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三种医用臭氧剂型对烧伤患者多重耐药菌的杀菌效果分析

Analysis of Bactericidal Effect of Three Medical Ozonation Dosage Forms on Multidrug-Resistant Bacteria from Burn Patients.

作者信息

Wang Xuan, Liao Dan, Ji Qiu-Ming, Yang Yu-Hong, Li Ming-Chao, Yi Xian-Yun, Li Chi, Chen Yu, Tao Hong-Bo, Zhai Wen-Hui

机构信息

Institute of Burns, Wuhan Third Hospital, Wuhan University, Wuhan, 430000, People's Republic of China.

Department of Psychiatry, Wuhan Wudong Hospital, Wuhan, 430084, People's Republic of China.

出版信息

Infect Drug Resist. 2022 Apr 6;15:1637-1643. doi: 10.2147/IDR.S353277. eCollection 2022.

Abstract

OBJECTIVE

To examine the bactericidal effects of three different states of medical ozone (liquid, gas, and oil) against drug-resistant strains of common bacteria on burn wounds, which could as a clinical reference.

METHODS

Three multidrug-resistant strains of methicillin-resistant , pan-resistant , and ESBLs were identified from burn wounds. The colonies of the three varieties of bacteria were each carried out using the pour plate method prior to the start of the experiment. Then, depending on the state of ozone, different treatment procedures are applied. Group of ozone gas: in a closed glass jar, the bacterial liquid was injected into a single layer of sterile gauze, and the ozone gas concentration was held at 50 g/mL. The bacterial liquid was diluted and combined directly with ozone water in the ozone water group. Ozone is a type of oil: after the emulsifier was added to the oil group. The gas, water, and oil groups were rapidly neutralized and counted again after 5, 10, and 30 minutes.

RESULTS

Ozone gas and oil groups totally eliminated multidrug resistant bacteria in the above study within 30 minutes. (2) At 5 and 10 minutes, the difference in bactericidal effect between ozone gas group and ozone water and oil group was statistically significant (P<0.05), and there was no significant difference between ozone water and oil groups (P>0.05); at the time of 30 minutes, the effects of bactericidal effect between ozone water group and ozone gas and oil had no significance (P> 0.05).

CONCLUSION

Ozone has the ability to kill bacteria, depending on the treatment time, different ozone types should be chosen for sterilization and disinfection in clinical application.

摘要

目的

探讨三种不同状态的医用臭氧(液态、气态和油态)对烧伤创面常见耐药菌的杀菌效果,为临床提供参考。

方法

从烧伤创面分离出耐甲氧西林、泛耐药和产超广谱β-内酰胺酶的三种多重耐药菌株。实验开始前,采用倾注平板法对这三种细菌的菌落进行培养。然后,根据臭氧的状态,采用不同的处理程序。臭氧气体组:在密闭玻璃罐中,将菌液注入单层无菌纱布中,使臭氧气体浓度保持在50μg/mL。臭氧水组将菌液稀释后直接与臭氧水混合。臭氧油组:在油相中加入乳化剂。气体组、水组和油组在5、10和30分钟后迅速中和并再次计数。

结果

(1)在上述研究中,臭氧气体组和油组在30分钟内完全杀灭多重耐药菌。(2)在5分钟和10分钟时,臭氧气体组与臭氧水组和油组的杀菌效果差异有统计学意义(P<0.05),臭氧水组和油组之间无显著差异(P>0.05);在30分钟时,臭氧水组与臭氧气体组和油组的杀菌效果差异无统计学意义(P>0.05)。

结论

臭氧具有杀菌能力,在临床应用中应根据处理时间选择不同类型的臭氧进行消毒灭菌。

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