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Effects of different disinfectants on decontamination of laryngoscopes.

Guidelines for controlling possible contamination of laryngoscopes should be formulated with the benefit of relevant experimental data. In this study, the effects of five different disinfectants commonly used for the disinfection of laryngoscopes are evaluated. We formed 14 groups, with 10 blades in each. The first 7 groups were contaminated with hospital related meticillin resistant Staphylococcus aureus (MRSA), and the remaining 7 groups with hospital related multiple resistant Pseudomonas aeruginosa (PA). For the first group of blades, no disinfection procedure was carried out and, were assumed as a control group. Blades in remaining groups were rested for 10 minutes in containers containing 70% alcohol (II), 1/100 dilution of cetrimide (III), 1/100 dilution of chlorhexidine (IV), 1/10 dilution of chlorhexidine (V), 1/10 dilution of povidone iodine (VI), and 1/100 dilution of ammonium chloride (VII). Disinfectant used in a group was considered effective when growth was seen in 5 or less than 5 plates representing that group. All disenfectants tested were found effective on decontamination of laryngoscopes. Five different moderate level disinfectants, which are commonly used for the disinfection of laryngoscopes, have been found effective even on resistant hospital microorganisms like MRSA and P. aeruginosa. They may be the choices of the disinfectants, especially 1/10 dilution of chlorhexidine gluconate and 1/100 dilution of ammonium chloride.

Decontamination↗

[Principles of developing methods for decontamination and preservation of water-containing human wastes in a mission to Mars].

Chemical and microbial safety will be one of the major functions of a closed eco-system aboard piloted interplanetary vehicle. Methods for decontamination and preservation of water-containing human wastes (WHW) should be developed on the assumption that WHW are a labile biochemical system biological and chemical processes of which are intricately dependent on preservatives, regenerative water quality, structural material off-gassing, and methods of WHW collection, storage, and management.

Decontamination↗

Use of natural and synthetic aluminosilicates in decontamination of feed contaminated by fungi and micotoxins.

The contamination of feed with micotoxin has been a serious problem in animal nutrition. Many existing methods of decontamination are not satisfying due to the toxicological safety and health quality of the fodder materials. It stimulates the scientists to search for the new methods. The use of sorbents in the form of natural and synthetic aluminosilicates is a promising direction. The efficacy of aluminosilicates towards aflatoxins has been proved. However, their influence on other micotoxins is not that obvious. According to the last investigations, the use of aluminosilicates in nutrition does not cause any side effects and widespread pathological effects are observed only when dosage is incorrect. Regarding the analyses that were published, it can be supposed that the addition of several different aluminosilicates is a sufficient protection against mycotoxicoses.

Aluminum Silicates↗

[Efficacy of selective digestive decontamination (SDD) for severe acute pancreatitis].

Bacterial translocation (BT) is involved in the development of pancreatic infection in severe acute pancreatitis (SAP) and influences the prognosis. We should suppress BT to prevent pancreatic infection and improve survival rate. Selective digestive decontamination (SDD) is rational treatment. We should aim at effective SDD, ensuring the following 4 points: (1) enteral antimicrobials, in combination with, (2) parenteral antibiotics given immediately on admission, (3) hand hygiene, (4) surveillance cultures of throat and rectum. Starting enteral feeding as soon as possible and avoiding long-term SDD is useful for maintaining the defenses of the intestinal mucosa and preventing emergence of resistant bacteria. We used glutamine and dietary fiber besides SDD and were able to reduce pancreatic infection.

Acute Disease↗

[Drinking water decontamination with isolative sorbent disinfectants].

Drinking water can be decontaminated with the use of isolative sorbent disinfectants. Consideration of the effectiveness of water disinfectants and the sorptive power of porous materials against bacteria and viruses attested to the favour of iodine and silver-containing disinfectants and their compositions on porous aggressive carriers to be employed in extreme conditions such as on board crewed space vehicles.

Accidents↗

[Evaluation of an immediate cleaning and decontamination device].

