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題 名 | 含四級胺化合物紡織品對不同院內感染致病菌之抑菌研究=Antibacterial Activity of Fabrics Impregnated with Quaternary Ammonium Compounds in Nosocomial Strains |
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作 者 | 王永衛; 林明瀅; | 書刊名 | 院內感染控制雜誌 |
卷 期 | 9:6 1999.12[民88.12] |
頁 次 | 頁313-322 |
分類號 | 419.38 |
關鍵詞 | 抗菌布; 抑菌試驗; 洗滌耐久抗菌性; Antimicrobial textile; Inhibition; Water leaching durability; |
語 文 | 中文(Chinese) |
中文摘要 | 接觸傳染是造成院內感染最常見的傳播途徑,醫院中的工作人員若能穿著含有抑菌效能的醫療工作服,使污染於工作服上的微生物不繁殖增生,甚至可減少;或是將具抑菌效能的紡織品製作成病人被服或醫療數料,阻止病人身上或傷口上的微生物生長,對避免致病菌的傳播應有很大的助益。四極胺化合物(quaternaryammoniumcompounds; QACs),由於無毒性被廣泛的應用於食品衛生及環境的消毒與清潔,本研究目的是對含四極胺化合物之抑菌性紡織品進行抑菌性評估,測試菌株包括多重抗藥性之院內感染菌株:metnicillin抗藥性金黃色葡萄球菌(Methicillin Resistant Staphylococcus Aureus; MRSA)、 綠膿捍菌(Ps-Seudo Omonasaeruginosa)、克雷白肺炎桿菌(klebsiellapneumoniae)、靜止桿菌(Acineto-bacterbaumannil)、靈桿菌(Serratiamarcescens)等5株,進行 1 一般性抑菌測試;2. 耐久性抑菌測試,洗滌10周期與洗滌50周期;3. 污染性抑菌測試,未經洗滌紡織品在10%新鮮人類血液與20%牛血清的污染條件等不同條件的抑菌效果。各類抑菌紡織品的於未洗滌時的抑菌效果;縲縈制服抑菌紡織品對 MRSA 的平均抑菌率高達96.1%,12 次不同天檢測的95%的信賴區間為96.1 + 4.1%,棉質手術衣抑菌紡織品為86.6 + 10.7%,毛織品的抑菌率而達97.8 + 1.7%。其它院內感染多重抗藥性菌株對各類未洗滌紡織品的抑菌效果分別為綠膿桿菌73.2∼86.2%、克雷白肺炎桿菌91.4∼97.9%、靜止桿菌92.0∼99.1%、靈桿菌96.7∼99.9%。綜合研究結果測試之抑制紡織品於未洗滌、重復洗滌10週期與50週期、10%新人類血液及20%牛血清污染條件下對標準測試菌均符含基準,抑菌效果皆極優越,僅棉質手術衣在20%牛血清污染下對克雷白肺炎桿菌無抑菌效果。 |
英文摘要 | Interpersonal contact is the most important route for the transmission of nosocomial pathogens. Garment made from fabrics impregnated with compound having antibacterial activity may provide an effective way in preventing the nosocomial transmission of hospital pathogens by arresting the colonization and growth of microorganisms. Quarternary ammonium compounds (QACs), being non-toxic and non-carcinogenic, are widely used in environmental disinfection. Gowns, dressings and linens made from fabrics impregnated with QACs may then be used to reduce the rate of nosocomial infection. We tested the antibacterial activities of clean or soiled linens made of QAC-impregnated fabrics against 5 most commonly encountered nosocomial pathogens: methicillin-resistant Staphylococcus aureus (MRSA), Pseudomonas aeruginosa, Klebsiella pneumoniae, Acinetobacter baumaumi, and Serratia marcescens. The result indicated that the clean linens had 92.1-99.1% antibacterial activity against A. bauman-mi-, 91.4-97.9% against K. pneumoniae', 86.6-97.8% against MRSA; 73.2-86.2% against P. aeruginosa', and 96.7-99.9% against S. marcescenc. The linens soiled with 10% human blood or 20% bovine serum demonstrated a similar antibacterial activities as the clean linens, except that the fabrics which had been mixed with cotton and soiled with bovine serum did not show such activity against K. pneumoniae. Linens made of QAC-impregnated fabrics may be used to reduce noso-comial infections. |
本系統中英文摘要資訊取自各篇刊載內容。