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酒精类手部消毒剂对耐甲氧西林金黄色葡萄球菌的有效性

[Effectiveness of alcoholic hand disinfectants against methicillin resistant Staphylococcus aureus].

作者信息

Kampf G, Jarosch R, Rüden H

机构信息

Institut für Hygiene, Universitätsklinikum Benjamin Franklin, Freie Universität Berlin.

出版信息

Chirurg. 1997 Mar;68(3):264-8; discussion 269-70. doi: 10.1007/s001040050185.

Abstract

In order to determine the efficacy of hand disinfectants based on alcohol against three MRSA strains and 3 methicillin-susceptible S. aureus strains (MSSA), 1-propanol (60%) as well as Sterillium and Spitaderm were investigated in the quantitative suspension test at various dilutions and reactions times (15, 30 and 60s). All undiluted disinfectants revealed reduction factors > 6 against MRSA and MSSA after 30s. Diluted disinfectants (50%) were significantly less effective against MRSA at short reaction times (15 s) (p < 0.05). Sterillium in a dilution of 50% did not reach 5 reduction factors against either MRSA or MSSA after 30 s. The impact of an appropriate use of hand disinfectants in order to break chains of infections with MRSA is obvious.

摘要

为了确定基于酒精的手部消毒剂对三种耐甲氧西林金黄色葡萄球菌菌株和3种甲氧西林敏感金黄色葡萄球菌菌株(MSSA)的有效性,在定量悬液试验中,对不同稀释度和反应时间(15、30和60秒)下的1-丙醇(60%)以及Sterillium和Spitaderm进行了研究。所有未稀释的消毒剂在30秒后对耐甲氧西林金黄色葡萄球菌和甲氧西林敏感金黄色葡萄球菌的杀灭率均>6。稀释后的消毒剂(50%)在短反应时间(15秒)时对耐甲氧西林金黄色葡萄球菌的效果显著降低(p<0.05)。50%稀释度的Sterillium在30秒后对耐甲氧西林金黄色葡萄球菌或甲氧西林敏感金黄色葡萄球菌的杀灭率均未达到5。正确使用手部消毒剂以打破耐甲氧西林金黄色葡萄球菌感染链的影响是显而易见的。

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