A new technical approach for immediate cleansing and decontamination was studied. Control of cleansing was observed using macroscopic and microscopic (S.E.M.) examinations on different instruments currently used in dentistry. Antiseptic solution was tested regarding four bacterial strains representative of the normal oral flora. The synergistic action of the combined solution plus pressure was effective for removal of debris before they dry. Antiseptic solution was bacteriostatic and at concentration level recommended by the manufacturer, viable colonies were not detected.

Chlorhexidine↗

[Decontamination of the digestive tract during recovery from anesthesia].

Selective digestive tract decontamination is expected to decrease colonization and infection rate in intensive care patients. Its efficacy in this regards, when associated to systemic cefotaxime for the first few days of hospitalization, appears established in surgical patients. However, its superiority over established control and prophylactic measures remains unproven, in terms of reduced mortality, length of hospital stay, or overall use of antibiotics. Moreover, its long term effect on the risk of emergence of bacteria resistant to the regimens used remains to be proved.

Amphotericin B↗

[Principles of selective decontamination from the radiobiological point of view].

Presented is the method of selective decontamination by van der Waaj. It is based on the conception of colonisation resistance deduced from animal experiments. So it means the concurrence of defense mechanisms which prevent the settlement of pathogenic germs and stabilize the normal microflora. First clinical and experimental results are reported.

Animals↗

Use of 8-methoxypsoralen and long-wavelength ultraviolet radiation for decontamination of platelet concentrates.

Transmission of viral diseases through blood products remains an unsolved problem in transfusion medicine. We have developed a psoralen photochemical system for decontamination of platelet concentrates in which platelets are treated with long wavelength ultraviolet radiation (UVA, 320-400 nm) in the presence of 8-methoxypsoralen (8-MOP). Bacteria, RNA viruses, and DNA viruses ranging in genome size from 1.2 x 10(6) daltons, encompassing the size range of human pathogens, were inoculated into platelet concentrates and subjected to treatment. This system inactivated 25 to 30 logs/h of bacteria Escherichia coli or Staphylococcus aureus, 6 logs/h of bacteriophage fd, 0.9 log/h of bacteriophage R17 and 1.1 logs/h of feline leukemia virus (FeLV) in platelet concentrates maintained in standard storage bags. Platelet integrity and in vitro function before, immediately following photochemical treatment, and during prolonged storage after treatment, were evaluated by measuring: (1) extracellular pH; (2) platelet yields; (3) extracellular lactate dehydrogenase (LDH) levels; (4) platelet morphology; (5) platelet aggregation responsiveness; (6) thromboxane beta-2 (TXB-2) production; (7) dense body secretion; and (8) alpha granule secretion. These assays demonstrated that this photochemical inactivation system inactivated bacteria and viruses in platelet concentrates with minimal adverse effects on the in vitro function of platelets in comparison to untreated control concentrates maintained under current, standard blood bank conditions.

Blood Platelets↗

[Microbial decontamination of hospital linens using radiation].

The irradiation of hospital linen contaminated with radioresistant microorganisms or hospital microflora with gamma radiation in a dose of 10 kGy ensures the reliable microbial decontamination of such linen. Cotton linen has been found capable of withstanding 15 irradiation cycles in a dose of 10 kGy.

Bacillus subtilis↗

[Decontamination of hot beef carcases with organic acids (author's transl)].

The decontamination effect of spraying hot beef carcases with solutions of lactic acid and solutions of the commercial preparation of pH liquid was studied. Spraying a 0.5 per cent lactic acid solution only resulted in a significant reduction of aerobic, gram-negative and gram-positive bacterial counts on severely contaminated areas. Treatment with a 0.75 per cent solution of lactic acid caused a significant decrease of almost all bacterial counts, whereas a 1 per cent lactic solution produced a significant reduction of all bacterial counts at the sites sampled. The maximum reduction was 2 log units per sq.cm. and varied with the level of contamination. A 5 per cent pH Liquid solution was ineffective and a 20 per cent pH Liquid solution had an effect similar to that of a 0.5 per cent lactic acid solution. The reduced bacterial counts persisted during three days of storage in the chilling room. When the above concentrations are applied, this will not cause any permanent changes of colour of the treated carcases. These changes do occur when a 10 per cent solution of lactic acid is used. This treatment can only be used to spray severely contaminated superficial layers which are to be removed. Recommendations are made for the possible use of organic acids in the slaughter line. The legal aspects are discussed.

