소독제의 종류와 특성 - e CE

1 The Korean Journal of Gastrointestinal Endoscopy Session 4 .. KFDA-Cleared Disinfectants in Gastrointestinal Endoscopy Hyo Jung Kim, , Department of Internal Medicine, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea , hypochlorous acid/hypochlorite . , .. (semicritical) (high-level disinfec- tion) 1. Glutaraldehyde . , (autoclave) . (ethylene oxid) pH 2% ( ) .. , .. , , , 20 35 C 20 ( 10 . , , . 20 , mycobacteria 20 45 , 6 10 ) . , aldehyde . , , , .. 1) Cidex ( ): , . 1 L . g .. 14 , . 10 Mycobacterium tuberculosis . 1 . 1. glutaraldehyde 2) Wydex ( ): . 2. ortho-phthaldehyde 2% (Glutaraldehyde 2%) . 3. peracetic acid ( , 3 ) 5 L 15 g . 4. superoxidized water PH . 30 . 5. chlorine dioxide . 6. Alcohol . FDA 2. Ortho-phthaldehyde . glutaraldehyde , ortho-phthalde- Cidex-OPA ( ) . hyde, hydrogen peroxide peracetic acid (aromatic aldehyde) glutaraldehyde . 50 The Korean Journal of Gastrointestinal Endoscopy .. FDA . 10 . , .. , 5 ( 12 , 4.

2 Electrolyzed Acid Water . 5 ) , Super-oxidized water .. Aldehyde (sodium chlorid) . (Hypochlorous HOCl) .. 14 .. test strip .. , . 3. Peracetic acid / Hydrogen Peroxide 24 .. Peracetic acid Hydrogen peroxide 1) Medilox ( Hicro-S): .. peracetic acid ( 7% hydrogen , Sterilox . , . peroxide (1 ) . Al- .. dehyde (medilox generator) .. 5 . Cleantop .. , .. 5. Chlorine Dioxide ( ClO2). peracetic acid 2 .. , . 1) Perasafe ( ): Dupont ( ) .. , , . , , .. 35 C 1 g . Tristel , Dexit , Medi- . 15 cide , .. 10 , 5 .. , .. 2) Perescope ( ): Medichem Internatio- . nal . ( ) ( ) .. 1 (base) 4,750 mL 2 (activator) 250 mL .. 2 , 6.. 5 .. 3) Acecide ( ): SARAYA .. 1 50 mL, 2 50 . mL 900 mL , 5 10 .. 10 .. 1 acecide checker .. Minnetech FDA 7. Alcohol . 5 5 . 70% . 4) Scoterin ( ): . 4 L 90 mL glutaraldehyde (isopropanol) .. 4 /80 . 5 10 Aldahol . Vol. 40 (Suppl 1), 2010 (50-52) 51.. 8. Peroxygen Compounds ( ).. Virkon .. My- cobacteria glutaraldehyde 1.. : .. 2009;39:71-73. 2.. 2008;36:73-78.

3 9. Quarternary Ammonium 3. , , . super-oxidized . water (Cleantop) . 2000;21: 819-824. iodophors, chloride solutions, phenolic . 4. Rutala WA, Weber DJ. reprocessing endoscopes : United . States perspective. J Hosp Infect 2004;56(suppl):27S-39S. 5. Collins WO. A review of reprocessing techniques of flexible nasopharyngoscopes. Otolaryngol Head Neck Surg 2009;141: 307-310. 6. Omidbakhsh N. A new peroxide-based flexible endoscope- compatible high-level disinfectant. Am J Infect Control 2006;.. 10 34:571-577. , 7. Isomoto H, Urata M, Kawazoe K, et al. Endoscope disinfec- tion using chlorine dioxide in an automated washer-disinfec- tor. J Hosp Infect 2006;63:298-305.. 8. Nelson DB. Recent advances in epidemiology and prevention of gastrointestinal endoscopy related infections. Curr Opin In- fect Dis 2005;18:326-330. Acknowledgement . 52 The Korean Journal of Gastrointestinal Endoscopy