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采用手套液法对一种速干擦拭型聚维酮碘酒精消毒溶液的抗菌效果进行研究。

Study of the antiseptic efficacy of a quick drying rubbing type povidone-iodine alcoholic disinfectant solution by the glove juice method.

作者信息

Kawana R, Matsumoto I, Saito J, Higuchi T, Fujiwara M, Takahashi K, Yanagihara T, Takahashi K

机构信息

Department of Bacteriology, Iwate Medical University School of Medicine, Japan.

出版信息

Postgrad Med J. 1993;69 Suppl 3:S18-22.

PMID:8290451
Abstract

The antiseptic efficacy of HAD Hand Wash (83% ethanol containing 0.5% povidone-iodine) was investigated by the glove-juice method in 29 cases amongst staff members of our university. The number of viable bacteria on the hands and fingers was counted three times, and the mean of these counts was used as the baseline value for each subject. The number of viable bacteria on both hands was the same prior to disinfection. After the hands were disinfected by rubbing with 3 ml of HAD Hand Wash until it dried, the subjects put on sterile gloves. The number of viable bacteria was counted on the right hand of all the subjects immediately after disinfection. The number of viable bacteria on the left hand was counted in 8 subjects 30 minutes after disinfection, and in 7 subjects each 1, 2 and 4 hours after disinfection. The bacteria were identified by subculture. The ratio of bacteria sterilized (bacterial reduction rate) was 75.4% immediately after disinfection, and 69.0%, 71.9%, 35.8% and 27.6% at 30 minutes, 1 hour, 2 hours and 4 hours, respectively. All of the bacteria detected were Gram-positive bacteria that were native to the sebaceous glands, sweat glands or skin surface; i.e. Staphylococcus, Micrococcus, Bacillus, and Streptococcus. The frequency of detection of Staphylococcus warneri was the highest before disinfection, followed by Staphylococcus epidermidis and Staphylococcus hominis, in that order. After disinfection, all these species showed a marked decrease in the number of bacteria. Micrococcus remained in half the subjects, while other species remained in less than one third of the subjects.

摘要

采用手套浸液法,对我校29名工作人员手部使用HAD洗手液(含83%乙醇和0.5%聚维酮碘)的抗菌效果进行了研究。对手部和手指上的活菌数进行了3次计数,并将这些计数的平均值用作每个受试者的基线值。消毒前双手的活菌数相同。用3毫升HAD洗手液揉搓双手直至干燥进行消毒后,受试者戴上无菌手套。消毒后立即对所有受试者的右手活菌数进行计数。对8名受试者在消毒后30分钟时左手的活菌数进行计数,对7名受试者分别在消毒后1小时、2小时和4小时时左手的活菌数进行计数。通过传代培养鉴定细菌。消毒后立即的细菌杀灭率为75.4%,在30分钟、1小时、2小时和4小时时分别为69.0%、71.9%、35.8%和27.6%。检测到的所有细菌均为皮脂腺、汗腺或皮肤表面的革兰氏阳性菌,即葡萄球菌、微球菌、芽孢杆菌和链球菌。消毒前华纳葡萄球菌的检出频率最高,其次依次为表皮葡萄球菌和人葡萄球菌。消毒后,所有这些菌种的细菌数量均显著减少。微球菌在半数受试者中仍有残留,而其他菌种在不到三分之一的受试者中仍有残留。

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