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題名 | 重複消毒小容積噴霧器效果評估=The Influence of Pasteurization on the Performance of a Small Volume Nebulizer |
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作者 | 柯威任; 謝慧觀; 林蕙鈴; Ke, Wei-ren; Shie, Huei-guan; Lin, Hui-ling; |
期刊 | 呼吸治療雜誌 |
出版日期 | 20130700 |
卷期 | 12:2 2013.07[民102.07] |
頁次 | 頁49-58 |
分類號 | 415.415 |
語文 | chi |
關鍵詞 | 霧氣治療; 小容積噴霧器; 巴斯德消毒法; 噴霧效能; Aerosol therapy; Small volume nebulizer; Pasteurization; Nebulizer performance; |
中文摘要 | 目前臨床治療呼吸道疾病,常以霧氣治療方式給予。小量噴霧器目前臺灣部分醫院因為考量成本,選擇重複使用拋棄式小容積噴霧器做為臨床給藥途徑。根據美國疾病控制與預防中心之規範,利用高程度的巴斯德消毒法消毒接觸過病患痰液之噴霧器可避免醫源性肺炎之傳染。然而,由於噴霧器之構造是使用聚碳酸酯製作而成,經過巴斯德的熱水浸泡消毒以及清洗中的撞擊,可能會造成噴霧器結構上的變形與破壞,導致噴霧器之表現改變,本實驗檢測經巴斯德法多次消毒後,小容積噴霧器對於藥物之傳遞與噴霧效能之改變。實驗結果發現經巴斯德消毒過後之小容積噴霧器,噴霧時間縮短,可能導致氣膠顆粒沈降總數量減少,被拋棄的噴霧時間過長,增加病人治療時間;此外,小容積噴霧器經巴斯德消毒後,其粒徑分佈亦有改變,顯示消毒過程對於噴霧器表現有影響。而小容積噴霧器重複使用可承受經由巴斯德消毒的次數值得更進一步研究。 |
英文摘要 | Aerosol therapy with a small volume nebulizer (SVN) is widely used for the treatment of airway disease in the hospital. Since it is common practice to reuse a SVN due to its cost, the SVN needs to be regularly disinfected. According to the Control of Disease Center, using pasteurization to disinfect a SVN can effectively prevent hospitalized related pneumonia. However, since the SVN is composed of polycarbonate, the SVN might be deformed during pasteurization process. As the result, the performance of nebulization might affected by pasteurization. This study was designed to evaluate the influence of pasteurization on the performance of the SVN. Our results showed that pasteurization does affect the performance of the SVN, such as reduced nebulization time, reduced drug mass, and altered particle size. We suggest further evaluation to determine the optimal pasteurization for the SVN. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。