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医疗机构中的化学消毒:全球战略制定的关键方面

Chemical disinfection in healthcare settings: critical aspects for the development of global strategies.

作者信息

Exner Martin, Bhattacharya Sanjay, Gebel Jürgen, Goroncy-Bermes Peter, Hartemann Philippe, Heeg Peter, Ilschner Carola, Kramer Axel, Ling Moi Lin, Merkens Wolfgang, Oltmanns Peter, Pitten Frank, Rotter Manfred, Schmithausen Ricarda Maria, Sonntag Hans-Günther, Steinhauer Kathrin, Trautmann Matthias

机构信息

Institute of Hygiene and Public Health, Bonn University, Bonn, Germany.

Tata Medical Center, Kolkata, India.

出版信息

GMS Hyg Infect Control. 2020 Dec 23;15:Doc36. doi: 10.3205/dgkh000371. eCollection 2020.

DOI:10.3205/dgkh000371
PMID:33520601
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7818848/
Abstract

Chemical disinfection is an indispensable means of preventing infection. This holds true for healthcare settings, but also for all other settings where transmission of pathogens poses a potential health risk to humans and/or animals. Research on how to ensure effectiveness of disinfectants and the process of disinfection, as well as on when, how and where to implement disinfection precautions is an ongoing challenge requiring an interdisciplinary team effort. The valuable resources of active substances used for disinfection must be used wisely and their interaction with the target organisms and the environment should be evaluated and monitored closely, if we are to reliable reap the benefits of disinfection in future generations. In view of the global threat of communicable diseases and emerging and re-emerging pathogens and multidrug-resistant pathogens, the relevance of chemical disinfection is continually increasing. Although this consensus paper pinpoints crucial aspects for strategies of chemical disinfection in terms of the properties of disinfectant agents and disinfection practices in a particularly vulnerable group and setting, i.e., patients in healthcare settings, it takes a comprehensive, holistic approach to do justice to the complexity of the topic of disinfection.

摘要

化学消毒是预防感染不可或缺的手段。这在医疗环境中是如此,在所有其他病原体传播对人类和/或动物构成潜在健康风险的环境中也是如此。关于如何确保消毒剂和消毒过程的有效性,以及何时、如何和在何处实施消毒预防措施的研究,是一项持续的挑战,需要跨学科团队的努力。如果我们要可靠地为子孙后代收获消毒的益处,用于消毒的活性物质的宝贵资源必须得到明智利用,并且它们与目标生物体和环境的相互作用应得到密切评估和监测。鉴于传染病以及新出现和再次出现的病原体和多重耐药病原体的全球威胁,化学消毒的相关性在不断增加。尽管本共识文件从消毒剂的特性以及在一个特别脆弱的群体和环境(即医疗环境中的患者)中的消毒实践方面,指出了化学消毒策略的关键方面,但它采用了全面、整体的方法来公正地对待消毒这一复杂主题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/206c/7818848/bbd4755307af/HIC-15-36-t-005.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/206c/7818848/82c274feb91a/HIC-15-36-t-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/206c/7818848/7e8c15c120fb/HIC-15-36-t-002.jpg
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