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含氯消毒劑的化學試紙的濃度對比 500mg /l和1:500含氯消毒劑意思是一樣的嗎?

來源:中國益民機械網編輯:張靚穎時間:2021-10-24 05:01:01
500mg /l和1:500含氯消毒劑意思是一樣的嗎?關于化學消毒劑  化學消毒劑是指用于殺滅傳播媒介上病原微生物,使其達到無害化要求的制劑,它不同于抗生素,它在防病中的主要作用是將病原微生物消滅于人體之外,切斷傳染病的傳播途徑,達到控制傳染病的目的。常用的消毒劑產品按照成分可分為9種:含氯消毒劑、過氧化物類消毒劑、醛類消毒劑、醇類消毒劑、含碘消毒劑、酚類消毒劑、環氧乙烷、雙胍類消毒劑和季銨鹽類消毒劑。  消毒劑本身是具有一定危險性的化學品,必須嚴格按照說明選用。消毒劑不是濃度越高越好,過度使用會帶來其他風險。如過氧乙酸是一種強氧化劑,可以輕易地將微生物殺滅,常用于衣物、地面、墻壁、房屋空間等的消毒,但使用濃度過高時可刺激、損害皮膚黏膜,腐蝕物品。同時,長期大量使用同一種消毒劑、滅菌劑,會使微生物產生抗藥性,滅菌效果大大降低。為避免致病菌產生耐藥性,可以輪換使用不同消毒劑。部分消毒劑一定程度可以在功能上相互替代,但各類消毒劑消毒原理不同,使用和禁忌事項也各不相同,必須慎重選用,才能做到安全消毒、有效消毒、綠色消毒。  常見化學消毒劑及其安全使用注意事項  1、醇類消毒劑  常見的醇類消毒劑是乙醇和異丙醇。95%的酒精能將細菌表面包膜的蛋白質迅速凝固,并形成一層保護膜,阻止酒精進入細菌體內,因而不能將細菌徹底殺死。如果酒精濃度低于70%,雖可進入細菌體內,但不能將其體內的蛋白質凝固,同樣也不能將細菌徹底殺死。只有70%-75%的酒精即能順利地進入到細菌體內,又能有效地將細菌體內的蛋白質凝固,因而可徹底殺死細菌。因此,WHO推薦含量70%-75%的乙醇作為手消毒劑。酒精不適宜用于大面積消毒。  安全使用注意事項  酒精是易燃易揮發的液體,當空氣中的酒精含量達到19%,溫度等于或大于13℃以上時,遇到火星就會閃燃,使用時切記遠離火種。使用前徹底清除周圍易燃及可燃物,使用時不得接觸明火或靠近明火。  使用后必須將容器上蓋封閉,嚴禁敞開放置。使用過的毛巾等布料清潔工具,在使用完后應用大量清水清洗后密閉存放,或放通風處晾干。  家中需要酒精消毒時,可購買小瓶裝酒精(≤500毫升)使用。家中不要囤積酒精。酒精容器必須有可靠的密封,嚴禁使用無蓋的容器。存放時遠離火種、熱源,溫度不宜超過30℃,防止陽光直射。  酒精著火滅火簡易方法。濕布蓋火,斷氧是最靠譜撲滅酒精起火方法。在實際操作中,有條件時,最好事先將覆蓋物浸濕。最好使用覆蓋面較大的濕布,滅火時不能有快速拍打動作。一旦被燒傷,第一要緊的事情,當然是滅火。傷者正確的應對措施應當包括以下幾點:第一,立即脫去衣物。衣物沾上酒精,已經成為燃燒物,以最快速度去除衣物,脫離熱源,可以最大限度的減輕損傷和后果。第二,避免高聲喊叫。在頭面部已經被火焰包圍的情況下,喊叫會引起嚴重呼吸道燒傷。而呼吸道燒傷,是燒傷患者三大死亡原因之一。第三,設法滅火。應當就地打滾壓滅火焰或至少壓制火勢,減輕損傷。  2、84消毒液  84消毒液屬于含氯消毒劑,是以次氯酸鈉(NaClO)為主要有效成分的消毒液,適用于一般物體表面、白色衣物、醫院污染物品的消毒。