Approximately 30%of the global population struggles with access to potable water,and 60%lacks adequate sanitation.Effective disinfection is crucial,however,heterogeneous systems,despite their benefits,often exhibit lo...Approximately 30%of the global population struggles with access to potable water,and 60%lacks adequate sanitation.Effective disinfection is crucial,however,heterogeneous systems,despite their benefits,often exhibit lower efficacy compared to homogeneous method,presenting a significant challenge[1].In heterogeneous catalysis,photocatalytic disinfection holds immense promise for various applications.However,two key factors significantly impact the efficacy of photocatalytic disinfection:the generation of reactive oxygen species(ROSs)by the photocatalyst and the interaction between ROS and bacteria.展开更多
Disinfection of swimming pool water is critical to ensure the safety of the recreational activity for swimmers.However,swimming pools have a constant loading of organic matter from input water and anthropogenic contam...Disinfection of swimming pool water is critical to ensure the safety of the recreational activity for swimmers.However,swimming pools have a constant loading of organic matter from input water and anthropogenic contamination,leading to elevated levels of disinfection byproducts(DBPs).Epidemiological studies have associated increased risks of adverse health effects with frequent exposure to DBPs in swimming pools.Zhang et al.(2023b)investigated the occurrence of trihalomethanes(THMs),haloacetic acids(HAAs),haloacetonitriles(HANs),and haloacetaldehydes(HALs)in eight swimming pools and the corresponding input water in a city in Eastern China.The concentrations of THMs,HAAs,HANs,and HALs in swimming poolswere 1–2 orders of magnitude higher than those detected in the input water.The total lifetime cancer and non-cancer health risks of swimmers through oral,dermal,inhalation,buccal,and aural exposure pathways were assessed using the United States Environmental Protection Agency’s(USEPA)standard model and Swimmer Exposure Assessment Model(SWIMODEL).The results showed that dermal and inhalation pathways were the most significant for the associated cancer and non-cancer risks.This article provides an overview and perspectives of DBPs in swimming pools,the benefits of swimming,the need to improve the monitoring of DBPs,and the importance of swimmers’hygiene practices to keep swimming pools clean.The benefits of swimming outweigh the risks from DBP exposure for the promotion of public health.展开更多
BACKGROUND Empathetic psychological care improves mood and enhances the quality of life in critically ill patients.AIM To study the impact of combining 222-nm ultraviolet(UV)disinfection with empathetic psychological ...BACKGROUND Empathetic psychological care improves mood and enhances the quality of life in critically ill patients.AIM To study the impact of combining 222-nm ultraviolet(UV)disinfection with empathetic psychological care on emotional states,nosocomial infection rates,and quality of life in critically ill patients.METHODS A total of 202 critically ill patients admitted to Beijing Ditan Hospital(December 2023 to May 2024)were randomly assigned to control(Ctrl,n=101)or observation groups(Obs,n=101).The Ctrl group received 222-nm UV disinfection and routine care,while the Obs group received 222-nm UV disinfection with empathetic psychological care.Emotional states[Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS)],hospital infection rates,quality of life(36-Item Short Form Health Survey),and patient satisfaction were evaluated.RESULTS At baseline,there were no significant differences in SAS and SDS scores between the groups(P>0.05).Following care,both groups demonstrated reductions in SAS and SDS scores,with the Obs group exhibiting a significantly greater reduction(P<0.05).The Obs group also experienced a significantly lower overall hospital infection rate(P<0.05).Similarly,while baseline 36-Item Short Form Health Survey scores did not differ significantly between the groups(P>0.05),post-care scores improved in both groups,with a greater improvement observed in the Obs group(P<0.05).Additionally,the Obs group reported higher patient satisfaction ratings(P<0.05).CONCLUSION The combination of 222-nm UV disinfection and empathetic psychological care improves emotional states,reduces hospital infection rates,enhances the quality of life,and increases patient satisfaction among critically ill patients.展开更多
Advanced oxidation processes (AOPs) exhibit significant potential forwater disinfection dueto their generation of large quantities of highly oxidizing free radicals. However, the neglectof viable but nonculturable (VB...Advanced oxidation processes (AOPs) exhibit significant potential forwater disinfection dueto their generation of large quantities of highly oxidizing free radicals. However, the neglectof viable but nonculturable (VBNC) cells obscures their true disinfection efficacy and potentialenvironmental health risks. Therefore, the study evaluated the disinfection effectivenessand mechanisms of typical AOPs, including Fe/H_(2)O_(2), Fe/persulfate (PS), and O_(3), fromthe perspective of the production of VBNC bacteria. The results indicate that Fe/PS exhibitsthe strongest bacterial inactivation rate (99.94%), and the cells lose their ability to reactivate.Fe/H_(2)O_(2) and O_(3) induce more cells to enter the VBNC state compared to Fe/PS. Moreover,different AOPs result in varying levels of free radical production and utilization efficiency,with SO(4)^(·−) and O_(3) exhibiting greater selectivity in deactivating bacteria comparedto HO^(·). The inhibition of VBNC bacteria production by Fe/PS treatment may be attributed tothe combined action of HO^(·) and SO(4)^(·−) on microorganisms, leading to oxidative stress andmetabolic disruption in bacteria through the inhibition of biofilm formation and aminoacyltRNAbiosynthesis (p < 0.05), thereby causing direct bacterial death rather than entry intothe VBNC state. In contrast, Fe/H_(2)O_(2) and O_(3) result in the upregulation of the metabolismof alanine, aspartate, and glutamate, as well as styrene degradation capacity by the bacteria,leading to the production of more VBNC bacteria. Overall, the study offers insights intomitigating potential biological risks in water disinfection and developing environmentallyfriendly and efficient disinfection technologies.展开更多
