国际口腔医学杂志

国际口腔医学杂志 ›› 2022, Vol. 49 ›› Issue (3): 324-327.doi: 10.7518/gjkq.2022052

• 论著 • 上一篇    下一篇

基于多酶清洗剂控制的口腔专科器械清洗消毒模式的探索

林洁1(),刘帆2()   

  1. 1.口腔疾病研究国家重点实验室;国家口腔疾病临床医学研究中心;四川大学华西口腔医院种植科 成都 610041
    2.口腔疾病研究国家重点实验室;国家口腔疾病临床医学研究中心;四川大学华西口腔医院护理部 成都 610041
  • 收稿日期:2021-09-20 修回日期:2022-01-10 出版日期:2022-05-01 发布日期:2022-05-09
  • 通讯作者: 刘帆
  • 作者简介:林洁，副主任护师，硕士，Email：84204362@qq.com
  • 基金资助:
    四川大学横向课题(21H0441)

Exploration on cleaning and disinfection mode of dental instruments based on multi-enzyme detergent control

Lin Jie1(),Liu Fan2()   

  1. 1.State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Implantology, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
    2.State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Nursing, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2021-09-20 Revised:2022-01-10 Online:2022-05-01 Published:2022-05-09
  • Contact: Fan Liu
  • Supported by:
    Horizontal Project of Sichuan University(21H0441)

RichHTML

30

PDF (PC)

235

摘要： 目的

探索口腔器械清洗消毒时常用多酶清洗剂对应的最适温度、清洗剂配置后的使用时效以及清洗剂最佳重复使用次数，以期更好地发挥多酶清洗剂的作用。

方法

以目前商业化普遍使用的2种多酶清洗剂为研究对象，测量其最佳工作温度、配置时间以及换液频率，探索多酶清洗剂使用的最适条件。

结果

2种多酶清洗剂的最适温度有一定差异，实验组1的多酶清洗剂最佳温度在55 ℃，而实验组2的多酶清洗剂处理最佳温度在50 ℃。清洗剂配置时间过长或多批次重复使用多酶清洗剂都可能导致消毒效果降低。

结论

控制工作温度在50~55 ℃，合理控制器械数量、在有效时间段内使用、及时更换多酶清洗剂是保障消毒效果的重要方法。

关键词: 多酶清洗剂, 口腔器械, 医院感染控制

Abstract: Objective

To obtain the optimal temperature, the operating life after the configuration of the detergents, and the best reuse times of the detergents corresponding to the two kinds of multi-enzyme detergents, which were commonly used in the cleaning and disinfection of dental instruments.

Methods

In this study, the multi-enzyme detergents currently in commercial use were taken as the research objects, according to the best working temperature, configuration time and frequency of fluid change, explore the optimal conditions for the use of multi-enzyme cleaning agents.

Results

The optimal temperature of group one treatment is around 55 ℃, while the optimal temperature of group two is around 50 ℃. Too long detergent configuration time or repeated use of multiple enzyme detergent in batches may result in reduced disinfection effect. Reasonable control of the number of instruments, use within an effective time period, and timely replacement of multi-enzyme detergents are important methods to ensure the disinfection effect.

Conclusion

Controlling the working temperature at about 50-55 ℃, using the multi-enzyme detergents of the configuration time, and the cleaning times of not more than three times can help to clean the dental instruments efficiently.

Key words: multi-enzyme detergent, oral instrument, hospital infection control

中图分类号: 

  • R 187

图1

温度对不同多酶清洗剂清洗时间的影响"

图2

配置时间对不同多酶清洗剂清洗时间的影响"

图3

清洗批次对不同多酶清洗剂清洗时间的影响"

