常规消毒剂对类鼻疽伯克霍尔德菌的杀灭效果分析

Investigations on bactericidal effect of common disinfectants against Burkholderia pseudomallei

  • 摘要: 目的 分析评价临床及科研中常用4种消毒剂对类鼻疽伯克霍尔德菌的杀灭效果,为临床类鼻疽治疗和科研活动中对该病原体的生物防护和沾染消除提供参考。方法 选取临床及科研中常用4种消毒剂:碘伏,新洁尔灭,75%乙醇,"84"消毒液,在不同温度、不同消毒液浓度条件下,观察其在单位时间内对不同浓度的类鼻疽菌菌液中活菌的杀灭效果。结果 常温条件下,0.5%碘伏和0.3%氯己定处理10 min能杀灭类鼻疽菌,0.5%"84"消毒液20 min、2%"84"消毒液5 min也能有效杀灭该病原体,PerasafeTM消毒液和75%乙醇的杀灭处理3 min即能起到洗消的目的。结论 临床常用消毒剂对致病性的类鼻疽菌的杀灭效果较好,以PerasafeTM消毒液和75%乙醇的灭菌效果最佳,该试验提示,在未到达足够安全级别的实验室中进行少量病原操作(如分子生物学相关实验)和非严格隔离的病房内进行类鼻疽的临床诊疗过程中,有效防范类鼻疽菌的播散和传染并不困难,但基于类鼻疽菌的严重危害性和感染的高风险性,常规消毒剂的有效性还需要在更全面的动物模型上进行评价。

     

    Abstract: OBJECTIVE To investigate the bactericidal effects of 4 kinds of common disinfectants used in clinical and scientific researches against Burkholderia pseudomallei, so as to provide useful references for biological protection and contamination elimination of B. pseudomallei during clinical and scientific actions. METHODS Four disinfectants commonly used in clinical and scientific researches, including iodine, benzalkonium bromide, 75% ethanol, and 84 disinfectants, were selected, and their bactericidal efficiencies against different concentrations of viable bacteria in the bacterium of B. pseudomallei in unit time were evaluated under different temperatures and different concentrations. RESULTS It took 10 min for 0.5% iodine and 0.3% benzalkonium bromide, 20 min for 0.5% "84" disinfectant and 5 min for 2% "84" disinfectant to effectively kill B. pseudomallei. PerasafeTM and 75% ethanol only needed 3 min to effectively kill B. pseudomallei under various circumstances. CONCLUSION Common disinfectants used in clinic have good bactericidal efficiencies against B. pseudomallei, and PerasafeTM and 75% ethanol have the best efficiencies. The experiment suggests that the prevention and treatment of spread and infection of B. pseudomallei is not difficult in the case of a small amount of pathogen operation in the laboratory which has not reached a sufficient level of safety and in the clinical diagnosis and treatment process of B. pseudomallei in non-strict isolation ward, but the efficiencies of conventional disinfectants also need to be evaluated in more comprehensive animal models, according to the serious dangers and the high risks of infection of B. pseudomallei.

     

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