7个样本中,芽孢杆菌存在于10个样本中,凝固酶阴性链球菌和克雷伯菌各存在于6个样本中。生理盐水和西曲溴铵/氯己定中的阳性培养数量持续增加,但聚维酮碘、氯二甲酚和戊二醛在第3天未显示任何阳性培养结果。聚维酮碘和戊二醛分别在第5天和第7天显示阳性培养结果,但在统计学上无显著意义。在第7天,戊二醛是唯一未显示任何阳性培养结果的溶液。我们强烈建议将Cheattle钳保存在装有戊二醛或氯二甲酚的瓶子中。

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