Bradley C R, Babb J R
Hospital Infection Research Laboratory, City Hospital NHS Trust, Birmingham, UK.
J Hosp Infect. 1995 Jun;30 Suppl:537-42. doi: 10.1016/0195-6701(95)90060-8.
Automated endoscope washer disinfectors are widely used for the decontamination of flexible endoscopes. They are more effective than manual techniques and reduce the likelihood of skin contact with irritant disinfectants. Suitable machines are those which effectively clean, disinfect and rinse all channels and external surfaces without damaging the instrument. If glutaraldehyde is used, fumes should be removed or contained to protect endoscopy and processing staff. Machines should also be equipped with a self-disinfect facility and the rinse water should be of a suitable microbiological quality for the instruments processed, i.e. bacteria-free (sterile or filtered) water should be used for bronchoscopes and all invasive endoscopes. The choice of machine and cycle will depend on the following: whether a mobile or fixed unit is required; the type of disinfectant used; instrument throughput; and whether or not it is necessary to process more than one endoscope at a time. Purchasers are advised to request independent test reports which substantiate manufacturers' claims.
自动内镜清洗消毒器广泛用于软式内镜的去污处理。它们比手工操作更有效，且能降低皮肤接触刺激性消毒剂的可能性。适用的机器应能有效清洁、消毒和冲洗所有通道及外表面，同时又不会损坏器械。如果使用戊二醛，应去除或收集其烟雾，以保护内镜检查和处理人员。机器还应具备自我消毒功能，冲洗用水的微生物质量应适合所处理的器械，即支气管镜和所有侵入性内镜应使用无菌（无菌或经过过滤）水。机器和清洗周期的选择将取决于以下因素：需要移动设备还是固定设备；所使用消毒剂的类型；器械处理量；以及是否需要同时处理多台内镜。建议购买者索要能证实制造商所宣称效果的独立测试报告。
