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对实验性污染了四种人类致病病毒的无孔无生命表面进行化学消毒。

Chemical disinfection of non-porous inanimate surfaces experimentally contaminated with four human pathogenic viruses.

作者信息

Sattar S A, Springthorpe V S, Karim Y, Loro P

机构信息

Department of Microbiology and Immunology, Faculty of Health Sciences, University of Ottawa, Ontario, Canada.

出版信息

Epidemiol Infect. 1989 Jun;102(3):493-505. doi: 10.1017/s0950268800030211.

Abstract

The chemical disinfection of virus-contaminated non-porous inanimate surfaces was investigated using coxsackievirus B3, adenovirus type 5, parainfluenza virus type 3 and coronavirus 229E as representatives of important nosocomial viral pathogens. A 10 microliter amount of the test virus, suspended in either faeces or mucin, was placed onto each stainless steel disk (about 1 cm in diameter) and the inoculum allowed to dry for 1 h under ambient conditions. Sixteen disinfectant formulations were selected for this study based on the findings of an earlier investigation with a human rotavirus. After 1 min exposure to 20 microliters of the disinfectant, the virus from the disks was immediately eluted into tryptose phosphate broth and plaque assayed. Using an efficacy criterion of a 3 log10 or greater reduction in virus infectivity titre and irrespective of the virus suspending medium, only the following five disinfectants proved to be effective against all the four viruses tested: (1) 2% glutaraldehyde normally used as an instrument soak, (2) a strongly alkaline mixture of 0.5% sodium o-benzyl-p-chlorophenate and 0.6% sodium lauryl sulphate, generally used as a domestic disinfectant cleaner for hard surfaces, (3) a 0.04% solution of a quaternary ammonium compound containing 7% hydrochloric acid, which is the basis of many toilet bowl cleaners, (4) chloramine T at a minimum free chlorine level of 3000 p.p.m. and (5) sodium hypochlorite at a minimum free chlorine concentration of 5000 p.p.m. Of those chemicals suitable for use as topical antiseptics, 70% ethanol alone or products containing at least 70% ethanol were ineffective only against coxsackievirus B3. These results emphasize the care needed in selecting chemical disinfectants for routine use in infection control.

摘要

以柯萨奇病毒B3、5型腺病毒、3型副流感病毒和229E冠状病毒作为医院重要病毒病原体的代表,对受病毒污染的无孔无生命表面进行了化学消毒研究。将10微升悬浮于粪便或粘蛋白中的测试病毒置于每个不锈钢圆盘(直径约1厘米)上,并使接种物在环境条件下干燥1小时。基于早期对人类轮状病毒的研究结果,选择了16种消毒剂配方用于本研究。在接触20微升消毒剂1分钟后,立即将圆盘上的病毒洗脱到胰蛋白胨磷酸盐肉汤中并进行蚀斑测定。使用病毒感染性滴度降低3个对数或更多的效力标准,且不考虑病毒悬浮介质,仅以下五种消毒剂对所有四种测试病毒均有效:(1)通常用作器械浸泡液的2%戊二醛;(2)0.5%邻苄基对氯苯酚和0.6%月桂基硫酸钠的强碱性混合物,一般用作硬表面家用消毒清洁剂;(3)含7%盐酸的0.04%季铵化合物溶液,是许多马桶清洁剂的基础成分;(4)最低游离氯水平为3000 ppm的氯胺T;(5)最低游离氯浓度为5000 ppm的次氯酸钠。在那些适合用作局部防腐剂的化学品中,仅70%乙醇或含至少70%乙醇的产品对柯萨奇病毒B3无效。这些结果强调了在选择用于感染控制常规用途的化学消毒剂时需要谨慎。

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