Babb J R, Bradley C R, Ayliffe G A
J Hosp Infect. 1984 Jun;5(2):213-26. doi: 10.1016/0195-6701(84)90127-0.
A comparison of four cleaning and disinfection machines is described. These varied considerably in design and function and although no single machine possessed all the preferred characteristics, cleaning and disinfection, particularly between patients, was substantially improved. Before purchasing a machine it is recommended that the user ensures that it is convenient to operate, effective in removing soil and bacteria, and adaptable to the range of fibrescopes used within the unit. Infections are often caused by Gram-negative bacilli which are particularly difficult to remove manually from moist narrow channels of the fibrescope and perfusion of all channels including the air channel, is, therefore, recommended. Thorough cleaning and disinfection will not only reduce the likelihood of infection but will also reduce channel blockages and the general deterioration of the fibrescope.
本文描述了四种清洗消毒机器的比较。这些机器在设计和功能上有很大差异，虽然没有一台机器具备所有理想的特性，但清洗消毒工作，尤其是患者之间的清洗消毒工作有了显著改善。在购买机器之前，建议用户确保其操作方便、能有效去除污垢和细菌，并且能适配该单位所使用的各种纤维内窥镜。感染通常由革兰氏阴性杆菌引起，这些细菌很难通过手工从纤维内窥镜潮湿狭窄的通道中清除，因此建议对包括空气通道在内的所有通道进行灌注。彻底的清洗消毒不仅会降低感染的可能性，还会减少通道堵塞以及纤维内窥镜的整体老化。
