[消毒的可能性和局限性]。

H G Sonntag
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引用次数: 0

摘要

虽然考虑到在过去几十年里对消毒一词的定义发生了变化,但本文解释了目前对这一术语的理解。此外,还讨论了适当消毒必须满足的先决条件,特别是根据DGHM的新准则。这既包括受消毒方法影响的细菌类型,也包括各种消毒方式。由于讨论中还包括因感染性住院而获得的已知传播途径,因此,根据某些消毒方法能够防止微生物传播的程度,尝试对它们分配优先次序。同样的标准也适用于医院以外的区域(医疗和牙科诊所、居民区、厨房等),最后试图对未来消毒的重要性进行预测,特别强调化学消毒。讨论了已知的限制和其他预期的限制,如所使用物质的毒性所施加的限制,微生物对这些物质产生的耐药性,材料不相容性,浓度和作用时间之间不可调和的关系等等。
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[Possibilities and limits of disinfection].

While making allowance for the changes in defining the term disinfection during the last few decades the present understanding of this term is explained. Moreover the prerequisites to be satisfied for proper disinfection, especially in the light of the new guidelines of the DGHM, are dealt with. This covers both the types of germs to be affected by the methods and the various modes of disinfection. As known routes of transmission obtaining with infectious hospitalism are also included in the discussion, an attempt is made to assign priorities to certain methods of disinfection, depending on the extend to which they are capable of preventing the transmission of microorganisms. The same criteria are applied to the areas outside the hospital (medical and dental practices, residential quarters, kitchen etc.) Finally it is attempted ro provide a forecast of the future importance of disinfection, with special emphasis on chemical disinfection. Known limitations and others to be expected, such as those imposed by the toxicity of the substances used, the resistance to such substances developed by micro-organisms, material incompatibilities, irreconcilable relationships between concentration and time of action and the like, are discussed.

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