This manuscript features the promising findings of a study conducted by Ju et al,who used graphene nanocomposites for air disinfection in dental clinics.Their study demonstrated that,compared with conventional filters...This manuscript features the promising findings of a study conducted by Ju et al,who used graphene nanocomposites for air disinfection in dental clinics.Their study demonstrated that,compared with conventional filters,graphene nanocom-posites substantially improved air quality and reduced microbial contamination.This manuscript highlights the innovative application of graphene materials,emphasizing their potential to enhance dental clinic environments by minimizing secondary pollution.On the basis of the unique antimicrobial properties of gra-phene and the original study’s rigorous methodology,we recommend using gra-phene nanocomposites in clinical settings to control airborne infections.展开更多
The combination of solar disinfection and photocatalysis technology presents a viable solution for eliminating harmful pathogenic microorganisms from water.However,some photocatalysts(e.g.,zinc oxide-based composites)...The combination of solar disinfection and photocatalysis technology presents a viable solution for eliminating harmful pathogenic microorganisms from water.However,some photocatalysts(e.g.,zinc oxide-based composites)are susceptible to pH-dependent dissolution in water,which can result in the loss of photocatalysts and additional environ-mental pollution.To obtain zinc oxide-based composites with low dissolution and high antibacterial efficiency for pho-tocatalytic water disinfection,we prepared MoS_(2)/ZnO@CS composites via a precipitation method to encapsulate chitosan(CS)around MoS_(2)/ZnO.The amino groups in the CS molecules act as storerooms for hydrogen ions,which inhibits the dissolution of zinc oxide.In addition,the MoS_(2)/ZnO@CS composites exhibit high production of reactive oxygen species(ROS)and broad-spectrum antibacterial activity under simulated solar irradiation(0.1 W·cm^(-2)).This makes it an excellent antibacterial agent for solar disinfection in water treatment.展开更多
[Objectives]To establish a high-performance liquid chromatography(HPLC)method for the simultaneous determination of forsythin,baicalin,and chlorogenic acid in a traditional Chinese medicine spray disinfectant.[Methods...[Objectives]To establish a high-performance liquid chromatography(HPLC)method for the simultaneous determination of forsythin,baicalin,and chlorogenic acid in a traditional Chinese medicine spray disinfectant.[Methods]The chromatographic separation was performed on a GL Sciences(19H0044724)-C_(18)column(4.6 mm×250 mm,5μm)with a mobile phase of acetonitrile-0.05%formic acid solution at a flow rate of 1 mL/min.The injection volume was 10μL,detection wavelength was set at 280 nm,and column temperature was maintained at 25℃.[Results]The linear ranges of forsythin,baicalin,and chlorogenic acid were 10.5-52.5,20.6-103,and 14.2-71μg/mL,respectively,with good linear relationships between concentration and peak area(R^(2)=0.9999).The relative standard deviations(RSD s)for precision and repeatability tests were all≤1.0%.The average recoveries were 98.51%,98.48%,and 97.71%for the three components,with RSD s of 0.96%,0.97%,and 0.73%,respectively.[Conclusions]This method demonstrates strong specificity,high precision,excellent accuracy,and simplicity of operation,making it suitable for the simultaneous quantification of forsythin,baicalin,and chlorogenic acid in traditional Chinese medicine spray disinfectants.It provides a reliable basis for quality control and practical applications in animal breeding environments.展开更多
Both the broad-spectrum bactericidal properties of disinfectants and the inhibitory effects of antibiotics pose potential threats to the activity,functionality,and probiotic properties of Lactid acid bacteria(LAB).The...Both the broad-spectrum bactericidal properties of disinfectants and the inhibitory effects of antibiotics pose potential threats to the activity,functionality,and probiotic properties of Lactid acid bacteria(LAB).Therefore,it is essential to systematically evaluate the tolerance of lactic acid bacteria to common disinfectants and antibiotics.This study assessed 60 LAB strains isolated from the fermented foods for their tolerance to seven disinfectants and nine antibiotics.The results indicated that,compared to pathogenic bacteria,most LAB exhibited stronger tolerance to disinfectants.Sub-inhibitory concentrations of disinfectants inhibited biofilm formation in most LAB,while sub-inhibitory concentrations of glutaraldehyde tended to promote biofilm formation.This suggests that commonly used disinfectants can eliminate pathogenic bacteria without killing LAB,providing guidance for disinfectant use.LAB were highly sensitive to ampicillin and chloramphenicol,while showing some tolerance to norfloxacin,polymyxin,and sulfamethoxazole.This indicates LAB have a notable antibiotic resistance profile,which includes both natural resistance characteristics and instances of acquired resistance,along with multiple drug resistance and cross-resistance between antibiotics and disinfectants.This study provides an important guidance for disinfection practices in industrial utilizing LAB,such as food and biomedicine,and offers a reference for the use of antibiotics.展开更多
Untreated water environments encourage the emergence of pathogenic microorganisms,which pose a significant risk to human health and sustainable development.Antimicrobial technologies in advanced photothermal materials...Untreated water environments encourage the emergence of pathogenic microorganisms,which pose a significant risk to human health and sustainable development.Antimicrobial technologies in advanced photothermal materials offer a promising alternative strategy for solving water disinfection challenges.This technology effectively destroys bacterial biofilms by designing materials with controlled photothermal properties.Despite the potential of this technology,there is a lack of comprehensive reviews on the application of photothermal materials in water disinfection.The aim of this paper is to provide a comprehensive and up-to-date overview of the research and application of photothermal materials in water disinfection.It focuses on composites in photothermal materials,elucidates their basic mechanisms and sterilization properties,and provides a systematic and detailed overview of their recent progress in the field.The goal of this review is to offer insights into the future design of photothermal materials and to propose strategies for their practical application in disinfection processes.展开更多
