Guggenheim B
Institut für Orale Mikrobiologie und Allgemeine Immunologie, Zentrum für Zahn-, Mund- und Kieferheikunde, Universität Zürich.
Schweiz Monatsschr Zahnmed. 1995;105(4):455-60.
Sterilization of metal instruments in Chemiclaves is undoubtedly the most protective mode of sterilization, because corrosion and formation of spots is minimal. In the past sterilization with Chemiclaves was criticised, because of the emission of formaldehyde by older models and the questionable efficacy of formaldehyde sterilization for wrapped instruments. In the present investigation the capability of the newest Chemiclaves (7000/8000) to sterilize dental instruments was investigated. To monitor sterilization efficacy filter paper strips loaded with spores of Bacillus stearothermophilus or dental instruments directly contaminated with these spores were used as biological indicators. The performance of the Chemiclaves was assessed with and without a full load of instruments; after running half of the program cycle, the spore strips in the chamber being either unpacked or packed into paper bags. In addition it was investigated, whether it was feasible to use a formaldehyde free sterilization solution (Steri-Vap) with these sterilizers. The daily performance of the Chemiclaves in a dental practice and the emission of formaldehyde were tested in a room < 10 m3, in which both apparatus were operated at the same time. The Chemiclaves 7000/8000 sterilized reliably under the set test condition, however, the formaldehyde-free sterilization solution did not lead to an acceptable efficacy of sterilization. The new Chemiclaves efficiently adsorbed formaldehyde vapours. Harvey sterilizers require a meticulous observation of the producer's instruction, because in comparison to saturated steam the chemical vapours have a lower heat capacity. The Chemiclaves 7000/8000 are recommended for the sterilization of well cleaned, dry instruments wrapped in original MDT paper bags.
在化学灭菌器中对金属器械进行灭菌无疑是最具防护性的灭菌方式,因为腐蚀和斑点形成极少。过去,化学灭菌器灭菌曾受到批评,原因是旧型号会释放甲醛,且甲醛对包裹器械的灭菌效果存疑。在本研究中,对最新款化学灭菌器(7000/8000型)对牙科器械的灭菌能力进行了研究。为监测灭菌效果,将载有嗜热脂肪芽孢杆菌孢子的滤纸条或直接被这些孢子污染的牙科器械用作生物指示剂。在有和没有满载器械的情况下评估化学灭菌器的性能;在运行程序周期的一半后,腔室内的孢子条要么未包装,要么装入纸袋。此外,还研究了使用无甲醛灭菌溶液(Steri-Vap)与这些灭菌器是否可行。在一个小于10立方米的房间里,同时操作这两种器械,测试了化学灭菌器在牙科诊所的日常性能以及甲醛的排放情况。7000/8000型化学灭菌器在设定的测试条件下能可靠地灭菌,然而,无甲醛灭菌溶液并未带来可接受的灭菌效果。新型化学灭菌器能有效吸附甲醛蒸汽。哈维灭菌器需要严格遵循生产商的说明,因为与饱和蒸汽相比,化学蒸汽的热容量较低。建议使用7000/8000型化学灭菌器对用原装MDT纸袋包装的清洁、干燥的器械进行灭菌。