[Studies on the method of sterilization with ethylene oxide gas. 2. Residual EO gas on sterilized objects].

H Arimoto, H Wakui, M Sakagami, Y Abe, K Magara, N Yohkoh, T Kanri
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Abstract

Ethylene oxide gas (EO gas) adsorbed onto sterilized objects was quantitated in an effort to take a safety measure against residual EO gas following its use in sterilization. We measured residual amounts of EO gas adsorbed onto laboratory wares, small medical tools and appliances just after post-sterilization airation to examine whether they were rendered entirely free from EO gas by the process. The results led us to arrive at the following conclusions: 1. EO gas was recognized to remain on sterilized objects even after allowing them to stand for about 16 hours following airation. 2. The amount of residual EO gas was smaller on metallic products and larger on rubber products (notably rubber gloves). An exceedingly high concentration of EO gas was noted to remain on a tooth-brush, among other plastic materials. These facts seem to indicate that the amount of residual EO gas is closely related to the texture and shape of materials to be sterilized. 3. As regards the potential toxicity of residual EO gas. However, their sensitivity was proved to be questionable, judgment on a result being subject to considerable individual variations. 4. Nevertheless, it is incontestable that these devices can at least provide a rough estimate of unavailing since monitoring by direct measurement of residual EO gas is virtually infeasible from a practical point of view.

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环氧乙烷气体灭菌方法的研究。2. 灭菌物品上残留的EO气体]。
对被灭菌物上吸附的环氧乙烷气体(EO气体)进行了定量分析,目的是对其在灭菌过程中残留的环氧乙烷气体采取安全措施。我们测量了灭菌后空气中吸附在实验室用品、小型医疗工具和器具上的EO气体残留量,以检查它们是否在灭菌过程中完全不含EO气体。结果使我们得出以下结论:经确认,即使消毒物品在通风后放置约16小时后,EO气体仍会留在物品上。2. 金属制品的残余EO气体较少,而橡胶制品(特别是橡胶手套)的残余EO气体较多。除其他塑料材料外,牙刷上还残留着高浓度的EO气体。这些事实似乎表明,残余EO气体的数量与待灭菌材料的质地和形状密切相关。3.至于残余EO气体的潜在毒性。然而,它们的敏感性被证明是有问题的,对结果的判断受到相当大的个体差异的影响。4. 然而,无可争辩的是,这些装置至少可以提供对无效的粗略估计,因为从实际的角度来看,通过直接测量残余EO气体进行监测实际上是不可行的。
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