Waterborne pathogens pose a lifelong threat, necessitating advanced disinfection systemswith state-of-the-art materials. Laser-Induced Graphene (LIG), a 3-dimensional form ofgraphene, is a widely known electrode mater...Waterborne pathogens pose a lifelong threat, necessitating advanced disinfection systemswith state-of-the-art materials. Laser-Induced Graphene (LIG), a 3-dimensional form ofgraphene, is a widely known electrode material for its electrically-induced antimicrobialproperties. However, LIG surfaces exhibit antimicrobial properties exclusively in the presenceof electricity. In this work, copper-doped LIG (Cu-LIG) composite electrodes and filterswere developed with enhanced antimicrobial properties in single-step laser scribing. Thework emphasizes the optimization of copper doping with LIG for both electrical and nonelectrical-based disinfection. The copper doping was optimized to a minimal concentration(∼1%) just to enhance the electrochemical properties of LIG. Furthermore, the excess additionof copper was helpful towards non-electricity-based treatment without significantleaching. The prepared surfaces were tested in both electrodes and filter configuration andshowed excellent antibacterial and antiviral activity against mixed bacterial culture and amodel enteric virus, MS2 bacteriophage. On the application of 2.5 V with Cu-LIG electrodes,6-log removal of bacteria and virus was achieved. Furthermore, the membrane-based electroconductivefilters were tested in a flow-through configuration and demonstrated 6-logremoval at 2.5 V with a flux of ∼ 500 (L·m^(2))/h with both bacteria and viruses at minimumenergy expense. Additionally, reactive oxygen species scavenging and hydrogen peroxidegeneration experiments have confirmed the role of electrical effects and indirect oxidationon the inactivation mechanism. The prepared Cu-LIG composite surfaces showed potentialfor environmental remediation applications.展开更多
As the core department in medical institutions responsible for cleaning,disinfecting,sterilizing,and supplying reusable medical devices,instruments,and items,the quality of work in the disinfection supply center direc...As the core department in medical institutions responsible for cleaning,disinfecting,sterilizing,and supplying reusable medical devices,instruments,and items,the quality of work in the disinfection supply center directly impacts medical safety and infection control effectiveness.Professional protective training for personnel is crucial to ensure operational quality in this department.Systematic training enhances staff awareness of occupational exposure risks,standardizes protective measures in procedures,reduces cross-infection risks caused by improper operations,and ultimately lowers infection transmission risks.This paper analyzes the core content,implementation approaches,and practical role of professional protective training for disinfection supply center personnel in infection control.It aims to clarify the significant value of such training,providing references for medical institutions to optimize disinfection center management and strengthen infection control systems,thereby contributing to improved overall medical safety standards.展开更多
Surgical site infections remain a significant challenge in gastrointestinal surgery,despite advances in surgical techniques and antimicrobial therapy.Wang et al’s retrospective analysis highlights the transformative ...Surgical site infections remain a significant challenge in gastrointestinal surgery,despite advances in surgical techniques and antimicrobial therapy.Wang et al’s retrospective analysis highlights the transformative potential of comprehensive perioperative disinfection and isolation protocols in gastrointestinal surgery,demonstrating a 55%reduction in postoperative infection rates and attenuation of systemic inflammation.Their findings underscore the critical role of multidisciplinary strategies—such as preoperative povidone-iodine decolonization,intraoperative laminar airflow systems,and strict postoperative wound care—in mitigating infection risk and preserving organ function.However,the study revealed persistent gaps in protocol standardization and compliance monitoring,particularly in resource-limited settings.Although these measures reduce reliance on antibiotics and align with global antimicrobial resistance containment efforts,challenges such as the high cost of technology and issues with contextual adaptability warrant urgent attention.This study conclusively demonstrated that structured perioperative disinfection protocols significantly transform surgical outcomes by creating comprehensive infection barriers that extend beyond traditional antibiotic prophylaxis.Future priorities include prospective multicenter trials to validate efficacy,cost-benefit analyses for equitable implementation,and integration of artificial intelligence-driven innovations to optimize infection prevention.This study redefines infection control as a cornerstone of surgical quality,urging collaborative action to bridge the gap between clinical evidence and real-world practice.展开更多
BACKGROUND Current disinfection methods for gastrointestinal endoscopes consume a significant amount of water resources and produce a large volume of waste.AIM To achieve the objectives of efficiency,speed,and cost-ef...BACKGROUND Current disinfection methods for gastrointestinal endoscopes consume a significant amount of water resources and produce a large volume of waste.AIM To achieve the objectives of efficiency,speed,and cost-effectiveness,this study utilized vaporized hydrogen peroxide(VHP)generated from sodium percarbonate granules to conduct an anhydrous disinfection test on gastrointestinal endoscopes.METHODS The experimental device rapidly converts sodium percarbonate granules into VHP,and performs disinfection experiments on gastrointestinal endoscope models,disposable endoscopes,and various types of reusable gastrointestinal endoscopes.Variables such as the intraluminal flow rate(FR),relative humidity(RH),exposure dosage,and organic burden are used to explore the factors influencing the disinfection of long and narrow lumens with VHP.RESULTS The device generates a certain concentration of VHP that can achieve high-level disinfection of endoscope models within 30 minutes.RH,exposure dosage,and organic burden significantly affect the disinfection efficacy of VHP,whereas the intraluminal FR does not significantly impact disinfection efficacy.All ten artificially contaminated disposable endoscopes achieved satisfactory disinfection results.Furthermore,when this device was used to treat various types of reusable endoscopes,the disinfection and sterilization effects were not significantly different from those of automatic endoscope disinfection machines(using peracetic acid disinfectant solution)(P>0.05),and the economic cost of disinfectant required per endoscope was lower(1.5 China Yuan),with a shorter disinfection time(30 minutes).CONCLUSION The methods and results of this study provide a basis for further research on the use of VHP for the disinfection of gastrointestinal endoscopes,as well as for the development of anhydrous disinfection technology for gastrointestinal endoscopes.展开更多
