口腔科医疗器械乙型肝炎病毒污染探究.pdfVIP

11·14 · Chin J Nosocomiol Vol. 13 No. 12 2003 ·论 　著· 口腔科医疗器械乙型肝炎病毒污染分析 肖文忠, 雷满根 (东莞市卫生防疫站 , 广东 东莞 523000) 摘要 : 目的 　通过对口腔医疗器械乙型肝炎病毒污染状况的调查 ,找出其分布的特点 ,加以克服 , 以提高医疗质 量。方法 　分别用 EL ISA 法检测 HBsAg 和用斑点杂交试验多聚酶链反应法检测乙型肝炎病毒基因 ( HBVDNA) 。结果 　不同级别医疗单位之间差异显著 ,其中镇级以下医疗单位污染最为严重 ;不同种类口腔医 疗器械之间有差异 ,其中以手机的污染最为严重 ;不同消毒方法之间有差异 ,其中以 0 1 %苯扎溴铵消毒效果为 ( ) 最差。结论 　应加强对基层医疗单位消毒工作的监管 ,采用行之有效的消毒方法 首选压力蒸汽灭菌 处理口腔 医疗器械。 关键词 : 口腔医疗器械; HBsAg ; HBVDNA ; 污染状况 中图分类号: R512 6 + 2 　　文献标识码 : A 　　文章编号 : (2003) Hepatitis B Virus Contamination in Stomatological Department XIAO Wenzhong , L EI Mangen ( Center f or Disease Cont rol and Prevention of Don gguan , Don gguan , Guandong 523000 , China) Abstract : OBJECTIVE To survey the situation of the hepatitis B virus contamination at the oral cavity medical apparatus , find out the characteristics of its distribution , and take steps to improve the quality of medical treatment. METHODS The HBsAg were detected by EL ISA assay , the HBVDNA were detected by dot hybridization test and polymerase chain reaction ( PCR) assay respectively. RESULTS There were significant differences in different ranks of the medical treatment units , among which the contaminations of under townranks units were the most serious. On the other hand , there were differences among the contamination of different kinds of medical apparatus. The contamination of the cell phones were most serious. There were differences among the different sterilization metho