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[含阳离子活性添加剂的皮肤消毒剂的有效性]

[The effectiveness of a skin disinfectant with a cation active additive].

作者信息

Christiansen B

机构信息

Klinikum der Christian-Albrechts-Universität Kiel, Abt. Hygiene, Sozialhygiene und Gesundheitswesen.

出版信息

Zentralbl Bakteriol Mikrobiol Hyg B Umwelthyg Krankenhaushyg Arbeitshyg Prav Med. 1988 Jul;186(4):368-74.

PMID:3140541
Abstract

Within the scope of studies on efficacy of skin disinfection an alcoholic preparation with a cation-active substance (Octeniderm) was tested by way of the quantitative cotton swab method. To study the remanent effectiveness the skin of the upper arm was contaminated with Staph. epidermidis (10(2), 10(3) and 10(6)/cm2 skin) a) 1 minute and b) 2 h after disinfection. Swabs of the contaminated skin areas were taken after 1 min, 10 min and 2 h. It was shown, that Octeniderm compared with 70% Isopropanol and with the preparation without the active substance lead to a significant higher reduction of the contamination flora. Recent studies showed, that alcoholic disinfection of skin areas with many sebaceous glands was as good as inefficacious. A first experiment with Octeniderm on the forehead brought a significant better effect than 70% Isopropanol, but too the mean log reduction factors (RF) amount only to 0.76 for the aerobic and 0.64 for the anaerobic bacteria (exposure time of the disinfectant: 10 min) respectively 0.75 (aerobe) and 0.95 (anaerobe) one hour after disinfection.

摘要

在皮肤消毒效果研究范围内,采用定量棉拭子法对含阳离子活性物质的酒精制剂(Octeniderm)进行了测试。为研究残留效果,将上臂皮肤用表皮葡萄球菌污染(每平方厘米皮肤10²、10³和10⁶个菌),分别在消毒后a)1分钟和b)2小时进行。在污染皮肤区域消毒1分钟、10分钟和2小时后采集拭子。结果表明,与70%异丙醇及不含活性物质的制剂相比,Octeniderm能显著更有效地减少污染菌群。近期研究表明,对皮脂腺丰富的皮肤区域进行酒精消毒效果不佳。首次在额头上使用Octeniderm的实验显示,其效果明显优于70%异丙醇,但消毒10分钟后,需氧菌的平均对数减少因子(RF)仅为0.76,厌氧菌为0.64;消毒1小时后,需氧菌为0.75,厌氧菌为0.95。

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