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十二指肠镜标准化清洗消毒技术的细菌学效果

Bacteriological efficiency of a standardized cleansing and disinfection technique for duodenoscopes.

作者信息

Schenk J, Riemann J F, Gräf W

出版信息

Endoscopy. 1978 May;10(2):75-9. doi: 10.1055/s-0028-1098268.

DOI:10.1055/s-0028-1098268
PMID:658031
Abstract

Adequate cleansing and disinfection of the endoscopes is desirable to prevent bacteriaemia and septicemia following gastrointestinal endoscopy, especially endoscopic retrograde cholangiopancreatography and duodenoscopic sphincterotomy. A practical method, proved in our department over a period of 12 months, is described. As the result of this standardized cleansing and disinfection technique using the aldehyde derivative Gigasept (succine dialdehyde and 2,5-dimethoxytetrahydrofuran) in a 10% concentration as chemical disinfectant, sterile cultures from the biopsy channel were obtained in 75% of tested instruments. The remaining fiberscopes exhibited only a few bacteria left, resulting in a sufficient success of disinfection according to hygienic standards.

摘要

为预防胃肠内镜检查(尤其是内镜逆行胰胆管造影术和十二指肠镜括约肌切开术)后发生菌血症和败血症,应对内镜进行充分的清洁和消毒。本文介绍了一种在我们科室经过12个月验证的实用方法。使用浓度为10%的醛衍生物Gigasept(琥珀酸二醛和2,5-二甲氧基四氢呋喃)作为化学消毒剂,采用这种标准化的清洁和消毒技术,75%的受试器械活检通道培养出无菌菌落。其余纤维内镜仅残留少量细菌,根据卫生标准,消毒取得了足够的成功。

相似文献

1
Bacteriological efficiency of a standardized cleansing and disinfection technique for duodenoscopes.十二指肠镜标准化清洗消毒技术的细菌学效果
Endoscopy. 1978 May;10(2):75-9. doi: 10.1055/s-0028-1098268.
2
Experiences and problems in the disinfection of fibre endoscopes.纤维内窥镜消毒的经验与问题
Endoscopy. 1978 May;10(2):80-5. doi: 10.1055/s-0028-1098269.
3
Disinfection procedures of fiberscopes in endoscopy departments.内镜科室纤维内镜的消毒程序
Endoscopy. 1976 Feb;8(1):24-9. doi: 10.1055/s-0028-1098370.
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Cleaning and disinfection of equipment for gastrointestinal flexible endoscopy: interim recommendations of a Working Party of the British Society of Gastroenterology.胃肠道软性内镜设备的清洁与消毒:英国胃肠病学会工作组的临时建议
Gut. 1988 Aug;29(8):1134-51. doi: 10.1136/gut.29.8.1134.
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[Automatic disinfection of fiberendoscopes (author's transl)].
Zentralbl Bakteriol Orig B. 1977 Dec;165(5-6):458-63.
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Cleaning and disinfection of flexible fiberoptic endoscopes (FFE) used in gastrointestinal endoscopy.用于胃肠内镜检查的软性纤维内镜(FFE)的清洁与消毒
APIC. 1978 Dec;6(4):8-9.
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Disinfection of upper gastrointestinal fibreoptic endoscopy equipment: an evaluation of a cetrimide chlorhexidine solution and glutaraldehyde.上消化道纤维内镜设备的消毒:对溴化十六烷基三甲铵氯己定溶液和戊二醛的评估。
Gut. 1978 Oct;19(10):916-22. doi: 10.1136/gut.19.10.916.
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Disinfection of gastrointestinal fibrescopes--evaluation of the disinfectants Dettox and Gigasept.胃肠道纤维内镜消毒——消毒剂Dettox和Gigasept的评估
Endoscopy. 1983 Nov;15(6):350-2. doi: 10.1055/s-2007-1021553.
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Gastrointestinal endoscopy: infection and disinfection.胃肠内镜检查:感染与消毒
Gut. 1983 Nov;24(11):1067-77. doi: 10.1136/gut.24.11.1067.
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Cleaning and disinfection of fiberoptic endoscopes: evaluation of glutaraldehyde exposure time and forced-air drying.纤维光学内窥镜的清洁与消毒:戊二醛暴露时间及强制空气干燥的评估
Gastroenterology. 1982 Sep;83(3):613-8.

引用本文的文献

1
Plasma-activated water: a new and effective alternative for duodenoscope reprocessing.等离子体活化水:十二指肠镜再处理的一种新型有效替代方法。
Infect Drug Resist. 2018 May 17;11:727-733. doi: 10.2147/IDR.S159243. eCollection 2018.
2
Gastrointestinal endoscopy: infection and disinfection.胃肠内镜检查:感染与消毒
Gut. 1983 Nov;24(11):1067-77. doi: 10.1136/gut.24.11.1067.