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热消毒、热灭菌及化学消毒的血液透析监测仪的细菌污染情况

Bacterial contamination of heat-sterilized, heat-disinfected and chemically-disinfected haemodialysis monitors.

作者信息

Kolmos H J

出版信息

Acta Pathol Microbiol Scand B. 1978 Apr;86(2):101-6. doi: 10.1111/j.1699-0463.1978.tb00016.x.

DOI:10.1111/j.1699-0463.1978.tb00016.x
PMID:696322
Abstract

The bacterial contamination of one heat-sterilized, three heat-disinfected and four chemically-disinfected monitor types was evaluated before and after dialysis. All monitor types were contaminated. In the heat-treated monitors the level of contamination varied with the intensity of the heat treatment and the technical design. They were less contaminated than the chemically-disinfected recirculating single-pass monitors. The latter were contaminated to a marginal degree, irrespective of the quality of the water supply. Each monitor showed a characteristic microbial flora, indicating that recontamination occurred from the same persistent focus. Aquired antibiotic resistance characters were rare among the potential human pathogens isolated from the dialysate. The level of contamination during dialysis is determined by a complex of factors, including the mode of disinfection, the technical design of the dialysis equipment, the duration of the dialyses, and the flora of the dialysate.

摘要

在透析前后,对一种热灭菌、三种热消毒和四种化学消毒的监测仪类型的细菌污染情况进行了评估。所有类型的监测仪均受到污染。在经过热处理的监测仪中,污染程度随热处理强度和技术设计而变化。它们的污染程度低于化学消毒的循环单通道监测仪。后者无论供水质量如何,污染程度都处于边缘水平。每台监测仪都显示出独特的微生物菌群,表明再污染来自同一个持续存在的污染源。从透析液中分离出的潜在人类病原体中,获得性抗生素耐药特性很少见。透析期间的污染水平由多种因素决定,包括消毒方式、透析设备的技术设计、透析时间以及透析液的菌群。

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