NaClO具有強氧化性,可作漂白劑,能夠將具有還原性的物質氧化,使其變性,因而能夠起到消毒的作用。84消毒劑有致敏作用,具有腐蝕性,可致人體灼傷,該品放出的游離氯有可能引起中毒。該物品不燃。  安全使用注意事項  84消毒液有一定的刺激性與腐蝕性,必須稀釋以后才能使用(按照說明書),使用時應戴手套,避免接觸皮膚。  84消毒液的漂白作用與腐蝕性較強,可腐蝕金屬,對織物有漂白作用。必須用于衣物的消毒時濃度要低,浸泡的時間不要太長。  84消毒液是一種含氯消毒劑,而氯是一種揮發性的氣體,因此盛消毒液的容器必須加蓋蓋好,否則會很快失效, 達不到消毒的效果,宜現用現配,一次性使用,勿用50℃以上熱水稀釋。  不要把84消毒液與其他洗滌劑或消毒液混合使用,因為這樣會加大空氣中氯氣的濃度而引起氯氣中毒。尤其是潔廁靈(一般都含有鹽酸)與84消毒液千萬不能一起使用,否則會引起化學反應,產生有毒氣體(氯氣),輕者可能引起咳嗽、胸悶等,重者可能出現呼吸困難,甚至死亡。因此,清潔馬桶時,應將這兩種物品分開使用。可以先用潔廁靈刷一遍,用水沖干凈后,再用稀釋后的84消毒液沖一遍。  3、過氧乙酸  過氧乙酸屬高效過氧化物類消毒劑,過氧乙酸的氣體和溶液都具有很強的殺菌能力,能殺滅細菌繁殖體、分枝桿菌、細菌芽胞、真菌、藻類及病毒,也可以破壞細菌毒素,其殺菌作用比過氧化氫強,殺芽胞作用迅速。過氧乙酸又名過醋酸,無色透明液體,易揮發,有刺激性氣味,為強氧化劑,具有強腐蝕性,有漂白作用,性質不穩定,易分解。過氧乙酸水解產物為醋酸和過氧化氫。因此,過氧乙酸為混合水溶液,除含主要成分過氧乙酸,另含過氧化氫、醋酸、硫酸等。  過氧乙酸可通過浸泡、噴灑、噴霧、擦拭的方式對物品進行消毒。市售過氧乙酸為加有穩定劑的過氧乙酸水溶液,濃度一般為20%,消毒前稀釋至使用濃度。另一種劑型為二元包裝型:將加有催化劑硫酸的冰醋裝于一瓶,將過氧化氫裝于另一瓶,兩瓶配套出售。臨用前,將兩瓶液體混勻,靜置2h以上,即可產生預定濃度的過氧乙酸。  安全使用注意事項  確保使用濃度。因過氧乙酸溶液不穩定,應貯存于通風陰涼處,或隨時使用隨時配制,用前先測定有效含量;用蒸餾水或去離子水配制稀釋液,稀釋常溫下保存不宜超過兩天。  不可用于地面消毒。過氧乙酸對大理石和水磨石等材料地面有明顯損壞作用,切忌用其水溶液擦拭地面。  過氧乙酸對金屬有腐蝕性,配制消毒液的容器最好用塑料制品,配制過氧乙酸時忌與堿或有機物混合,以免產生劇烈分解,甚至發生爆炸。金屬器材與天然紡織品經浸泡消毒后,應盡快用清水將藥物沖洗干凈。  高濃度藥液具有強腐蝕性、刺激性,使用時謹防濺到眼內,皮膚上。如不慎濺到應立即用水沖洗。  在這里需要提到的是,空氣消毒在呼吸道傳染病控制中效果有限,在確診病例或疑似病例轉走后的終末消毒時有意義,建議由專業的衛生人員在無人狀態下使用過氧乙酸或者過氧化氫處置或移動式紫外線消毒處理。空氣消毒不能阻擋病人隨時排出的病毒飛沫傳給近距離接觸的易感人群,所以個人防護也很重要。  4、雙胍類和季銨鹽類消毒劑  雙胍類和季銨鹽類消毒劑都屬于陽離子表面活性劑,這類化合物可以改變細菌細胞膜的通透性,使菌體胞漿物質外滲,阻礙其代謝而起到殺滅作用。雙胍類是一類低效消毒藥物,對細菌的繁殖體殺菌作用強大,但不能殺滅細菌的芽孢、分枝桿菌和病毒。用于皮膚和黏膜消毒,也可用于物體表面消毒。