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   常规消毒 在 预防医学与卫生学 分类中 的翻译结果: 查询用时:0.394秒
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常规消毒
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  routine disinfection
After routine disinfection on the skin, the needles were quickly inserted.
      
Reinstitution of routine disinfection of the transducer heads controlled the outbreak.
      
Ninety percent of the patients rinsed their nebulizers following use, but only 15% performed any routine disinfection.
      
Routine disinfection of stethoscopes between patients is recommended by the American Medical Association.
      
Routine disinfection of pans and surfaces should limit the number of resistant spores.
      
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Of 187 mixed samples taken at random from surfaces of medical instruments in eight hospitals, 24 (4.48%) were positive for HBsAg. The positive rate rose with increased intensity of blood contamination. There was still a 2.78% positive rate after routine disinfection. Standard disinfectants 1/1000 or 2/1000 Bromo-geremine, and 1/1000 or 2/1000 Peracetio acid could destroy low titre HBsAg, but couldn't destroy high titre HBsAg. Only 60% disinfective solution obtained commonly used in the field reached the standard...

Of 187 mixed samples taken at random from surfaces of medical instruments in eight hospitals, 24 (4.48%) were positive for HBsAg. The positive rate rose with increased intensity of blood contamination. There was still a 2.78% positive rate after routine disinfection. Standard disinfectants 1/1000 or 2/1000 Bromo-geremine, and 1/1000 or 2/1000 Peracetio acid could destroy low titre HBsAg, but couldn't destroy high titre HBsAg. Only 60% disinfective solution obtained commonly used in the field reached the standard titre, but they inactivate HBsAg same as the standard disinfective solution.Nine samples of disinfeotive solution from the field were centrifuged, and eight out of the nine sediments proved to be HBsAg positive. Electron microscopic examination revealed three morphologic forms of HBV: spherical, tubular and Dane particles. These facts suggest that currently, iatrogenio transmission of hepatitis B is possible in some hospitals.

8个医疗单位外环境及医疗器械采集混合样本187份,乙型肝炎表面抗原(HBsAg)阳性率4.48%,且阳性率随着被血液污染程度的增加而上升。“常规消毒”后医疗器械仍有2.78%阳性。1~2%新洁尔灭及1~2%过氧乙酸对高滴度(1:25 600)HBsAg无作用,但对低滴度(1:3200)有一定作用。现场消毒液浓度符合率仅60%。采集消毒液经超离心后9只样品中有8只HBsAg阳性,电镜下见到乙型肝炎病毒(HBV)三种颗粒:球形、管形及Dane颗粒。提示某些医疗单位具有乙肝医源性传播的可能性。

The purpose of this study was to find out a proper way to do the air sterilization in the wards. In this study, Chinese herb-burn-incense was used to different wards. Its effect was compared with routine air sterilization methods such as ultraviolet radiator, formaldehyde ,and lactiacid method.The bactierial culture of the air was done. The result indicated that Chinese herb-burn-incense not only had the same effect as routine methods in air sterilization but also had no irritation to the patients.

为寻求一种简便易行,对人体无刺激、无副作用,适合于各类病室的空气消毒方法,作者采用自制的纯中药燃香进行病室内空气消毒效果的试验观察。同时与常规空气消毒法,即紫外线照射、甲醛和乳酸熏蒸法进行比较,通过空气中细菌培养的结果,经统计处理,证明:中药燃香不仅可达到常规消毒法的消毒效果,且使用方便,在人员不能离开病室时亦可进行空气消毒。

Contamination disinfection methods. effects and side-effects for endoscopes were investigated in 41 hospitals of Shanghai. Results showed: about 1 of 70 case going to doct0r would receive endoscopic examinatoty in which gastrocopy. entercopy. laryngoscope. cystocope. bronchocopy. peritoneoscope and arthroscope accounted for 60. 23%.21. 15 %.8. 22%.6. 51%.2. 34% and1. 55% respectively. In different endoscopes, the contamination of gastrocopy and entercopy were most serious, then the laryngoscope, the total bacteria...

