一次性二氧化氯湿巾用于耳鼻喉科的高水平消毒：系统评价。
Disposable chlorine dioxide wipes for high-level disinfection in the ENT department: A systematic review.
机构信息
Department of Otorhinolaryngology and Head and Neck Surgery, University of Trieste, Cattinara Hospital, Strada di Fiume 447, 34149 Trieste, Italy.
Department of Otorhinolaryngology and Head and Neck Surgery, University of Trieste, Cattinara Hospital, Strada di Fiume 447, 34149 Trieste, Italy.
出版信息
Am J Otolaryngol. 2020 May-Jun;41(3):102415. doi: 10.1016/j.amjoto.2020.102415. Epub 2020 Feb 4.
BACKGROUND
Nasopharyngoscope reprocessing methods should be effective, rapid and reproducible with moderate cost. Tristel Trio Wipes system (TTWS) is a manual reprocessing method based on chlorine dioxide that has lately emerged in ENT department. This review aims to collect evidence on this system.
METHODS
The PubMed, Web of Science and Cochrane Library databases were searched for all the studies on TTWS or one of its components. Data were grouped according to the study type.
RESULTS
Ten articles were included in the review. TTWS ensured high-level disinfection in laboratory and clinical setting. Although the limitations of the manual systems, TTWS proved to be faster than automated endoscope reprocessing (AER) and safe for patients and health-care workers. TTWS represented cheaper system than AER or sheaths in low- and medium-volume centers.
CONCLUSION
TTWS could be a valid, safe and fast HLD method for nasopharyngoscopes, with reasonable costs for medium-low reprocessing volumes.
背景
鼻咽镜再处理方法应该具有高效、快速且可重现性，同时成本适中。Tristel Trio Wipes 系统（TTWS）是一种基于二氧化氯的手动再处理方法，最近已在耳鼻喉科使用。本综述旨在收集关于该系统的证据。
方法
检索了 PubMed、Web of Science 和 Cochrane Library 数据库中关于 TTWS 或其组件的所有研究。根据研究类型对数据进行分组。
结果
综述共纳入 10 篇文章。TTWS 确保了实验室和临床环境中的高水平消毒。尽管手动系统存在局限性，但 TTWS 被证明比自动化内镜处理（AER）更快，对患者和医护人员也更安全。TTWS 代表了比 AER 或低、中容量中心的护套更便宜的系统。
结论
TTWS 可能是一种有效的、安全的、快速的 HLD 方法，适用于鼻咽镜，对于中低再处理量，成本合理。
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