口腔科综合治疗台水路无菌处理效果研究
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林虹

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Efficacy of aseptic processing on dental unit waterlines
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    摘要:

    目的比较不同的供水方式及是否排空水路内水分过夜对口腔综合治疗台水路(DUWLs)细菌数量的影响。方法第一阶段试验将6台综合治疗台随机分成2组,分为外储水罐供水组及市政供水组;第二阶段试验将6台综合治疗台都切换成使用外储水罐,随机分成2组,分别为排空水路过夜组和未排空水路过夜组;分别比较两个阶段两组消毒前及消毒后1周内不同时间的细菌数量。结果第一阶段消毒前DUWLs细菌污染最严重的为机头水,平均菌落数为4 117 CFU/mL,合格率为15.38%。消毒前各组细菌数量比较,差异均无统计学意义(均P>0.05),各组DUWLs细菌数量严重超标(均>3 000 CFU/mL)。不同供水途径DUWLs消毒后细菌数量比较,除消毒后第1天差异无统计学意义外(P>0.05),第2~7天比较差异均有统计学意义(均P<0.05)。消毒后第2天,市政供水组细菌含量开始超标;消毒后第3天,外置储水罐供水组细菌含量开始超标。是否排空水路过夜DUWLs消毒后细菌数量比较,除消毒后第1天差异无统计学意义外(P>0.05),第2~7天差异均有统计学意义(均P<0.05)。消毒后第4天,未排空水路过夜组细菌含量超标。消毒后第7天,排空水路过夜组细菌含量>100 CFU/mL。结论使用外置储水罐,每日更换无菌蒸馏水及每日排空水路保持干燥过夜,可有效降低DUWLs细菌数量。

    Abstract:

    ObjectiveTo compare the effect of different ways of water supply and whether or not drain water from waterlines for overnight on bacterial counts in dental unit waterlines(DUWLs). MethodsIn the first phase, 6 sets of DUWLs were randomly divided into 2 groups (external storage tank water supply group and municipal water supply group); in the second phase, 6 sets of DUWLs were all changed to use external storage tank and randomly divided into 2 groups (draining water for overnight group and without draining water for overnight group), bacterial count before and within one week of disinfection  between two groups at two phases were compared respectively. ResultsIn the first phase, handpiece water of DUWLs was most seriously contaminated by bacteria, the average colony count was 4 117 CFU/mL, qualified rate was 15.38%. Before disinfection, no significant difference in bacterial count were found among each groups (all P>0.05), bacterial count of DUWLs of all groups severely exceeded the standard(all >3 000 CFU/mL). Comparison of bacterial count in DUWLs from different water supply routes after disinfection was not significantly different on day 1(P>0.05), but were significantly different at day 27(all P<0.05). On the second day after disinfection, municipal water supply group began to exceed bacteria standard; on the third day after disinfection, external storage tank group began to exceed bacteria standard. Bacterial count in DUWLs after disinfection between draining water for overnight group and without draining water for overnight group was no significantly different on day 1(P>0.05) , but were significantly different on day 2-7(all P<0.05). On the fourth day of disinfection, bacterial count of without draining water for overnight group exceeded standard. On day 7 of disinfection, bacterial count in draining water for overnight group exceeded>100 CFU/mL. ConclusionUse of external storage tank, daily change of sterile distilled water, and daily emptying water for overnight can effectively reduce bacterial count in DUWLs.

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引用本文

宋舸, 戴小明, 杨乐,等.口腔科综合治疗台水路无菌处理效果研究[J]. 中国感染控制杂志,2017,16(7):639-642. DOI:10.3969/j. issn.1671-9638.2017.07.011.
SONG Ge, DAI Xiaoming, YANG Le, et al. Efficacy of aseptic processing on dental unit waterlines[J]. Chin J Infect Control, 2017,16(7):639-642. DOI:10.3969/j. issn.1671-9638.2017.07.011.

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  • 收稿日期:2016-08-20
  • 最后修改日期:2016-11-12
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  • 在线发布日期: 2017-07-20
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