首页|低浓度异丙醇对口腔门诊污染物表消毒效果的临床评价

低浓度异丙醇对口腔门诊污染物表消毒效果的临床评价

扫码查看
目的 评价低浓度异丙醇与常规消毒剂对口腔治疗所致污染物表的清洁消毒效果。方法 使用灭菌蒸馏水(阳性对照组)、75%乙醇溶液(乙醇组)、500 mg/L含氯消毒液(500 mg/L含氯组)、1 000 mg/L含氯消毒液(1 000 mg/L含氯组)、季铵盐化合物消毒湿巾(QACs组)、17。2%异丙醇+0。28%苄索氯铵消毒液(IACs组)对12例男性患者洁治过程中污染的玻璃标本进行清洁消毒。采用压印法在血琼脂平板培养基培养消毒标本表面残留微生物并计数。使用x2分割法检验不同消毒剂的清洁效果差异;使用单因素方差分析检验不同消毒剂的消毒效果。结果 QACs组和IACs组标本表面未见有血液、黏液或其他可见污染物的残留,与其他4组差异有统计学意义(P<0。05);乙醇组(4/12)标本表面可见污染物残留率低于阳性对照组(9/12)、500 mg/L含氯组(9/12)及1 000 mg/L含氯组(7/12)3组,差异有统计学意义(P<0。05);500 mg/L含氯组和1 000 mg/L含氯组可见污染物残留率与阳性对照组差异无统计学意义(P>0。05)。QACs组(0。05±0。01)和IACs组(0。04±0。01)物表菌落总数(TSC)差异无统计学意义(P>0。05),而这2组TSC均小于500 mg/L含氯组(21。88±2。79)、乙醇组(8。21±1。08)及 1 000 mg/L 含氯组(2。96±0。82),差异有统计学意义(P<0。05);500 mg/L含氯组、乙醇组及1 000 mg/L含氯组3组TSC依次减少,且差异有统计学意义(P<0。05)。结论 QACs和IACs消毒剂对口腔治疗过程中的污染物表具有良好的清洁消毒效果。
Clinical evaluation of the efficacies of low-concentrating isopropanol to control microorganisms on contaminated surfaces in dental clinic
Objective To compare and evaluate the effect of cleaning and disinfection of different disinfectants on contaminated surfaces in dental practice.Methods Sterile distilled water(positive control group),75%ethanol solution(ethanol group),500 mg/L chlorine-containing disinfectant(500 mg/L chlorine-containing group),1 000 mg/L chlorine-containing disinfectant(1 000 mg/L chlorine-containing group),quaternary ammonium compounds(QACs group),17.2%isopropanol+0.28%ammonium compounds(IACs group)were selected to clean and disinfect glass specimens contaminated by scaling treatment for 12 male patients.The imprint technique was used and residual microorganisms were incubated in blood agar plate medium.Partitions of x2 method was used to test the differences of the cleaning effects of different disinfectants groups and a one-way analysis of variance was used to test the differences in the disinfecting impact of groups.Results No blood,mucus,and other visible contaminants remained on the surfaces of specimens in the QACs group and IACs group,and the residual rates of visible contaminants of the above two groups was significantly different from that of the other 4 groups(P<0.05).The residual rate of the ethanol group(4/12)was lower than that of the control group(9/12),500 mg/L chlorine-containing group(9/12),and 1 000 mg/L chlorine-containing group(7/12),and the differences were statistically significant(P<0.05).The residual rates of the 500 mg/L chlorine-containing group and 1 000 mg/L chlorine-containing group were not significantly different from that of the control group(P>0.05).Total surface colonies(TSC)of QACs group(0.05±0.01)and the IACs group(0.04±0.01)were not different significantly(P>0.05).They were significantly less than those of 500 mg/L chlorine-containing group(21.88±2.79),ethanol group(8.21±1.08)and 1 000 mg/L chlorine-containing group(2.96±0.82)(P<0.05).TSC values of 500 mg/L chlorine-containing group,ethanol group,and 1 000 mg/L chlorine-containing group reduced in turn,and the differences were statistically significant(P<0.05).Conclusion QACs and IAC disinfectants can obtain good cleaning and disinfecting effects on contaminated surfaces in dental practice.

2-PropanolDisinfectantsInfection controlDental practice

范丽丽、刘艳艳、曹瑞锋、杨旭晨、杜晶丽、张楠

展开 >

030032 山西白求恩医院同济山西医院口腔科

2-丙醇 消毒药(剂) 感染控制 口腔治疗

山西省基础研究计划项目

202103021224359

2024

山西医药杂志
山西医药卫生传媒集团有限责任公司

山西医药杂志

影响因子:0.504
ISSN:0253-9926
年,卷(期):2024.53(13)