The contamination of pork during breeding can negatively impact both food quality and safety.Sodium dichloroiso-cyanurate(NaDCC),a chlorine-containing disinfectant,is widely used in animal environments.In this study,1...The contamination of pork during breeding can negatively impact both food quality and safety.Sodium dichloroiso-cyanurate(NaDCC),a chlorine-containing disinfectant,is widely used in animal environments.In this study,16S rRNA sequencing was used to determine the bacterial communities in a pork farm.We also assessed the effectiveness of NaDCC disinfection by analyzing microbial diversity.The results revealed that the predominant genera in pork skin samples and environmental samples were Staphylococcus and Acinetobacter,respectively.Escherichia coli and Strep-tococcus equinus were present in all the samples,suggesting that NaDCC is not fully effective in preventing zoonotic pathogen contamination.The Chao1 and Shannon indices for sow skins increased after disinfection.No significant differences were observed in the microbiological composition of sow barn samples before and after disinfection(p>0.1).Additionally,bacterial abundance in sow skin was strongly correlated with abundance on pen floors(r=0.906,p<0.05),indicating potential cross-contamination between these sample types.Conversely,the bacterial abun-dance in the floor samples was weakly correlated with that in the other samples,suggesting that NaDCC is effective as a decontaminant.This study provides valuable insights into microbial contamination on pork farms and under-scores the importance of proper disinfection practices.This study also offers scientific recommendations for improv-ing disinfection protocols.展开更多
Halogenated aromatic disinfection byproducts(DBPs)are gradually receiving attention due to their high detection frequency and usually higher toxicity than regulated DBPs.In this study,we established a solid phase extr...Halogenated aromatic disinfection byproducts(DBPs)are gradually receiving attention due to their high detection frequency and usually higher toxicity than regulated DBPs.In this study,we established a solid phase extraction(SPE)-LC-MS/MS method to simultaneously trace analyze 59 halogenated aromatic DBPs.The limits of detection and limits of quantification of halogenated aromatic DBPs ranged from 0.03 to 135.23 ng/L and from 0.1 to 450.76 ng/L,respectively.The range of recoveries and relative standard deviation(RSD)in river water were between 72.41%to 119.54%and 1.86%to 16.03%,respectively.Therefore,this method can be used to accurately analyze trace levels of halogenated aromatic DBPs in drinking water.The occurrence and transformation of halogenated aromatic DBPs were explored based on this method.In the chlorinated simulated source water and chlorinated river water,20 and 45 halogenated aromatic DBPs were determined,respectively.The active halogen species(HOCl,HOBr,and HOI)first reacted with natural organic matter(NOM)to form halogenated aromatic DBPs.Then,chlorine further reacted with the halogenated aromatic DBPs to convert them into small-molecule halogenated aliphatic DBPs through oxidation,electrophilic substitution,and hydrolysis reaction,etc.In the chlorinated simulated source water,chlorinated river water,and tap water,the toxicity contribution of bromoacetic acids(Br-HAAs)accounted for themajority(>71.16%).Given that halogenated aromatic DBPs are intermediate products of halogenated aliphatic DBPs,controlling the formation of halogenated aromatic DBPs is beneficial in decreasing the formation of halogenated aliphatic DBPs,thereby diminishing the toxicity of drinking water.展开更多
BACKGROUND The application of perioperative disinfection and isolation measures to patients undergoing gastrointestinal surgery with postoperative infection can provide a data reference for reducing the postoperative ...BACKGROUND The application of perioperative disinfection and isolation measures to patients undergoing gastrointestinal surgery with postoperative infection can provide a data reference for reducing the postoperative infection rate,improving post-operative biochemical markers,and enhancing postoperative recovery outcomes.AIM To explore the effectiveness of perioperative disinfection and isolation measures in controlling postoperative infection following gastrointestinal surgery.It also sought to compare infection rates and biochemical markers between the obser-vation and control groups and evaluate the impact of disinfection and isolation measures on reducing postoperative complications.METHODS A retrospective analysis was conducted.Ninety-six patients who underwent gastrointestinal surgery between January 2022 and December 2023 were selected and divided into an observation group and a control group,with 48 cases in each.The observation group received disinfection and isolation measures during the perioperative period,whereas the control group received standard nursing care.The incidence of infection,white blood cell count,C-reactive protein levels,hemoglobin levels,and liver function markers(alanine aminotransferase,aspartate aminotransferase,creatinine,and blood urea nitrogen)were monitored postoperatively in both groups.RESULTS The postoperative infection rate in the observation group was significantly lower than that in the control group(P<0.05).White blood cell and C-reactive protein levels decreased significantly after surgery in the observation group and were significantly lower than those in the control group(P<0.05).Alanine aminotransferase,aspartate aminotransferase,creatinine,and blood urea nitrogen levels in the observation group were lower than those in the control group on postoperative days 1 and 3,showing a significant difference(P<0.05).CONCLUSION Perioperative disinfection and isolation measures effectively reduce postoperative infection rates in gastrointestinal surgery patients and improve biochemical markers,thereby enhancing recovery outcomes.This study provides a valuable basis for postoperative infection control and has significant clinical applications.展开更多
