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使用缓冲次氯酸盐溶液对纤维内镜进行消毒。

Use of buffered hypochlorite solution for disinfecting fibrescopes.

作者信息

Coates D, Death J E

出版信息

J Clin Pathol. 1982 Mar;35(3):296-303. doi: 10.1136/jcp.35.3.296.

DOI:10.1136/jcp.35.3.296
PMID:6802880
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC497533/
Abstract

The possible use of sodium hypochlorite solution buffered to pH 7.6 and containing 100 ppm available chlorine (avCl) for disinfecting fibrescopes was investigated. A flexible fibrescope experimentally contaminated with Pseudomonas putida, Mycobacterium fortuitum, or Bacillus subtilis spores was effectively disinfected within 10 m in repeatedly and without any observable adverse effect on the instrument. The corrosive nature of buffered hypochlorite was investigated by immersing various fibrescope components and metal wires in solutions of different strength for long periods and examining them for damage. Stainless steel, platinum, glass, Teflon, polythene and epoxy resin were apparently unaffected whereas polyurethane, rubber and other metals tested were damaged to different extents. Buffered hypochlorite solutions may have many applications pertaining to the disinfection of items which are either thermolabile or require rapid effective disinfection.

摘要

研究了使用pH值缓冲至7.6且含有100 ppm有效氯(avCl)的次氯酸钠溶液对纤维内窥镜进行消毒的可能性。用恶臭假单胞菌、偶然分枝杆菌或枯草芽孢杆菌孢子进行实验污染的柔性纤维内窥镜,在10分钟内可有效消毒,且对仪器无任何明显不良影响,可反复进行。通过将各种纤维内窥镜部件和金属丝长时间浸泡在不同强度的溶液中并检查其损坏情况,研究了缓冲次氯酸盐的腐蚀性。不锈钢、铂、玻璃、聚四氟乙烯、聚乙烯和环氧树脂显然未受影响,而测试的聚氨酯、橡胶和其他金属则有不同程度的损坏。缓冲次氯酸盐溶液可能在对热不稳定或需要快速有效消毒的物品消毒方面有许多应用。

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本文引用的文献

1
Disinfecting endoscopes: how not to transmit Mycobacterium tuberculosis by bronchoscopy.内镜消毒:如何避免支气管镜检查传播结核分枝杆菌
Can Med Assoc J. 1980 Aug 23;123(4):275-80, 283.
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Outbreak of Salmonella agona infection after upper intestinal fibreoptic endoscopy.上消化道纤维内镜检查后阿哥纳沙门氏菌感染暴发
Lancet. 1980 Dec 6;2(8206):1246. doi: 10.1016/s0140-6736(80)92501-5.
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Transmission of serum hepatitis.血清性肝炎的传播
JAMA. 1970 Mar 2;211(9):1509-12.
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A bacterial spore test piece for the control of ethylene oxide sterilization.
J Appl Bacteriol. 1965 Dec;28(3):349-60. doi: 10.1111/j.1365-2672.1965.tb02163.x.
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Transient bacteremia associated with sigmoidoscopy.
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Esophagoscopy as a source of Pseudomonas aeruginosa sepsis in patients with acute leukemia: the need for sterilization of endoscopes.急性白血病患者中,食管镜检查作为铜绿假单胞菌败血症的一个来源:内镜消毒的必要性。
Gastroenterology. 1974 Nov;67(5):912-9.
7
Experimental study for rapid sterilization of the flexible fiberoptic bronchoscope.可弯曲纤维支气管镜快速灭菌的实验研究
Chest. 1974 Dec;66(6):723-4. doi: 10.1378/chest.66.6.723.
8
Sporicidal activity of hospital disinfectants.医院消毒剂的杀孢子活性。
J Clin Pathol. 1974 Aug;27(8):632-8. doi: 10.1136/jcp.27.8.632.
9
Disinfection of gastrointestinal fibre endoscopes.胃肠道纤维内窥镜的消毒
Lancet. 1974 Apr;1(7859):656-8. doi: 10.1016/s0140-6736(74)93202-4.
10
Can gastrointestinal endoscopy transmit hepatitis B to patients?胃肠内镜检查会将乙肝传染给患者吗?
Gastrointest Endosc. 1976 Feb;22(3):168-70. doi: 10.1016/s0016-5107(76)73735-0.