常用的有氯己定(洗必泰)、皮可洗定。  雙胍類和季銨鹽類消毒劑常與其他消毒劑復配以提高其殺菌效果和殺菌速度,將其溶于乙醇中增強殺菌效果,用于醫院里非關鍵物品與手部皮膚的消毒。如氯己定-醇消毒藥物是一種常用的皮膚、黏膜消毒藥物,因具有殺菌范圍廣、合成簡單、毒性小、成本低、性能穩定、加熱不易分解、使用方便等特點,現得到廣泛的應用。  5、含碘消毒劑  含碘消毒劑包括碘酊和聚伏酮碘等。碘酊工藝簡單,易于制作,是早期主要的消毒劑,但由于其刺激性與腐蝕性,已逐漸被穩定性好、刺激性小的碘伏替代。碘伏是碘與表面活性劑的不穩定絡合物,當其與細胞、細菌接觸時可以釋放游離的碘元素,游離的碘能迅速穿透細胞壁,依靠元素碘的沉淀作用和鹵化作用,與蛋白質氨基酸上的羥基、氨基、烴基結合導致蛋白質變性沉淀,發生鹵化,從而失去生物活性。  碘酊的常用濃度為2%,聚伏酮碘的使用濃度為0.3%-0.5%,它們可鹵化病原體蛋白并導致其死亡。含碘消毒劑可殺滅細菌的繁殖體、真菌和部分病毒,多用于皮膚與黏膜的消毒,醫院常用于手部皮膚的消毒,但是與含醇的消毒劑一樣,它無法殺死病菌或者細菌芽孢。  6、醛類消毒劑  醛類消毒劑主要包括甲醛和戊二醛等。此類消毒劑為一種活潑的烷化劑,可作用于病原體蛋白質中的氨基、羧基、羥基和巰基,從而破壞蛋白質分子并導致其死亡。  甲醛和戊二醛可殺滅各種病原體,由于它們對人體皮膚與黏膜有刺激、固化作用并可使人致敏,所以不可用于空氣、食具的消毒。制藥企業常采用甲醛熏蒸法來進行潔凈區的環境消毒。因其對人體有致癌作用,易造成皮膚上皮細胞死亡而導致麻痹死亡,近年來,有些企業已采用過氧化氫蒸汽 (VHP) 消毒法來代替甲醛熏蒸法。  7、酚類消毒劑  酚類消毒劑已有100年的歷史,曾經是醫院主要消毒劑之一,為預防和控制疾病的傳播起過重要作用。酚類化合物是芳烴的含羥基衍生物,在高濃度下,酚類可裂解并穿透細胞壁,使菌體蛋白凝集沉淀,快速殺滅細胞;在低濃度下,可使細菌的酶系 統失去活性,導致細胞死亡。  酚類消毒劑是酸類化合物,呈弱酸性,一般都具有特殊的芳香氣味,在環境中易被氧化,因此在使用過程中應注意避免與堿性物質接觸。其代表產品有苯酚、煤酚皂溶液、 六氯酚、對氯間二甲苯酚等。常用的煤酚皂又名來蘇爾,其主要成分為甲基苯酚。鹵化苯酚可增強苯酚的殺菌作用,例如三氯羥基二苯醚作為防腐劑已廣泛用于臨床消毒、防腐。  8、環氧乙烷  環氧乙烷又名氧化乙烯,屬于高效消毒劑,對金屬不腐蝕,無殘留氣味,可殺滅細菌(及其內孢子)、霉菌及真菌。它的穿透力強,常將其用于皮革、塑料、醫療器械、醫療用品包裝后進行消毒或滅菌,而且對大多數物品無損害。如用于精密儀器、貴重物品的消毒,尤其因為對紙張色彩無影響,常被用于書籍、文字檔案材料的消毒。  環氧乙烷具有毒性、致癌性、刺激性和致敏性,屬于易燃易爆化學品,因此并不常見于日常生活消毒。一旦意外與人體接觸需立即處理。  皮膚接觸:應立即脫去污染的衣著,用大量流動清水沖洗至少15min,就醫。  眼睛接觸:立即提起眼瞼,用大量流動清水或生理鹽水徹底沖洗至少15min,就醫。  吸入:迅速脫離現場至空氣新鮮處。保持呼吸道通暢。如呼吸困難,給輸氧。如呼吸停止,立即進行人工呼吸。呼吸心跳停止時,立即進行人工呼吸和胸外心臟按壓術。
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