This editorial critically evaluated the recent study by Wang et al,which systematically investigated the efficacy of perioperative disinfection and isolation measures(including preoperative povidone-iodine disinfectio...This editorial critically evaluated the recent study by Wang et al,which systematically investigated the efficacy of perioperative disinfection and isolation measures(including preoperative povidone-iodine disinfection,intraoperative sterile barrier techniques,and postoperative intensive care)in reducing infection rates.The study further incorporated the surgical site infection risk prediction model(constructed via the least absolute shrinkage and selection operator al-gorithm,integrating patients'baseline characteristics,surgical indicators,and regional antibiotic-resistant bacterial data),and proposed a dynamic prevention and control system termed“disinfection protocols-predictive models–real-time monitoring”.The article highlighted that preoperative risk stratification,intraoperative personalized antibiotic selection,and postoperative multidimensional monitoring(encompassing inflammatory biomarkers,imaging,and microbiological testing)enabled the precise identification of high-risk patients and optimized intervention thresholds.Future research is deemed necessary to validate the synergistic effects of disinfection protocols and predictive models through large-scale multicenter studies,combined with advanced intraoperative rapid microbial detection technologies.This approach aims to establish standardized infection control protocols tailored for precision medicine and regional adaptability.Future research should prioritize validating the synergistic effects of disinfection protocols and predictive models via multi-center studies,while incorporating advanced rapid intraoperative microbial detection technologies to develop standardized infection prevention and control procedures.Such efforts will enhance the implementation of precise and regionally adaptive infection control strategies.展开更多
Objective:To study the effectiveness of the PDCA cycle model in the nursing management of the disinfection supply room.Method:From March 2022 to February 2024,the hospital adopted the PDCA cycle model to manage the re...Objective:To study the effectiveness of the PDCA cycle model in the nursing management of the disinfection supply room.Method:From March 2022 to February 2024,the hospital adopted the PDCA cycle model to manage the related work of the disinfection supply room.In this study,40 nursing staff were selected as the research subjects.Sixty-five sets of data generated during the implementation of the PDCA model were selected,and 65 sets of similar data before the implementation were also selected.The relevant data information was compared and evaluated to understand the changes in work before and after the implementation of the PDCA cycle model management.Meanwhile,twenty departments in the hospital were selected to investigate the satisfaction before and after the implementation of the PDCA cycle model management.Result:After the implementation of the PDCA cycle model,the completion rates of various tasks were improved,and there was a significant difference compared with those before the implementation(P<0.05).The work quality of each working link has also been improved since the implementation.Compared with that before the implementation of the PDCA cycle model,there are significant changes(P<0.05).It can be learned from the comparison of satisfaction among various departments that the satisfaction of departments has improved after the implementation of PDCA,and there is a significant difference compared with that before the implementation(P<0.05).Conclusion:The application of the PDCA cycle model in the nursing management of the disinfection supply room can effectively improve the working conditions of the disinfection supply room and provide a basic guarantee for hospital treatment.Therefore,the PDCA cycle management model can be actively adopted in the actual work management.展开更多
Several disinfection processes of ultraviolet （UV）, chlorine or UV followed by chlorine were investigated in municipal wastewater according to the inactivation of Escherichia coli, Shigella dysenteriae and toxicity ...Several disinfection processes of ultraviolet （UV）, chlorine or UV followed by chlorine were investigated in municipal wastewater according to the inactivation of Escherichia coli, Shigella dysenteriae and toxicity formation. The UV inactivation of the tested pathogenic bacteria was not affected by the quality of water. It was found that the inactivated bacteria were obviously reactivated after one day in dark. Fluorescent light irradiation increased the bacteria repair. The increase of UV dosage could cause more damage to bacteria to inhibit bacteria self-repair. No photoreactivation was detected when the UV dose was up to 80 mJ/cm2 for E. coli DH5ct, and 23 mJ/cm2 for S. dysenteriae. Nevertheless, sequential use of 8 mJ/cm2 of UV and low concentration of chlorine （1.5 mg/L） could effectively inhibit the photoreactivation and inactivate E. coli below the detection limits within seven days. Compared to chlorination alone, the sequential disinfection decreased the genotoxicity of treated wastewater, especially for the sample with high NH3-N concentration.展开更多
The concentration of suspended solids of effluent often varies in a wide range, therefore the dose of ultraviolet light （UV） in disinfection process needs to be adjusted to meet the disinfection criterion at a high ...The concentration of suspended solids of effluent often varies in a wide range, therefore the dose of ultraviolet light （UV） in disinfection process needs to be adjusted to meet the disinfection criterion at a high frequency, and the desired disinfection effect is difficult to be ensured. The particles size and particle-associated fecal coliform （F.C.） contribution, and their influence on UV disinfection were investigated when ClO2 and UV combined disinfection process was used. The results showed that suspended solids content had a major impact on UV disinfection efficiency, especially the large particle size fraction. Particles （D〉10μm） associated F. C. were difficult to be disinfected and were the main part of the railings of F.C. inactivation curve. Pre-ClO2 oxidation could reduce the number of particles in effluent, and make large particles decrease to small ones. Therefore, the influence of particles on UV disinfection could be reduced after pre-ClO2 oxidation, and the resistance ability to particle loadings of combined process was enhanced. Moreover, the combined process has a lot of advantages, such as low toxicity, low operational/maintenance costs; it is also convenient to be established in the existing wastewater plant or the new planned one.展开更多
基金supported by the Taishan Scholar Project of Shandong Province(tsqn202211168)the National Natural Science Foundation of China(52422213,52272212)the Natural Science Foundation of Shandong Province(ZR2022JQ20).
文摘Approximately 30%of the global population struggles with access to potable water,and 60%lacks adequate sanitation.Effective disinfection is crucial,however,heterogeneous systems,despite their benefits,often exhibit lower efficacy compared to homogeneous method,presenting a significant challenge[1].In heterogeneous catalysis,photocatalytic disinfection holds immense promise for various applications.However,two key factors significantly impact the efficacy of photocatalytic disinfection:the generation of reactive oxygen species(ROSs)by the photocatalyst and the interaction between ROS and bacteria.
