[Studies on the method of sterilization with ethylene oxide gas. 1. Sterilization procedure and sterilizing effect].

H Arimoto, S Ukisu, Y Yamada, K Sano, T Kanri
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Abstract

Undertaken to ensure perfection of sterilization with ethylene oxide gas (EO gas) in routine clinical laboratory practice, an investigation was made of the relationship between sterilization procedure and sterilizing effect using the film bag delivery system and chamber system. Using a biological indicator as a monitor of sterilizing effect, the efficiency of sterilization was studied under various likely conditions and compared. The results led to the following conclusions: 1. Sterilization with EO gas by the film bag delivery system, because of this procedure being unable to be performed at a constant temperature, was shown to prove inadequate due to insufficient exposure to gas especially in winter season (when room temperature fell below 10 degrees C). 2. With the EO gas sterilization method using the film bag delivery system, which is believed to be effective within the ordinary range of humidity of the atmosphere, sterilizing effect was recognized to be affected by excess wetting of an object of sterilization that was caused by inadvertent manipulation or due to a predisposing attribute of the object, such as shape or outline. 3. All materials are sterilized upon being packaged. It is necessary therefore to make best choice of package material with respect of texture and size. Reuse influence to sterilizing effect. 4. The method of sterilization with EO gas using the chamber system has the advantage in that operating conditions are all automatically controlled. For this reason, there was not a single instance of failure to sterilize due to inappropriateness of temperature and humidity. From these results it is concluded that sterilising effect was affected by sterilization procedure and condition.(ABSTRACT TRUNCATED AT 250 WORDS)

环氧乙烷气体灭菌方法的研究。1. 灭菌程序及灭菌效果]。
为保证临床实验室常规工作中环氧乙烷气体灭菌的完善,采用膜袋输送系统和腔室系统,对灭菌程序与灭菌效果的关系进行了探讨。采用生物指示剂作为灭菌效果的监测指标,研究了各种可能条件下的灭菌效果,并进行了比较。研究结果表明:1。通过薄膜袋输送系统使用EO气体进行灭菌,因为该程序无法在恒温下进行,由于气体暴露不足,特别是在冬季(室温降至10℃以下),被证明是不充分的。使用薄膜袋输送系统的EO气体灭菌方法被认为在大气湿度的普通范围内是有效的,灭菌效果被认为是由于无意的操作或由于物体的易感属性(如形状或轮廓)造成的灭菌对象过度湿润而影响的。3.所有材料在包装时都要消毒。因此,有必要在包装材料的质地和尺寸方面做出最佳选择。重复使用对灭菌效果的影响。4. 使用室系统的EO气体灭菌方法的优点是操作条件全部自动控制。因此,没有一例因温度和湿度不适当而灭菌失败的情况。结果表明,灭菌程序和灭菌条件对灭菌效果有影响。(摘要删节250字)
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