Hoffman P N, Cooke E M, Larkin D P, Southgate L J, Mayon-White R T, Pether J V, Wright A E, Keenlyside D
Division of Hospital Infection, Central Public Health Laboratory, London.
BMJ. 1988 Jul 2;297(6640):34-6. doi: 10.1136/bmj.297.6640.34.
Twenty general practices in four areas in Britain were surveyed to establish their needs for and practices of sterilising and disinfecting equipment. Of the 327 items of equipment and instruments examined in the survey, 190 were satisfactorily decontaminated, 100 were treated in a way judged to result in doubtful decontamination, and in 37 cases treatment was considered unsatisfactory. Decontamination apparatuses (autoclaves, hot air ovens, and hot water disinfectors) were generally in good working order, but the use of chemical disinfectants was often inappropriate. Recommendations were made on appropriate methods of decontamination for various items in common use in general practice. By virtue of the large numbers of patients treated by general practitioners there is a substantial possibility of transmitting infection; having appropriate methods for decontaminating instruments and equipment is therefore imperative.
对英国四个地区的20家普通诊所进行了调查，以确定它们对设备消毒和灭菌的需求及做法。在调查中检查的327件设备和器械中，190件得到了满意的去污处理，100件的处理方式被判定去污效果存疑，37件的处理被认为不令人满意。去污设备（高压灭菌器、热风烘箱和热水消毒器）总体运行良好，但化学消毒剂的使用往往不当。针对普通诊所常用的各类物品，提出了适当的去污方法建议。由于全科医生治疗的患者数量众多，存在传播感染的重大可能性；因此，拥有适当的器械和设备去污方法至关重要。
