소독제의 종류와 특성 - gie.or.kr

1 The Korean Journal of Gastrointestinal Endoscopy Room C Vol. 43 (Suppl 2), 2011 (167-169)167 Characteristics of Endoscopic DisinfectantsJoong-Hyun Lee, of Internal Medicine, Dongguk University Medical School, Gyeongju, Korea .. , . (semicritical) (high-level disinfection) , (autoclave) (ethylene oxid).

2 180 1 .. , , , , , ..1. glutaraldehyde 2. ortho-phtahldehyde3. peracetic acid Hydrogen peroxide 4. Electrolyzed Acid Water5. FDA isopropanol , , hydrogen peroxide peracetic acid , hypochlorous acid/hypochlorite.

3 1. glutaraldehyde(GA) , . 2% glutaraldehyde 14 .. Glutaraldehyde , . 20 25oC 20 ( 10 20 , mycobacteria 20 45 , 6 10 ), aldehyde , , , , , , , . 35% . 80% .. glutaraldehyde.

4 , . Cidex Widex . Cidex 1 L g 168 The Korean Journal of Gastrointestinal Endoscopy . Widex 2% ( , 3 ) 5 L 15 g pH . glutaradehyde 26% isopro-panol Aldahol Healthpoint LTD .2. ortho-phtahldehyde (OPA) glutaraldehyde.

5 5 ( 12 , 5 ) . OPA . PH (3 9) . (2 ) . , , , .. Cidex-OPA .3. peracetic acid (PAA) Hydrogen peroxide Peracetic acid Hydrogen peroxide peracetic acid ( 7%) hydero-gen peroxide (1 ) . 5.

6 Peracetic acid 56 . pH . pH 3 . , , . pH pH . PAA . PAA , , 12 18 3 . 24 7 . pH, , , ( ).

7 Perasafe , Perascope , Acecide , Scotelin . Perasafe . 35oC 1 L Perasafe g 15 . Perascope base 1 4,750 mL 2 250 mL . Acecide 1 50 mL, 2 50 mL 900 mL . Scotelin 4 L 90 mL 4 , 80 . 2% Hydrogen peroxide Steris Corporation .4. Electrolyzed Acid WaterSuper-oxidized water (HClO) OH.

8 , , , . 5 24 .. Hicro-S Medilox Cleantop Sterilox . 5. 1) Chlorine dioxide: Vol. 43 (Suppl 2), 2011 (167-169)169 2 . , .. Tristel , Dexit , Medicide.

9 2) : ..3) : Ethyl isopropyl alcohol 50% . flushing .4) Peroxygen compounds (Virkon ): GA , , enterovirus . 5) Quarternary Ammonium.

10 (minimum effective con-centration) , . (standard precaution) 1 1 , , , , . 1.. 2011; 41 .. 2010; 40 , .. , .. 2007; 34 Beilenhoff U, Neumann CS, Rey JF, et al. ESGE-ESGENA guideline: cleaning and disinfection in gastrointestinal endos-copy Update 2008.