文摘Disinfection of swimming pool water is critical to ensure the safety of the recreational activity for swimmers.However,swimming pools have a constant loading of organic matter from input water and anthropogenic contamination,leading to elevated levels of disinfection byproducts(DBPs).Epidemiological studies have associated increased risks of adverse health effects with frequent exposure to DBPs in swimming pools.Zhang et al.(2023b)investigated the occurrence of trihalomethanes(THMs),haloacetic acids(HAAs),haloacetonitriles(HANs),and haloacetaldehydes(HALs)in eight swimming pools and the corresponding input water in a city in Eastern China.The concentrations of THMs,HAAs,HANs,and HALs in swimming poolswere 1–2 orders of magnitude higher than those detected in the input water.The total lifetime cancer and non-cancer health risks of swimmers through oral,dermal,inhalation,buccal,and aural exposure pathways were assessed using the United States Environmental Protection Agency’s(USEPA)standard model and Swimmer Exposure Assessment Model(SWIMODEL).The results showed that dermal and inhalation pathways were the most significant for the associated cancer and non-cancer risks.This article provides an overview and perspectives of DBPs in swimming pools,the benefits of swimming,the need to improve the monitoring of DBPs,and the importance of swimmers’hygiene practices to keep swimming pools clean.The benefits of swimming outweigh the risks from DBP exposure for the promotion of public health.
基金Supported by Beijing Ditan Hospital Affiliated to Capital Medical University“Sailing Plan”,No.DTQH-202405.
文摘BACKGROUND Empathetic psychological care improves mood and enhances the quality of life in critically ill patients.AIM To study the impact of combining 222-nm ultraviolet(UV)disinfection with empathetic psychological care on emotional states,nosocomial infection rates,and quality of life in critically ill patients.METHODS A total of 202 critically ill patients admitted to Beijing Ditan Hospital(December 2023 to May 2024)were randomly assigned to control(Ctrl,n=101)or observation groups(Obs,n=101).The Ctrl group received 222-nm UV disinfection and routine care,while the Obs group received 222-nm UV disinfection with empathetic psychological care.Emotional states[Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS)],hospital infection rates,quality of life(36-Item Short Form Health Survey),and patient satisfaction were evaluated.RESULTS At baseline,there were no significant differences in SAS and SDS scores between the groups(P>0.05).Following care,both groups demonstrated reductions in SAS and SDS scores,with the Obs group exhibiting a significantly greater reduction(P<0.05).The Obs group also experienced a significantly lower overall hospital infection rate(P<0.05).Similarly,while baseline 36-Item Short Form Health Survey scores did not differ significantly between the groups(P>0.05),post-care scores improved in both groups,with a greater improvement observed in the Obs group(P<0.05).Additionally,the Obs group reported higher patient satisfaction ratings(P<0.05).CONCLUSION The combination of 222-nm UV disinfection and empathetic psychological care improves emotional states,reduces hospital infection rates,enhances the quality of life,and increases patient satisfaction among critically ill patients.
基金supported by Shandong Provincial Natural Science Foundation,China(Nos.ZR2020ZD34 and ZR2023YQ031)the National Natural Science Foundation of China(Nos.42077391 and 42377428)the Instrument Improvement Funds of ShandongUniversity Public Technology Platform(No.ts20230108).
文摘Advanced oxidation processes (AOPs) exhibit significant potential forwater disinfection dueto their generation of large quantities of highly oxidizing free radicals. However, the neglectof viable but nonculturable (VBNC) cells obscures their true disinfection efficacy and potentialenvironmental health risks. Therefore, the study evaluated the disinfection effectivenessand mechanisms of typical AOPs, including Fe/H_(2)O_(2), Fe/persulfate (PS), and O_(3), fromthe perspective of the production of VBNC bacteria. The results indicate that Fe/PS exhibitsthe strongest bacterial inactivation rate (99.94%), and the cells lose their ability to reactivate.Fe/H_(2)O_(2) and O_(3) induce more cells to enter the VBNC state compared to Fe/PS. Moreover,different AOPs result in varying levels of free radical production and utilization efficiency,with SO(4)^(·−) and O_(3) exhibiting greater selectivity in deactivating bacteria comparedto HO^(·). The inhibition of VBNC bacteria production by Fe/PS treatment may be attributed tothe combined action of HO^(·) and SO(4)^(·−) on microorganisms, leading to oxidative stress andmetabolic disruption in bacteria through the inhibition of biofilm formation and aminoacyltRNAbiosynthesis (p < 0.05), thereby causing direct bacterial death rather than entry intothe VBNC state. In contrast, Fe/H_(2)O_(2) and O_(3) result in the upregulation of the metabolismof alanine, aspartate, and glutamate, as well as styrene degradation capacity by the bacteria,leading to the production of more VBNC bacteria. Overall, the study offers insights intomitigating potential biological risks in water disinfection and developing environmentallyfriendly and efficient disinfection technologies.
文摘This manuscript features the promising findings of a study conducted by Ju et al,who used graphene nanocomposites for air disinfection in dental clinics.Their study demonstrated that,compared with conventional filters,graphene nanocom-posites substantially improved air quality and reduced microbial contamination.This manuscript highlights the innovative application of graphene materials,emphasizing their potential to enhance dental clinic environments by minimizing secondary pollution.On the basis of the unique antimicrobial properties of gra-phene and the original study’s rigorous methodology,we recommend using gra-phene nanocomposites in clinical settings to control airborne infections.
基金supported in part by the National Natural Science Foundation of China(12174366)Fundamental Re-search Funds for the Central Universities(WK3450000005)the Anhui Provincial Natural Science Foundation(2108085MC93).
