文摘大家译：纤维喉镜如何消毒？

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纤维喉镜传播疾病预防Prevention of disease transmission during flexible laryngoscopy
Am J Infect Control Volume 35, Issue 8, Pages 536-544 (October 2007)
Lawrence F. Muscarella, PhD  
The medical literature was reviewed to evaluate the risk of disease transmission and nosocomial infection associated with flexible laryngoscopes. These instruments have been reported to be contaminated with blood, body fluids, organic debris, and potentially pathogenic microorganisms during routine clinical use. Failure to reprocess properly a flexible laryngoscope may, therefore, result in patient-to-patient disease transmission. Different types of biocidal agents, including 70% isopropyl alcohol, quaternary ammonium compounds, and 2% glutaraldehyde have been reported to be used to disinfect flexible laryngoscopes. A logic, or algorithm, was developed to evaluate the adequacy of these and other types of biocidal agents used during instrument reprocessing. This review determined that flexible laryngoscopes are semicritical instruments that require high-level disinfection (or sterilization) to prevent nosocomial infection. Whereas 70% isopropyl alcohol, quaternary ammonium compounds, and other products that achieve intermediate-level or low-level disinfection are contraindicated for reprocessing flexible laryngoscopes, 2% glutaraldehyde and other products that achieve high-level disinfection (or sterilization) are recommended for reprocessing these instruments to prevent nosocomial infection. A formal set of step-by-step guidelines for reprocessing flexible laryngoscopes is provided. Use of a disposable sheath to cover and protect the flexible laryngoscope from contamination during clinical use is discussed.

[ 本帖最后由 wzcdcyxh 于 2007-10-29 16:33 编辑 ]

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要提到对重复使用的纤维喉镜要使用2%戊二醛和其他高水平消毒（或灭菌）方法来预防医院感染，禁止使用中水平或低水平消毒剂。并提出使用抛弃式护套以覆盖和保护纤维喉镜污染。

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桂花香

谢版主提供的文献！:victory: :victory:

fd_daisy

谢谢版主提供的信息。正好要了解该方面的内容