Lilly H A, Lowbury E J
J Clin Pathol. 1978 Oct;31(10):919-22. doi: 10.1136/jcp.31.10.919.
A suspension of Staphylococcus aureus deposited on the skin was much more effectively removed by soap-and-water washing when it had been spread and allowed to dry (mean survival 2%) than when it had been rubbed on to the skin (mean survival 29.9%); when antiseptics (70% ethyl alcohol, Hibiscrub without added water) were used, there was no difference between their action against bacteria dried on and bacteria rubbed on to the skin; both of these methods, and especially alcohol, were more effective than soap and water. When a detergent-disinfectant method (washing with Hibiscrub and water) was used, there was a significantly greater effect against rubbed-on than against dried-on bacteria; soap and water was slightly more effective than Hibiscrub and water against the latter. The need to reappraise methods of reducing transient skin flora in 'hygienic' hand cleansing and the tests used for this purpose are discussed.
涂抹在皮肤上的金黄色葡萄球菌悬液,当它被摊开并晾干后(平均存活率2%),用肥皂和水洗去的效果比直接擦在皮肤上(平均存活率29.9%)要好得多;当使用防腐剂(70%乙醇、未加水的洗必泰)时,它们对晾干在皮肤上的细菌和擦在皮肤上的细菌的作用没有差异;这两种方法,尤其是酒精,比肥皂和水更有效。当使用洗涤剂 - 消毒剂方法(用洗必泰和水清洗)时,对擦在皮肤上的细菌的效果比对晾干在皮肤上的细菌的效果显著更好;肥皂和水对后者的效果比洗必泰和水稍好。本文讨论了重新评估在“卫生”手部清洁中减少暂住皮肤菌群的方法以及用于此目的的测试的必要性。