Southwood L L, Baxter G M
Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, USA.
Vet Clin North Am Equine Pract. 1996 Aug;12(2):173-94. doi: 10.1016/s0749-0739(17)30278-x.
Recent advances in instrument sterilization include the introduction of gas plasma sterilization and the increased use of glutaraldehyde. Gas plasma sterilization has the advantages of no toxic residue effects, reduced turnover time, and applicability for sterilization of heat- and moisture-sensitive instruments. Chlorhexidine gluconate (4%) appears to be a superior preoperative surgical scrub for both the surgeon and the patient because of its increased antimicrobial efficacy, residual activity, and minimal tissue reactions. There are many new wound dressings and topical medications for treatment of wounds, but the efficacy of most of these preparations has been evaluated only in humans, dogs, and cats. The ideal topical wound preparation and dressing for equine wounds, particularly wounds affecting the distal limb, have not yet been found.
器械消毒的最新进展包括气体等离子体消毒的引入以及戊二醛使用的增加。气体等离子体消毒具有无毒性残留影响、周转时间缩短以及适用于对热和湿度敏感器械消毒的优点。葡萄糖酸洗必泰（4%）似乎是外科医生和患者术前手术刷洗的优质选择，因为它具有增强的抗菌效果、残留活性以及最小的组织反应。有许多用于伤口治疗的新型伤口敷料和局部用药，但这些制剂中的大多数仅在人、狗和猫身上进行了疗效评估。尚未找到适用于马伤口，特别是影响远端肢体伤口的理想局部伤口制剂和敷料。
