Zourbas J, Toubon P, Guillou C
Ann Fr Anesth Reanim. 1983;2(4):317-24. doi: 10.1016/s0750-7658(83)80031-8.
Different methods of disinfection of ventilators are used in hospitals. They are chosen according to the type of apparatus, the configuration of its internal circuit, the system of disinfection available and the degree of contamination. There are three types of disinfection: a) partial disinfection, b) partial internal disinfection by connection to an apparatus of disinfection with liquid formaldehyde, c) total automatic internal and external disinfection with formaldehyde powder. The hospital public health team controls the different disinfection procedures. Samples were taken from 13 places on four ventilators (Engström, Bennett, Servo 900, RPR). They were taken on polyvalent and on three selective culture media (gram positive, gram negative and Pseudomonas aeruginosa). Three criteria were defined: absence of contamination, limited contamination and widespread contamination. After disinfection, satisfactory results were always observed. However, these results were observed only immediately after disinfection and before stocking and transport. The results of these controls, communicated within 48 h to the doctors, allow us to check the reliability of the method used.
医院采用不同的呼吸机消毒方法。这些方法根据设备类型、内部回路配置、可用的消毒系统以及污染程度来选择。消毒有三种类型：a）部分消毒；b）通过连接液体甲醛消毒设备进行部分内部消毒；c）用甲醛粉末进行全自动内部和外部消毒。医院公共卫生团队对不同的消毒程序进行控制。从四台呼吸机（Engström、Bennett、Servo 900、RPR）的13个部位采集样本。样本在多价和三种选择性培养基（革兰氏阳性菌、革兰氏阴性菌和铜绿假单胞菌）上培养。定义了三个标准：无污染、污染有限和广泛污染。消毒后，总能观察到满意的结果。然而，这些结果仅在消毒后立即以及储存和运输前观察到。这些控制结果在48小时内传达给医生，使我们能够检查所用方法的可靠性。
