Objectives： This pilot study of employing chlorine dioxide （CD） gas to disinfect gastrointestinal endoscopes was conducted to meet the expectations of many endoscopy units in China for a high-efficiency and low-cos...Objectives： This pilot study of employing chlorine dioxide （CD） gas to disinfect gastrointestinal endoscopes was conducted to meet the expectations of many endoscopy units in China for a high-efficiency and low-cost disin- fectant. Methods： An experimental prototype with an active circulation mode was designed to use CD gas to disinfect gastrointestinal endoscopes. One type of testing device composed of polytetrafluoroethylene （PTFE） tubes （2 m long, inner diameter 1 mm） and bacterial carrier containers was used to simulate the channel of the endoscope. PTFE bacterial carriers inoculated with Bacillus atrophaeus with or without organic burden were used to evaluate the spor- icidal activity of CD gas. Factors including exposure dosage, relative humidity （RH）, and flow rate （FR） influencing the disinfection effect of CD gas were investigated. Moreover, an autoptic disinfecting test on eight real gastrointestinal endoscopes after clinical use was performed using the experimental prototype. Results： IRH, exposure dosage, or- ganic burden, and the FIR through the channel significantly （P〈0.05） affected the disinfection efficacy of CD gas for a long and narrow lumen. The log reduction increased as FR decreased. Treatment with 4 mg/L CD gas for 30 min at 0.8 L/min FR and 75% IRH, resulted in complete inactivation of spores. Furthermore, all eight endoscopes with a maximum colony-forming unit of 915 were completely disinfected. The cost was only 3 CNY （0.46 USD） for each endoscope. Conclusions： The methods and results reported in this study could provide a basis for further studies on using CD gas for the disinfection of endoscopes.展开更多
Objective： Chlorine dioxide （CD） gas has been used as a fumigant in the disinfection of biosafety labo- ratories. In this study, some experiments were conducted to assess the inactivation of spores inoculated on si...Objective： Chlorine dioxide （CD） gas has been used as a fumigant in the disinfection of biosafety labo- ratories. In this study, some experiments were conducted to assess the inactivation of spores inoculated on six ma- terials [stainless steel （SS）, painted steel （PS）, polyvinyl chlorid （PVC）, polyurethane （PU）, glass （GS）, and cotton cloth （CC）] by CD gas. The main aims of the study were to determine the sporicidal efficacy of CD gas and the effect of prehumidification before decontamination on sporicidal efficacy. Methods： Material coupons （1.2 cm diameter of SS, PS, and PU; 1.0 cmx1.0 cm for PVC, GS, and CC） were contaminated with 10 IJI of Bacillus subtilis var. niger（ATCC 9372） spore suspension in mixed organic burden and then dried in a biosafety cabinet for 12 h. The spores were recovered by soaking the coupons in 5 ml of extraction liquid for 1 h and then vortexing the liquid for 1 min. Results： The log reductions in spore numbers on inoculated test materials exposed to CD gas [0.080% （volume ratio, v/v） for 3 h] were in the range of from 1.80 to 6.64. Statistically significant differences were found in decontamination efficacies on test material coupons of SS, PS, PU, and CC between with and without a 1-h prehumidification treatment. With the extraction method, there were no statistically significant differences in the recovery ratios between the porous and non-porous materials. Conclusions： The results reported from this study could provide information for developing decontamination technology based on CD gas for targeting surface microbial contamination.展开更多
基金Project supported by the National High-Tech R&D Program(863)of China(No.2014AA021405)
文摘Objectives： This pilot study of employing chlorine dioxide （CD） gas to disinfect gastrointestinal endoscopes was conducted to meet the expectations of many endoscopy units in China for a high-efficiency and low-cost disin- fectant. Methods： An experimental prototype with an active circulation mode was designed to use CD gas to disinfect gastrointestinal endoscopes. One type of testing device composed of polytetrafluoroethylene （PTFE） tubes （2 m long, inner diameter 1 mm） and bacterial carrier containers was used to simulate the channel of the endoscope. PTFE bacterial carriers inoculated with Bacillus atrophaeus with or without organic burden were used to evaluate the spor- icidal activity of CD gas. Factors including exposure dosage, relative humidity （RH）, and flow rate （FR） influencing the disinfection effect of CD gas were investigated. Moreover, an autoptic disinfecting test on eight real gastrointestinal endoscopes after clinical use was performed using the experimental prototype. Results： IRH, exposure dosage, or- ganic burden, and the FIR through the channel significantly （P〈0.05） affected the disinfection efficacy of CD gas for a long and narrow lumen. The log reduction increased as FR decreased. Treatment with 4 mg/L CD gas for 30 min at 0.8 L/min FR and 75% IRH, resulted in complete inactivation of spores. Furthermore, all eight endoscopes with a maximum colony-forming unit of 915 were completely disinfected. The cost was only 3 CNY （0.46 USD） for each endoscope. Conclusions： The methods and results reported in this study could provide a basis for further studies on using CD gas for the disinfection of endoscopes.
基金Project supported by the National Key Science and Technology Specific Project for Prevention and Treatment of Major Infectious Diseases in China (No. 2009ZX10004-709)the National Key Technology R&D Program in the 11th Five-Year Plan of China (No.2008BAI62B01)
文摘Objective： Chlorine dioxide （CD） gas has been used as a fumigant in the disinfection of biosafety labo- ratories. In this study, some experiments were conducted to assess the inactivation of spores inoculated on six ma- terials [stainless steel （SS）, painted steel （PS）, polyvinyl chlorid （PVC）, polyurethane （PU）, glass （GS）, and cotton cloth （CC）] by CD gas. The main aims of the study were to determine the sporicidal efficacy of CD gas and the effect of prehumidification before decontamination on sporicidal efficacy. Methods： Material coupons （1.2 cm diameter of SS, PS, and PU; 1.0 cmx1.0 cm for PVC, GS, and CC） were contaminated with 10 IJI of Bacillus subtilis var. niger（ATCC 9372） spore suspension in mixed organic burden and then dried in a biosafety cabinet for 12 h. The spores were recovered by soaking the coupons in 5 ml of extraction liquid for 1 h and then vortexing the liquid for 1 min. Results： The log reductions in spore numbers on inoculated test materials exposed to CD gas [0.080% （volume ratio, v/v） for 3 h] were in the range of from 1.80 to 6.64. Statistically significant differences were found in decontamination efficacies on test material coupons of SS, PS, PU, and CC between with and without a 1-h prehumidification treatment. With the extraction method, there were no statistically significant differences in the recovery ratios between the porous and non-porous materials. Conclusions： The results reported from this study could provide information for developing decontamination technology based on CD gas for targeting surface microbial contamination.
