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纸质出版:2014
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王晓蕾,吴燕,李世迎,卞薇.3种消毒方法对眼科检查用角膜接触镜的消毒效果比较[J].陆军军医大学学报(原第三军医大学学报),2014,36(17):1847-1849.
Wang Xiaolei,Wu Yan,Li Shiying,Bian Wei.Disinfection effect of 3 different disinfection methods on corneal contact lenses for ophthalmic examination[J].J Amry Med Univ (J Third Mil Med Univ),2014,36(17):1847-1849.
王晓蕾,吴燕,李世迎,卞薇.3种消毒方法对眼科检查用角膜接触镜的消毒效果比较[J].陆军军医大学学报(原第三军医大学学报),2014,36(17):1847-1849. DOI:
Wang Xiaolei,Wu Yan,Li Shiying,Bian Wei.Disinfection effect of 3 different disinfection methods on corneal contact lenses for ophthalmic examination[J].J Amry Med Univ (J Third Mil Med Univ),2014,36(17):1847-1849. DOI:
目的 观察临床常用的3种消毒方法对眼科检查用角膜接触镜的消毒效果。 方法 选取眼科常见菌种:金黄色葡萄球菌、表皮葡萄球菌、铜绿假单胞菌,分别采用0.05%泡腾消毒片制剂(二氯异氰尿酸钠)、75%乙醇、氯霉素滴眼液对被以上细菌污染后的接触镜镜面进行消毒,并在擦拭消毒后立即、浸泡消毒后5 min及10 min后分别对镜面采样,行细菌培养,比较3种消毒方法在不同消毒时间对常见细菌的消毒效果。 结果 3种消毒方法均可有效减少检查用接触镜上的细菌量,消毒效果与消毒时间正相关;0.05%泡腾消毒片制剂和75%酒精浸泡消毒10 min均能彻底杀灭所观察细菌,与氯霉素滴眼液比较,消毒效果差异有统计学意义(P0.01)。氯霉素滴眼液作用10 min不能彻底杀灭所观察细菌。 结论 0.05%泡腾消毒片制剂浸泡10 min 是一种简便高效的眼科检查用角膜接触镜消毒方法,而氯霉素滴眼液不能用于接触镜的消毒。
Objective To determine the disinfection effects of 3 different disinfection methods on corneal contact lenses used for ophthalmic examination so as to select the best disinfection method. Methods Three bacteria commonly seen in the ophthalmology department were selected
that is
Staphylococcus aureus
Staphylococcus epidermidis
and Pseudomonas aeruginosa. Disinfection processes were carried out to the surfaces of corneal contact lenses infected with the aforesaid 3 bacteria by using 0.05% sodium dichloroisocyanurate (NaDCC)
75% ethyl alcohol (EtOH)
and chloramphenicol eye drops respectively. Samples were then collected from the surfaces of these corneal contact lenses immediately after disinfection by wiping
in 5 min after disinfection by immersion
and 10 min after disinfection by immersion to conduct germiculture
so as to compare the effects of disinfection towards commonly seen bacteria using 3 different disinfection methods and with different disinfection durations. Results All 3 disinfection methods were able to reduce the bacteria quantity with better disinfection effects in a time dependent manner. NaDCC and 75% EtOH effectively disinfected the lenses (all 3 bacteria) if used for a minimum of 10 min
and were significantly different compared with the chloramphenicol eye drops (P0.01). The chloramphenicol eye drops could not effectively kill all observed bacteria if used for a minimum of 10 min. Conclusion Disinfection by immersion using NaDCC for 10 min is a simple yet highly effective way of carrying out disinfection towards contact lenses used for ophthalmic examination
and chloramphenicol eye drops cannot be used for disinfection of corneal contact lenses.
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