Abstract
Medical equipments, instruments and hands of medical personnel serve as one of the most important vehicles for the transmission of nosocomial infections, and as a result of this, disinfection and sterilization are considered as a main part of any infection control program. Wide range of different disinfectants is currently available, but outdated recommendations for its use are often published in domestically produced literature. In the article the main questions of terminology are discussed; the most commonly used groups of disinfectants and antiseptics are described; the approaches for disinfectants selection depending on the type of the disinfecting surface are advised.
-
1.
Becker G. A call to action. Infection control and sterilization technology 1995; 6:37-42.
-
2.
Kucisec-Teres N., Tambic A. Multiple-resistant gram-negative bacteria: growing problem in clinical practice. Proceedings of the Congress of Clinical Microbiology and Infectology; Zagreb, Croatia; 1996. p. 68-71.
-
3.
Philpott-Howard J., Caswell M., editors. Hospital infections control. Policies and practical procedures. Philadelphia: W.B. Saunders company Ltd; 1994.
-
4.
Russel A.D., Furr J.R., Maillard J.J. Microbial susceptibility and resistance to biocides. ASM News 1997; 63:481-7.
-
5.
Favero N.S., Bond W.W. Sterilization, desinfection, and antisepsis in the hospital. In: Balows A., Hausier W.J., Herrmann K.L., et al. editors. Manual of Clinical Microbiology, 5th ed. Washington, DC: American Society for Microbiology; 1991, p. 183-200.
-
6.
Spaulding E. Chemical disinfection of medical and surgical materials. In: Lawrence C.A., Block S.S., editors. Disinfection, sterilization and preservation. Philadelphia; 1968. p. 517-31.
-
7.
Zaidi M., Wenzel R.P. Disinfection, sterilization, and control of hospital waste. In: Mandell G.L., Bennett J.E., Dolin R., editors. Principles and practice of infectious diseases. 5th ed. Philadelphia: Churchill Livingstone; 2000. p. 2995-3005.
-
8.
Федорова Л.С., Арефьева Л.И., Путинцева Л.С. и др. Современные средства дезинфекции и дезинсекции. Характеристика, назначение, перспективы. Медицина и здравоохранение. Обзорная информация. М.; 1991; 2. с. 3-25.
-
9.
Волков Ю.П. Перспективы развития исследований в области разработки дезинфицирующих средств. Материалы научной конференции "Актуальные проблемы дезинфекции, стерилизации, дезинсекции и дератизации". М.; 1992. с. 13-4.
-
10.
Babb J. Methods of cleaning and disinfection. Zentr Sterilization 1993;4:227-37.
-
11.
Turner F.J. Hydrogen peroxide and other oxidant disinfectants. In: Block S.S., editor. Disinfection, sterilization and preservation. 3rd ed. Philadelphia: Lea & Febiger; 1983. p. 240-50.
-
12.
Dychdala G.R. Chlorine and chlorine compounds. In: Block S.S., editor. Disinfection, sterilization and preservation. 3rd ed. Philadelphia: Lea & Febiger; 1983. p. 157-82.
-
13.
Gibson K., Donald A., Hariharan H., et al. Comparison of two pre-surgical skin preparation techniques. Can J Vet Res 1997; 61:154-6.
-
14.
Larson E.L. Alcohols. In: Block S.S., editor. Disinfection, sterilisation and preservation. Philadelphia: Lea & Febiger; 1991. p. 191-203.
-
15.
Merianos J.J. Quaternary ammonium antimicrobial compounds. In: Block S.S., editor. Disinfection, sterilisation and preservation. Philadelphia: Lea & Febiger; 1991. p. 225-55.
-
16.
Rutala W.A. APIC guideline for selection and use of disinfectants. Inc Am J Infect Control 1996; 24:313-42.
-
17.
De Riso A., Ladovski J., Dillon T., et al. Chlorhexidine gluconate 0,12% oral rinse reduces the incidence of total nosocomial respiratory infection and nonprophylactic systemic antibiotic use in patients undergoing heart surgery. Chest 1996; 109:1556-61.
-
18.
Соколова Н.Ф., Белова В.И. Дезинфекционная техника. Профилактика внутрибольничных инфекций. Руководство для врачей. М.; 1993. с. 163-7.
-
19.
Пхакадзе Т.Я. Активность антисептиков и дезинфектантов в отношении отдельных видов неферментирующих грамотрицательных бактерий. Лаб дело 1991; 10:58-61.
-
20.
Афиногенова Г.Е. Чашечный метод оценки эффективности дезинфектантов и антисептиков. Методическое пособие. СПб; 2000.
-
21.
Russel A., Hugo W., Aylyffe G. Evaluation of the antibacterial and antifungal activity of disinfectants. Principles and practice of disinfection, preservation and sterilization. Oxford: Blackwell scientific publications; 1991. p.78-81.
-
22.
Мэй Д. Профилактика раневых инфекций посредством применения правильных методов обработки рук. Тезисы докладов 1-го семинара по инфекционному контролю в Восточной Европе; Москва, Россия; 1997. с. 52-6.
-
23.
Larson E. APIC guideline committee. APIC guideline for hand washing and hand antisepsis in health care settings. Am J Infect Control 1995; 23:251-69.
-
24.
Babb J., Davies J., Ayliffe G. A test procedure for evaluation of surgical hand disinfection. J Hosp Infect 1991; 18(Suppl 1b):41-9.
-
25.
Ayliffe G., Babb J., Davies J., et al. Hygienic hand disinfection tests in three laboratories. J Hosp Infect 1990; 16:141-9.
-
26.
Rotter M. Hand disinfection – harmonizing evaluation procedures in Europe. Alpe Adria Microbiol J 1994; 2:87-101.
-
27.
Пхакадзе Т.Я. Бактериологический мониторинг в кардиохирургии [автореф. диссертации]. М.; 1999.