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洗手除菌:聚维酮碘与氯己定的比较

Hand-washing degerming: a comparison of povidone-iodine and chlorhexidine.

作者信息

Dineen P

出版信息

Clin Pharmacol Ther. 1978 Jan;23(1):63-7. doi: 10.1002/cpt197823163.

DOI:10.1002/cpt197823163
PMID:412637
Abstract

Two antiseptic preparations for hand washing were compared by the glove-juice method in a crossover study on 10 volunteers. The reference preparation was 7.5% povidone-iodine (Betadine Surgical Scrub); the test agent was 4% chlorhexidine gluconate combined with 4% isopropyl alcohol (Hibiclens). The experimental model included inoculation of the hands with a mixture of Serratia marcescens, Escherichia coli, Providentia stuartii, and Pseudomonas aeruginosa. The reference preparation achieved a reduction ratio in colony counts of 695 to 1 under the conditions of this study. The average postwash colony count after use of 7.5% povidone-iodine was significantly less than the preinoculation colony count. Logarithmic values, and the paired t test applied to them, showed a highly significant difference (p = less than 0.001) in favor of the degerming ability of the reference agent compared to the test agent. These data are of value in the selection of preparations for hand washing and may point the way to quantitative methods for other degerming studies.

摘要

在一项针对10名志愿者的交叉研究中,采用手套浸液法比较了两种用于洗手的抗菌制剂。参比制剂为7.5%聚维酮碘(碘伏外科 scrub);受试制剂为4%葡萄糖酸氯己定与4%异丙醇的复方制剂(洗必泰醇)。实验模型包括用粘质沙雷氏菌、大肠埃希菌、斯氏普罗威登斯菌和铜绿假单胞菌的混合物对手部进行接种。在本研究条件下,参比制剂的菌落计数减少率达到695:1。使用7.5%聚维酮碘后洗手后的平均菌落计数显著低于接种前的菌落计数。对数数值以及应用于它们的配对t检验显示,与受试制剂相比,参比制剂的除菌能力存在高度显著差异(p<0.001)。这些数据对于洗手制剂的选择具有价值,并且可能为其他除菌研究的定量方法指明方向。

相似文献

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Hand-washing degerming: a comparison of povidone-iodine and chlorhexidine.洗手除菌:聚维酮碘与氯己定的比较
Clin Pharmacol Ther. 1978 Jan;23(1):63-7. doi: 10.1002/cpt197823163.
2
[Comparison of antibacterial effects of different antiseptics after hand washing].[洗手后不同防腐剂抗菌效果的比较]
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Effect of two antimicrobial rinses and oral prophylaxis on preoperative degerming of saliva.两种抗菌漱口水及口腔预防措施对术前唾液除菌的效果
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Comparison of the in vivo and in vitro antibacterial properties of providone iodine and chlorhexidine gluconate mouthrinses.聚维酮碘与葡萄糖酸氯己定漱口水的体内外抗菌特性比较。
J Clin Periodontol. 1978 Aug;5(3):198-205. doi: 10.1111/j.1600-051x.1978.tb02280.x.
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[The effectiveness of various disinfection methods on the surface of gloved hands].[不同消毒方法对手套表面的有效性]
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Efficacy of chlorhexidine surgical scrub compared to that of hexachlorophene and povidone-lodine.洗必泰手术擦洗剂与六氯酚和聚维酮碘相比的疗效。
Vet Med Small Anim Clin. 1978 May;73(5):573-6, 579.
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Antiseptic efficacies of waterless hand rub, chlorhexidine scrub, and povidone-iodine scrub in surgical settings: a meta-analysis of randomized controlled trials.无水手部清洁剂、洗必泰刷手和聚维酮碘刷手在手术环境中的消毒效果:随机对照试验的荟萃分析。
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Comparative antibacterial efficacy of a 2-minute surgical scrub with chlorhexidine gluconate, povidone-iodine, and chloroxylenol sponge-brushes.葡萄糖酸氯己定、聚维酮碘和氯二甲苯酚海绵刷进行2分钟外科洗手的抗菌效果比较
Am J Infect Control. 1988 Aug;16(4):173-7. doi: 10.1016/0196-6553(88)90029-6.
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Comparison of the germicidal activity of prepodyne and betadine surgical scrub solutions.普瑞波定和聚维酮碘手术擦洗液杀菌活性的比较。
Am J Med Technol. 1975 May;41(5):180-4.
10
Absence of bacterial resistance to povidone iodine.细菌对聚维酮碘无耐药性。
J Clin Pathol. 1976 Aug;29(8):752-5. doi: 10.1136/jcp.29.8.752.

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Infection control in a hernia clinic: 24 year results of aseptic and antiseptic measure implementation in 4,620 "clean cases".
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Interaction of povidone-iodine compounds, phagocytic cells, and microorganisms.聚维酮碘化合物、吞噬细胞与微生物之间的相互作用。
Antimicrob Agents Chemother. 1982 Oct;22(4):593-7. doi: 10.1128/AAC.22.4.593.
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An extended model for transfer of micro-organisms via the hands: differences between organisms and the effect of alcohol disinfection.微生物经手传播的扩展模型:不同微生物之间的差异及酒精消毒的效果
J Hyg (Lond). 1984 Jun;92(3):345-55. doi: 10.1017/s0022172400064561.
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Efficacy of alcohol-based hand rinses under frequent-use conditions.频繁使用情况下酒精类洗手消毒液的效果
Antimicrob Agents Chemother. 1986 Oct;30(4):542-4. doi: 10.1128/AAC.30.4.542.
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Vet Res Commun. 1988;12(1):77-86. doi: 10.1007/BF00396406.