Contamination disinfection methods. effects and side-effects for endoscopes were investigated in 41 hospitals of Shanghai. Results showed: about 1 of 70 case going to doct0r would receive endoscopic examinatoty in which gastrocopy. entercopy. laryngoscope. cystocope. bronchocopy. peritoneoscope and arthroscope accounted for 60. 23%.21. 15 %.8. 22%.6. 51%.2. 34% and1. 55% respectively. In different endoscopes, the contamination of gastrocopy and entercopy were most serious, then the laryngoscope, the total bacteria colong was 2824cfu/100cm2.408cfu/100cm2 and 148cfu/100cm2 respectively. After routine disinfection, the qualited rate of gastrocopy was 71%~77%. The main problems of endoscopy disinfection were: (1)Using low level disinfectants, accounted for 10. 75 %, (2) Unsufficien disinfectiom time, cystocope disinfection time did all not come to fixed time, other endoscopy disinfection or sterilization did not come to fixed time accounted for 75. 61 % or 64. 71 %; (3)rinsing endoscopes with tap water after sterilization in some hospitals.In addition, 7 of 36 hospitals (19. 44% ) reflected that glutaraldehyde may induce headache, skin and mucous membrance stimulation atc; 10 of 36 (27. 78%) hospitals reflected glutaraldehyde may damage lens and channels of endoscopes. This investigalion poined out: the disinfectants of endoscopes should be improved, the operation of endoscopy disinfection should be normalized.

目的:了解上海市医院对内窥镜消毒的现况,进一步规范消毒操作方法。方法:对上海市41家医疗机构进行各类内窥镜检查人次构成比、污染情况、消毒方法与效果以及消毒剂副反应等进行调查,结果:平均约每70名就诊病人有1人接受各种内窥镜检查,其中胃镜、肠镜检查人次占60.23%与21.15%,喉镜与支气管镜占8.22%、2.34%,膀脱镜占6.51%,腹腔与关节镜占1.55%。各类内窥镜的污染程度也以胃镜与脑镜最严重,细菌菌落总数分别为2824cfu/100cm2与408cfu/100cm2,其次为喉镜148cfu/100cm2,经常规消毒后,胃镜的合格率71%~77%。内窥镜消毒主要存在以下问题:(1)消毒剂选用不当:采用低水平消毒剂占10.75%;(2)消毒时间未达规定时间:膀胱镜全部未达到灭菌时间,其他消毒类内窥镜与灭菌类内窥镜作用时间符合率也仅24.39%与35.29%;(3)部分医院用自来水配制灭菌剂及作灭菌后冲洗。19.44%(7/36)的医院反映戊二醛对工作人员有头痛、皮肤粘膜刺激等副反应,2778%(10/36)的医院反应戊二醛对内窥镜镜面与通道有损害作用。结论:内窥镜的消毒灭菌剂还有待改进,内...

目的:了解上海市医院对内窥镜消毒的现况,进一步规范消毒操作方法。方法:对上海市41家医疗机构进行各类内窥镜检查人次构成比、污染情况、消毒方法与效果以及消毒剂副反应等进行调查,结果:平均约每70名就诊病人有1人接受各种内窥镜检查,其中胃镜、肠镜检查人次占60.23%与21.15%,喉镜与支气管镜占8.22%、2.34%,膀脱镜占6.51%,腹腔与关节镜占1.55%。各类内窥镜的污染程度也以胃镜与脑镜最严重,细菌菌落总数分别为2824cfu/100cm2与408cfu/100cm2,其次为喉镜148cfu/100cm2,经常规消毒后,胃镜的合格率71%~77%。内窥镜消毒主要存在以下问题:(1)消毒剂选用不当:采用低水平消毒剂占10.75%;(2)消毒时间未达规定时间:膀胱镜全部未达到灭菌时间,其他消毒类内窥镜与灭菌类内窥镜作用时间符合率也仅24.39%与35.29%;(3)部分医院用自来水配制灭菌剂及作灭菌后冲洗。19.44%(7/36)的医院反映戊二醛对工作人员有头痛、皮肤粘膜刺激等副反应,2778%(10/36)的医院反应戊二醛对内窥镜镜面与通道有损害作用。结论:内窥镜的消毒灭菌剂还有待改进,内窥镜的消毒操作应进一步规范。

 
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