1 陈继峰, 卞莲莲, 刘洪源, 等. 医用多酶洗涤剂洗涤效果评价方法探讨[J]. 中国卫生检验杂志, 2013,23(4): 877-879.
Chen JF, Bian LL, Liu HX, et al. Methods for determining the ablution effect of multi-enzyme detergents for hospital application[J]. Chin J Health Lab Technol, 2013, 23(4): 877-879.
2 Hadi R, Vickery K, Deva A, et al. Biofilm removal by medical device cleaners: comparison of two bioreactor detection assays[J]. J Hosp Infect, 2010, 74(2): 160-167.
3 Stiefel P, Mauerhofer S, Schneider J, et al. Enzymes enhance biofilm removal efficiency of cleaners[J]. Antimicrob Agents Chemother, 2016, 60(6): 3647-3652.
4 Lawson VA, Stewart JD, Masters CL. Enzymatic detergent treatment protocol that reduces protease-resistant prion protein load and infectivity from surgical-steel monofilaments contaminated with a human-derived prion strain[J]. J Gen Virol, 2007, 88(10): 2905-2914.
5 张爱勤, 刘琴, 王晓丽, 等. 多酶洗液加超声清洗器清洗医疗器械效果[J]. 中国消毒学杂志, 2008, 25(5): 556-557.
Zhang AQ, Liu Q, Wang XL, et al. Effect of multi-enzyme lotion and ultrasonic cleaner on cleaning medical instruments[J]. Chin J Disinfect, 2008, 25(5): 556-557.
6 石艳燕. 多酶清洁剂与数控超声波在清洗口腔小器械中的应用[J]. 中华医院感染学杂志, 2011, 21(19): 4173.
Shi YY. Application of multi-enzyme cleanser and numerical control ultrasonic in cleaning oral instruments[J]. Chin J Nosocomiol, 2011, 21(19): 4173.
7 何渺. 超声震荡清洗和传统人工冲刷对车针清洗效果的比较[J]. 山西医药杂志, 2013, 42(9): 1076.
He M. Comparison between ultrasonic shock cleaning and traditional manual washing on cleaning effect of car needle[J]. Shanxi Med J, 2013, 42(9): 1076.
8 罗万军, 徐润琳, 王文娟, 等. 污染器械预处理方式及放置时间对清洗效果的影响研究[J]. 中国消毒学杂志, 2015, 32(12): 1188-1190.
Luo WJ, Xu RL, Wang WJ, et al. Investigation on cleaning effect to contaminated instruments after different pretreatment and storage time[J]. Chin J Disinfect, 2015, 32(12): 1188-1190.
No related articles found!
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
[1] 张京剧. 青年期至中年期颅面复合体变化的头影测量研究[J]. 国际口腔医学杂志, 1999, 26(06): .
[2] 刘玲. 镍铬合金中铍对可铸造性和陶瓷金属结合力的影响[J]. 国际口腔医学杂志, 1999, 26(06): .
[3] 王昆润. 在种植体上制作固定义齿以后下颌骨密度的动态变化[J]. 国际口腔医学杂志, 1999, 26(06): .
[4] 王昆润. 重型颌面部炎症死亡和康复病例的实验室检查指标比较[J]. 国际口腔医学杂志, 1999, 26(06): .
[5] 逄键梁. 两例外胚层发育不良儿童骨内植入种植体后牙槽骨生长情况[J]. 国际口腔医学杂志, 1999, 26(05): .
[6] 温秀杰. 氟化物对牙本质脱矿抑制作用的体外实验研究[J]. 国际口腔医学杂志, 1999, 26(05): .
[7] 杨春惠. 耳颞神经在颞颌关节周围的分布[J]. 国际口腔医学杂志, 1999, 26(04): .
[8] 王昆润. 牙周炎加重期应选用何种抗生素[J]. 国际口腔医学杂志, 1999, 26(04): .
[9] 杨儒壮 孙宏晨 欧阳喈. 纳米级高分子支架材料在组织工程中的研究进展[J]. 国际口腔医学杂志, 2004, 31(02): 126 -128 .
[10] 严超然,李龙江. 肿瘤靶向药物载体系统的研究进展[J]. 国际口腔医学杂志, 2008, 35(S1): .