文摘The combination of solar disinfection and photocatalysis technology presents a viable solution for eliminating harmful pathogenic microorganisms from water.However,some photocatalysts(e.g.,zinc oxide-based composites)are susceptible to pH-dependent dissolution in water,which can result in the loss of photocatalysts and additional environ-mental pollution.To obtain zinc oxide-based composites with low dissolution and high antibacterial efficiency for pho-tocatalytic water disinfection,we prepared MoS_(2)/ZnO@CS composites via a precipitation method to encapsulate chitosan(CS)around MoS_(2)/ZnO.The amino groups in the CS molecules act as storerooms for hydrogen ions,which inhibits the dissolution of zinc oxide.In addition,the MoS_(2)/ZnO@CS composites exhibit high production of reactive oxygen species(ROS)and broad-spectrum antibacterial activity under simulated solar irradiation(0.1 W·cm^(-2)).This makes it an excellent antibacterial agent for solar disinfection in water treatment.
基金Supported by Shandong Province Major Agricultural Technologies Collaborative Promotion Project(SDNYXTTG-2024-04)National Key Laboratory for Quality Control of Chinese Medicinal Materials and Decoction Pieces Project(2024GSMPA-KL16)Weifang Municipal Science and Technology Bureau Project(2021GX031).
文摘[Objectives]To establish a high-performance liquid chromatography(HPLC)method for the simultaneous determination of forsythin,baicalin,and chlorogenic acid in a traditional Chinese medicine spray disinfectant.[Methods]The chromatographic separation was performed on a GL Sciences(19H0044724)-C_(18)column(4.6 mm×250 mm,5μm)with a mobile phase of acetonitrile-0.05%formic acid solution at a flow rate of 1 mL/min.The injection volume was 10μL,detection wavelength was set at 280 nm,and column temperature was maintained at 25℃.[Results]The linear ranges of forsythin,baicalin,and chlorogenic acid were 10.5-52.5,20.6-103,and 14.2-71μg/mL,respectively,with good linear relationships between concentration and peak area(R^(2)=0.9999).The relative standard deviations(RSD s)for precision and repeatability tests were all≤1.0%.The average recoveries were 98.51%,98.48%,and 97.71%for the three components,with RSD s of 0.96%,0.97%,and 0.73%,respectively.[Conclusions]This method demonstrates strong specificity,high precision,excellent accuracy,and simplicity of operation,making it suitable for the simultaneous quantification of forsythin,baicalin,and chlorogenic acid in traditional Chinese medicine spray disinfectants.It provides a reliable basis for quality control and practical applications in animal breeding environments.
基金supported by the National Science Foundation of China (32001663)。
文摘Both the broad-spectrum bactericidal properties of disinfectants and the inhibitory effects of antibiotics pose potential threats to the activity,functionality,and probiotic properties of Lactid acid bacteria(LAB).Therefore,it is essential to systematically evaluate the tolerance of lactic acid bacteria to common disinfectants and antibiotics.This study assessed 60 LAB strains isolated from the fermented foods for their tolerance to seven disinfectants and nine antibiotics.The results indicated that,compared to pathogenic bacteria,most LAB exhibited stronger tolerance to disinfectants.Sub-inhibitory concentrations of disinfectants inhibited biofilm formation in most LAB,while sub-inhibitory concentrations of glutaraldehyde tended to promote biofilm formation.This suggests that commonly used disinfectants can eliminate pathogenic bacteria without killing LAB,providing guidance for disinfectant use.LAB were highly sensitive to ampicillin and chloramphenicol,while showing some tolerance to norfloxacin,polymyxin,and sulfamethoxazole.This indicates LAB have a notable antibiotic resistance profile,which includes both natural resistance characteristics and instances of acquired resistance,along with multiple drug resistance and cross-resistance between antibiotics and disinfectants.This study provides an important guidance for disinfection practices in industrial utilizing LAB,such as food and biomedicine,and offers a reference for the use of antibiotics.
基金financial support from National Natural Science Foundation of China(No.21908085)Natural Science Foundation of Jiangsu Province(No.BK20241950)+3 种基金China Postdoctoral Science Foundation(No.2023M731422)Open Project of State Key Laboratory of Materials Chemical Engineering(No.KL-NICE-23B03)Hubei Key Laboratory of Processing and Application of Catalytic Materials(No.202441204)the Science and Technology Plan School-Enterprise Cooperation IndustryUniversity-Research Forward-looking Project of Zhangjiagang(No.ZKYY2341)。
文摘Untreated water environments encourage the emergence of pathogenic microorganisms,which pose a significant risk to human health and sustainable development.Antimicrobial technologies in advanced photothermal materials offer a promising alternative strategy for solving water disinfection challenges.This technology effectively destroys bacterial biofilms by designing materials with controlled photothermal properties.Despite the potential of this technology,there is a lack of comprehensive reviews on the application of photothermal materials in water disinfection.The aim of this paper is to provide a comprehensive and up-to-date overview of the research and application of photothermal materials in water disinfection.It focuses on composites in photothermal materials,elucidates their basic mechanisms and sterilization properties,and provides a systematic and detailed overview of their recent progress in the field.The goal of this review is to offer insights into the future design of photothermal materials and to propose strategies for their practical application in disinfection processes.
基金supported by the DST(DST-WTIDST/TMD/EWO/WTI/DM/2021/283,DST-SYST,and DSTinspire faculty award)and Science and Engineering Research Board(SERB+1 种基金No.CRG/2019/005280)the Indian Institute of Technology Bombay(IITB)for their funding support for this work.ND and AMN acknowledge the Ministry of Education,India,for their doctoral fellowship support.We thank Prof.Suparna Mukherjee at IIT Bombay for kindly providing us with the host E.coli C3000(No.ATCC 15597).
