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[消毒的可能性与局限性]

[Possibilities and limits of disinfection].

作者信息

Sonntag H G

出版信息

Zentralbl Bakteriol Mikrobiol Hyg B. 1985 Feb;180(2-3):146-54.

PMID:3887808
Abstract

While making allowance for the changes in defining the term disinfection during the last few decades the present understanding of this term is explained. Moreover the prerequisites to be satisfied for proper disinfection, especially in the light of the new guidelines of the DGHM, are dealt with. This covers both the types of germs to be affected by the methods and the various modes of disinfection. As known routes of transmission obtaining with infectious hospitalism are also included in the discussion, an attempt is made to assign priorities to certain methods of disinfection, depending on the extend to which they are capable of preventing the transmission of microorganisms. The same criteria are applied to the areas outside the hospital (medical and dental practices, residential quarters, kitchen etc.) Finally it is attempted ro provide a forecast of the future importance of disinfection, with special emphasis on chemical disinfection. Known limitations and others to be expected, such as those imposed by the toxicity of the substances used, the resistance to such substances developed by micro-organisms, material incompatibilities, irreconcilable relationships between concentration and time of action and the like, are discussed.

摘要

在考虑过去几十年中“消毒”一词定义变化的同时,解释了目前对该术语的理解。此外,还探讨了正确消毒需满足的前提条件,特别是根据德国医院卫生与感染预防协会(DGHM)的新指南。这涵盖了受消毒方法影响的微生物类型以及各种消毒方式。由于讨论中还包括了医院感染中已知的传播途径,因此尝试根据某些消毒方法预防微生物传播的能力来确定其优先级。同样的标准也适用于医院以外的区域(医疗和牙科诊所、居民区、厨房等)。最后,试图预测消毒未来的重要性,特别强调化学消毒。讨论了已知的局限性以及预期的其他问题,如所用物质的毒性、微生物对这些物质产生的抗性、材料不相容性、浓度与作用时间之间无法协调的关系等。

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