Abattoirs↗

[Decontamination effectiveness of Ca-, Zn- and MnDTPA chelates in internal contamination with Cs-137, Ce-144, J-131, Sr-90 radioisotopes].

The studies were carried out on 240 rabbits divided into 4 groups, in which, after contamination with i.v. radioisotopes 137Cs (A), 144Ce (B), 131J (C), 90Sr (D), Ca-, Zn-, MnDTPA chelates were used in 12.5% water solutions in doses of 0.4 g/kg of body weight. The evaluation of the decontaminating effectiveness of the above DTPA compounds, taking into account veterinary-clinical and veterinary-sanitary aspects, was made with to the individual radioisotopes on the basis of radiometric studies. These studies carried out after 1,2,4,6,15 days from the contamination, by using a measurement system, concerned the following organs and tissues: blood, brain, heart, muscles of the thigh and arm, lungs, kidneys, liver, stomach, colon, bone, thyroid gland. The results expressing the per cent values of radioactivity of the organs in relation to the dose of the radioisotopes introduced into the organism and to the value of radioactivity of the particular organs in Bq/100 mg of ash, including discussion and conclusions, are presented in individual groups. From these data it can be assumed for practical veterinary purpose that Ca-, Zn-, MnDTPA chelates show an effective action with respect to the veterinary-clinical aspect in contamination with radiocerium, and with respect to the veterinary-sanitary aspect in contamination with radiocerium and radioiiodine; less effective action with respect to the veterinary-sanitary aspect, and ineffective with respect to the veterinary-clinical aspect in contamination with radiocesium; negative one with respect to both aspects in contamination with radiostrontium. As regards the individual chelating compounds, the most effective can be recognized sodium zinc salt of DTPA.

Animals↗

[Air decontamination and preventive antibiotic therapy in orthopedic surgery].

In a private 160-bed orthopedic hospital, the effect of air decontamination and antibiotic prophylaxis on postoperative infections was studied. From 1971 to 1978, 5 016 orthopedic procedures were performed without antibiotic prophylaxis. Postoperative infection rate was 2% with the conventional operating room and 1.9% with the sterile room. The beneficial effect of vertical laminar air flow thus appears doubtful. From 1979 to 1982, prophylactic therapy with a cephalosporin was used for total hip replacements. Rate of postoperative deep infection fell from 3.3% in 811 hip replacements without antibiotics to 0.5% in 1 172 replacements with antibiotic prophylaxis. Our findings suggest that cephalosporin prophylaxis is more effective than vertical laminar air flow for preventing postoperative hospital-acquired infection.

Air Microbiology↗

[Gamma ray decontamination of skins and wool contaminated with Bac. anthracis spores].

Studies were carried out to establish the sensitivity of Bacillus anthracis spores in a suspension of physiologic saline and in pelts and wool. Tested were the spores of five B. anthracis strains. The density of spore suspensions was from 1.6 X 10(6) up to 9.0 X 10(9) per cub. cm, and for the pelts and wool the spore count ranged from 7.8 X 10(8) to 5.0 X 10(10) (for the material as a whole). The irradiation was carried out on a device with a 60Co source at a temperature of 15 degrees C and rates of up to 2.75 Mrad. Data showed that the dose necessary to decontaminate infected pelts and wool is 2. 00 Mrad. The water phase of the medium has almost no effect on the sensitivity of B. anthracis spores to gamma rays.

Animals↗

Comparative trials with different decontaminating agents for growing Mycobacterium tuberculosis from sputum specimens.

