Güncel dezenfektanlar ve dezenfeksiyon uygulamalarındaki sorunlar

Dezenfeksiyon ve sterilizasyon uygulamaları infeksiyon kontrol politikalarının temelidir. Son yıllarda çok sayıda yeni dezenfektan kullanıma girmiştir. Ancak hastanelerde uygun dezenfeksiyon politikalarının olmaması, dezenfektanların yanlış kullanımına yol açabilmekte ve bu da hastanelerde kaliteli ve güvenli sağlık hizmeti sunulmasını engellemektedir. Bu nedenle, dezenfektanların, kullanım alanlarının ve toksik etkilerinin iyi bilinmesi gereklidir.

New disinfectants and problems in practice

Disinfection and sterilization are the fundementals of infection control policies. Recently, many new disinfectants has been being used in hospitals. Illogical and ineffective disinfection policy may lead misuse of disinfectants and prevent giving safe health care to the patients. That is why, disinfectants, the ways and areas of their usage and their toxic effects must be very well known.

PDF

___

1. Babb JR, Bradley CR, Ayliffe GAJ: Sporicidal activity of glutaraldehydes and hypochlorites and other factors influencing their selection for the treatment of medical equipment, J Hosp Infect 1980;1(1):63-75.
2. Boyce JM: Environmental contamination makes an important contribution to hospital infection, J Hosp Infect 2007;65(Suppl 2):50-4.
3. Centers for Diseases Control and Prevention: Guidelines for environmental infection control in health care fascilities. Recommendations of CDC and the Healthcare Infection Control Practices Advisory Committee (HICPAC), CDC, Atlanta GA (2003).
4. Coates D, Hutchinson DN: How to produce a hospital disinfection policy, J Hosp Infect 1994; 26(1):57-68.
5. Dettenkofer M, Block C: Hospital disinfection: efficacy and safety issues, Curr Opin Infect Dis 2005; 18(4):320-5.
6. Fraise AP: Decontamination of the environment and medical equipment in hospitals, “Fraise AP, Lambert PA, Maillard JY (eds): “Russell, Hugo, Ayliffe’s Principles and Practice of Disinfection, Preservation and Sterilization, 4.baskı” kitabında s.563-85, Blackwell Publishing, Hoboken NJ (2004).
7. Gregory AW, Schaalje GB, Smart JD, Robison RA: The mycobactericidal efficacy of orthophthalaldehyde and the comparative resistances of Mycobacterium bovis, Mycobacterium terrae, and Mycobacterium chelonae, Infect Control Hosp Epidemiol 1999;20(5):324-30.
8. Rutala WA: Disinfection of endoscopes: review of new chemical sterilants used for high-level disinfection, Infect Control Hosp Epidemiol 1999; 20(1):69-76.
9. Rutala W: The benefits of surface disinfection, Am J Infect Control 2004;32(4):226-31.
10. Rutala WA, Weber DJ: Disinfection and sterilization in health care facilities: what clinicians need to know, Clin Infect Dis 2004;39(5):702-9.
11. Rutala WA, Weber DJ: Selection and use of disinfectants in healthcare “Mayhall CG (ed): Hospital Epidemiology and Infection Control, 3.baskı” kitabında s.1473-522, Lippincott Williams & Wilkins, Baltimore MD (2004).
12. Satar SA, Springthorpe S: The need for safer and better microbicides for infection control, “Manivannan G (ed): Disinfection and Decontamination: Principles, Applications and Related Issues” kitabında s.41-58, CRC Press-Taylor and Francis Group, Boca Raton (2008).
13. Suljagic V: A pragmatic approach to judicious selection and proper use of disinfectant and antiseptic agents in healthcare settings, “Manivannan G (ed): Disinfection and Decontamination: Principles, Applications and Related Issues” kitabında s.124-54, CRC Press-Taylor and Francis Group, Boca Raton (2008).