수도권 지역의 초음파 프로브의 미생물 오염도와 소독에 관한 연구
A Study on Microbial Contamination and Disinfection of Ultrasonic Probe in Metropolitan Area
2
조회
0
다운로드
3
인용
0
참고문헌
키워드
초록
There was a shortage of research reports on sterilization criterion and contamination of ultrasonic probes. Therefore, in this study, we were going to provide a basic study to measure the level of microbial contamination in ultrasonic probes and to investigate the radiographer's awareness of infection. After the scan, samples were collected from the rubber part of the probe by opening a sterile swab (Transport Medium AM608-1S) for medical bacteria collection with the remaining gel removed with a paper towel. Also, the collected samples of bacteria were grown for seven days and then the laboratory was analyzed. Among the total 29 types of microorganisms, Micrococcus luteus 21(26%), Moraxella species 16(20%), Coagulase negative staphylococcus 8(10%), Bacillus species 5(7%), Bicillus circulans 3(5%), Acinetobacter lwoffii 2(2%), and 1 other Candida parapsilosis (1%) a number of bacteria and fungus, was detected. In a disinfectant experiment using LuciPac Pen on the Lumitester PD-30s, we cultured the rubber part of the probe two to three times to measure the bacteria. Bacteria decreased to 97% with Aquanax (alkaline reduced water 100%), 99% with Klarion wash (0.01% sodium hydroxide), 94% with Klarion disinfection (0.01% nitrous acid water), Sterilization was best with Klarion wash (0.01% sodium hydroxide). Therefore, guidelines for cleaning and disinfection of ultrasonic probes was required, and further development of probe-only disinfectants is required.
Abstract
There was a shortage of research reports on sterilization criterion and contamination of ultrasonic probes. Therefore, in this study, we were going to provide a basic study to measure the level of microbial contamination in ultrasonic probes and to investigate the radiographer's awareness of infection. After the scan, samples were collected from the rubber part of the probe by opening a sterile swab (Transport Medium AM608-1S) for medical bacteria collection with the remaining gel removed with a paper towel. Also, the collected samples of bacteria were grown for seven days and then the laboratory was analyzed. Among the total 29 types of microorganisms, Micrococcus luteus 21(26%), Moraxella species 16(20%), Coagulase negative staphylococcus 8(10%), Bacillus species 5(7%), Bicillus circulans 3(5%), Acinetobacter lwoffii 2(2%), and 1 other Candida parapsilosis (1%) a number of bacteria and fungus, was detected. In a disinfectant experiment using LuciPac Pen on the Lumitester PD-30s, we cultured the rubber part of the probe two to three times to measure the bacteria. Bacteria decreased to 97% with Aquanax (alkaline reduced water 100%), 99% with Klarion wash (0.01% sodium hydroxide), 94% with Klarion disinfection (0.01% nitrous acid water), Sterilization was best with Klarion wash (0.01% sodium hydroxide). Therefore, guidelines for cleaning and disinfection of ultrasonic probes was required, and further development of probe-only disinfectants is required.
참고문헌 (19)
- Trick WE, "Impact of ring wearing on hand contamination and comparison of hand hygiene agents in a hospital", Clinical infectious diseases, 36(11), pp.1383~1390 (2003)
- Foxman B, "Epidemiology of urinary tract infections : incidence, morbidity, and economic costs", The American journal of medicine, 113(1), pp.5~13 (2002)
- Wagenlehner FME, "Antibiotics and resistance of uropathogens", EAU Update Series, 2(3), pp.125~135 (2004)
- 정선영, "국내 의료기관의 소독과 멸균 관리 실태", 기본간호학회지, 21(4), pp.392~402 (2014), 기본간호학회[DOI]
- Lee CB, "Investigation into the Actual State of Sanitary Management and Recognition Degree and Infection Level of Ultrasonographic Probes", Journal of radiological science and technology, 27, pp.51~58 (2004)
- Abdullah BJJ, "Physical methods of reducing the transmission of nosocomial infections via ultrasound and probe", Clinical radiology, 53(3), pp.212~214 (1998)
- 김선칠, "영상의학과 촬영실 장비와 방사선사의 손 오염의 세균학적 모니터링", 방사선기술과학, 31(4), pp.329~336 (2008), 대한방사선과학회
- 신성규, "디지털 이동방사선검사에서의 세균 오염도", 방사선기술과학, 40(1), pp.7~12 (2017), 대한방사선과학회[DOI]
- 최승구, "영상의학과 흉부 엑스선 촬영 기기의 세균 오염도", 방사선기술과학, 38(4), pp.395~401 (2015), 대한방사선과학회[DOI]
- 윤준, "의료용 초음파 프로브 상제균의 효과적인소독법에 관한 연구", 한국산학기술학회논문지, 19(1), pp.346~354 (2018), 한국산학기술학회[DOI]
- Weist K, "An outbreak of pyodermas among neonates caused by ultrasound gel contaminated with methicillin-susceptible Staphylococcus aureus", Infection Control & Hospital Epidemiology, 21(12), pp.761~764 (2000)
- Gaillot O, "Nosocomial outbreak of Klebsiella pneumoniae producing SHV-5 extended-spectrum β-lactamase, originating from a contaminated ultrasonography coupling gel", Journal of clinical microbiology, 36(5), pp.1357~1360 (1998)
- Hayashi S, "Evaluation of procedures for decontaminating ultrasound probes", Journal of Medical Ultrasonics, 39(1), pp.11~14 (2012)
- Cogen AL, "Skin microbiota : a source of disease or defence?", British Journal of Dermatology, 158(3), pp.442~455 (2008)
- Bailey EM, "Coagulase-negative staphylococci: incidence, pathogenicity, and treatment in the 1990s", DICP, 24(7-8), pp.714~720 (1990)
- Dalal A, "Endocarditis due to Corynebacterium amycolatum", Journal of medical microbiology, 57(10), pp.1299~1302 (2008)
- Taiwo SS, "Methicillin resistance in Staphylococcus aureus : a review of the molecular epidemiology, clinical significance and laboratory detection methods", West African journal of medicine, 28(5), pp.281~290 (2009)
- Koibuchi H, "Ultrasound probes as a possible vector of bacterial transmission", Medical ultrasonography, 15(1), pp.41~44 (2013)
- Koibuchi H, "Degradation of ultrasound probes caused by disinfection with alcohol", Journal of Medical Ultrasonics, 38(2), pp.97~100 (2011)