A reliable culture technique for mycobacteria to enable precise taxonomic and biological identification to be made, e.g., virulence and sensitivity or resistance to the major and minor antituberculosis drugs, is one of the basic requirements of efficient and economic tuberculosis control measures. Several of the methods employed for this purpose have been studied systematically. Many of these methods make use of various detergents, especially quaternary ammonium bases in different combinations, which possess strong bacteriostatic or bacteriocidal properties and decontaminate sputum samples without, however, affecting the viability of mycobacteria.A series of experiments to study the effect of sodium lauryl sulfate and of pancreatin, both in combination with sodium hydroxide, and of a new detergent, di-isobutal-naphthalin-sulfonate (Nekal Bx) on the growth of mycobacteria in liquid and solid media were carried out. As a control technique, the processing of samples of pathological material with hydrochloric acid and sodium hydroxide was studied.On the basis of these experiments, the sodium lauryl sulfate method proved to be promising, both for the rapid growth and characterization of the colonies, and for producing the lowest contamination rate in cultures. However, none of the 4 techniques was sensitive enough under the experimental conditions to demonstrate mycobacteria in sputum samples containing few organisms.

Anti-Bacterial Agents↗

The last epidemic: selective decontamination in the control of mortality among radiation victims.

Observations made in Hiroshima and Nagasaki have learned that at some distance from the hypocenter of an A-bomb explosion, individuals--in densely populated areas many thousands--may receive a radiation dose which could be survived practically all exposed persons provided bacterial infections by potentially pathogenic microorganisms could effectively be prevented. As a result deteriorating hygienic circumstances may soon promote the occurrence of epidemics by pathogenic bacteria in a zone surrounding the bombed area. This may be promoted by the presence of persons with a suppressed defence capacity due to (low dose) irradiation obtained during the explosion or later on by fall out. Both infections by potentially pathogenic microbes--most of endogenous origin--as well as infections by a number of different pathogenic bacterial species could effectively be prevented by selective decontamination (SD). SD is a method of infection prophylaxis in use in neutropenic patients such as patients with acute leukaemia during remission induction therapy. SD is performed by oral treatment with colonization resistance saving antimicrobial drugs and should start within two or three days after a nuclear explosion. Suggestions are made for the organisation of large scale treatment of many thousands of persons with SD-pills while implications of the latter for the control of epidemic spread of infections among persons living in the first aid zone who have not been exposed to radiation during or after the explosion, are also mentioned.

Decontamination↗

Microbiological evaluation of food items. For patients undergoing gastrointestinal decontamination and protected isolation.

In an attempt to expand and improve the semi-sterile "cooked food diet" usually administered to patients undergoing gastrointestinal decontamination or protected isolation, the authors have evaluated the microbiologic content of 236 commercially available food items. The items tested were selected by patients for their ease of preparation, ready availability, and palatability. Approximately 66 percent of the food items met the criteria of microbiologic acceptability (less than 500 Bacillus species per gram or cubic centimeter) with only a minimal burden to the dietary staff, thus providing palatable alternatives for patients undergoing protected isolation.

Decontamination↗

[The effect of mycoplasmal contamination of cultures of skin fibroblasts from the Indian muntjac and of the subsequent decontamination of the cultures using ciprofloxacin on the karyotypic structure of the cell line].

The karyotypic variability of Indian muntjac skin fibroblast cell line, cultured for 95-168 days after contamination with Acholeplasma laidlawii strain PG-8, has been investigated. The contaminated cultures differ from noncontaminated ones in cell distribution for chromosome number. The noncontaminated cultures have modal number of chromosomes equal to 7 with the main structure variant of the karyotype (SVK) 2+2+1+1+1. In the contaminated cultures the cell number with 7 chromosomes and the main SVK 2+2+1+1+1 decreased, whereas the cell number with 6 chromosomes increased along with the main SVK 2+2+1+1 resulting from the loss of chromosome Y1. The treatment of cells with ciprofloxacin for mycoplasma decontamination did not restore the normal cell distribution for chromosome number. The frequency of chromosomal aberrations, mainly dicentrics, due to telomeric associations, increased after 95-168 days of cultivation of contaminated cells. Chromosomes 1 and 2 and their combination are mainly involved in dicentric formations. The treatment of contaminated cells with ciprofloxacin restores the initial frequency of chromosomal aberrations. Chromosomes with altered structures have not been demonstrated. It has been shown that cells became mycoplasma-free after 15 days of treatment with ciprofloxacin. The role of aneuploidy and dicentrics in cell adaptation to culture conditions is discussed.

Acholeplasma laidlawii↗