文摘Waterborne pathogens pose a lifelong threat, necessitating advanced disinfection systemswith state-of-the-art materials. Laser-Induced Graphene (LIG), a 3-dimensional form ofgraphene, is a widely known electrode material for its electrically-induced antimicrobialproperties. However, LIG surfaces exhibit antimicrobial properties exclusively in the presenceof electricity. In this work, copper-doped LIG (Cu-LIG) composite electrodes and filterswere developed with enhanced antimicrobial properties in single-step laser scribing. Thework emphasizes the optimization of copper doping with LIG for both electrical and nonelectrical-based disinfection. The copper doping was optimized to a minimal concentration(∼1%) just to enhance the electrochemical properties of LIG. Furthermore, the excess additionof copper was helpful towards non-electricity-based treatment without significantleaching. The prepared surfaces were tested in both electrodes and filter configuration andshowed excellent antibacterial and antiviral activity against mixed bacterial culture and amodel enteric virus, MS2 bacteriophage. On the application of 2.5 V with Cu-LIG electrodes,6-log removal of bacteria and virus was achieved. Furthermore, the membrane-based electroconductivefilters were tested in a flow-through configuration and demonstrated 6-logremoval at 2.5 V with a flux of ∼ 500 (L·m^(2))/h with both bacteria and viruses at minimumenergy expense. Additionally, reactive oxygen species scavenging and hydrogen peroxidegeneration experiments have confirmed the role of electrical effects and indirect oxidationon the inactivation mechanism. The prepared Cu-LIG composite surfaces showed potentialfor environmental remediation applications.
文摘As the core department in medical institutions responsible for cleaning,disinfecting,sterilizing,and supplying reusable medical devices,instruments,and items,the quality of work in the disinfection supply center directly impacts medical safety and infection control effectiveness.Professional protective training for personnel is crucial to ensure operational quality in this department.Systematic training enhances staff awareness of occupational exposure risks,standardizes protective measures in procedures,reduces cross-infection risks caused by improper operations,and ultimately lowers infection transmission risks.This paper analyzes the core content,implementation approaches,and practical role of professional protective training for disinfection supply center personnel in infection control.It aims to clarify the significant value of such training,providing references for medical institutions to optimize disinfection center management and strengthen infection control systems,thereby contributing to improved overall medical safety standards.
文摘Surgical site infections remain a significant challenge in gastrointestinal surgery,despite advances in surgical techniques and antimicrobial therapy.Wang et al’s retrospective analysis highlights the transformative potential of comprehensive perioperative disinfection and isolation protocols in gastrointestinal surgery,demonstrating a 55%reduction in postoperative infection rates and attenuation of systemic inflammation.Their findings underscore the critical role of multidisciplinary strategies—such as preoperative povidone-iodine decolonization,intraoperative laminar airflow systems,and strict postoperative wound care—in mitigating infection risk and preserving organ function.However,the study revealed persistent gaps in protocol standardization and compliance monitoring,particularly in resource-limited settings.Although these measures reduce reliance on antibiotics and align with global antimicrobial resistance containment efforts,challenges such as the high cost of technology and issues with contextual adaptability warrant urgent attention.This study conclusively demonstrated that structured perioperative disinfection protocols significantly transform surgical outcomes by creating comprehensive infection barriers that extend beyond traditional antibiotic prophylaxis.Future priorities include prospective multicenter trials to validate efficacy,cost-benefit analyses for equitable implementation,and integration of artificial intelligence-driven innovations to optimize infection prevention.This study redefines infection control as a cornerstone of surgical quality,urging collaborative action to bridge the gap between clinical evidence and real-world practice.
基金Supported by the Joint Logistics Support Force Comprehensive Equipment Research Project,No.LB2023B010100-09.
文摘BACKGROUND Current disinfection methods for gastrointestinal endoscopes consume a significant amount of water resources and produce a large volume of waste.AIM To achieve the objectives of efficiency,speed,and cost-effectiveness,this study utilized vaporized hydrogen peroxide(VHP)generated from sodium percarbonate granules to conduct an anhydrous disinfection test on gastrointestinal endoscopes.METHODS The experimental device rapidly converts sodium percarbonate granules into VHP,and performs disinfection experiments on gastrointestinal endoscope models,disposable endoscopes,and various types of reusable gastrointestinal endoscopes.Variables such as the intraluminal flow rate(FR),relative humidity(RH),exposure dosage,and organic burden are used to explore the factors influencing the disinfection of long and narrow lumens with VHP.RESULTS The device generates a certain concentration of VHP that can achieve high-level disinfection of endoscope models within 30 minutes.RH,exposure dosage,and organic burden significantly affect the disinfection efficacy of VHP,whereas the intraluminal FR does not significantly impact disinfection efficacy.All ten artificially contaminated disposable endoscopes achieved satisfactory disinfection results.Furthermore,when this device was used to treat various types of reusable endoscopes,the disinfection and sterilization effects were not significantly different from those of automatic endoscope disinfection machines(using peracetic acid disinfectant solution)(P>0.05),and the economic cost of disinfectant required per endoscope was lower(1.5 China Yuan),with a shorter disinfection time(30 minutes).CONCLUSION The methods and results of this study provide a basis for further research on the use of VHP for the disinfection of gastrointestinal endoscopes,as well as for the development of anhydrous disinfection technology for gastrointestinal endoscopes.
基金supported by the Natural Science Foundation of China(32302233,32472466)the Natural Science Foundation of Zhejiang(LZ24C200004)+6 种基金the Key Research and Development Program of Zhejiang Province(2022C02049)the Key Research and Development Program of Ningbo(2022Z178)the Ministry of Agriculture and Rural Affairs(20244027)the WalMart Foundation(UA2020-152,UA2021-247)the State Key Laboratory for Managing Biotic and Chemical Threats to the Quality and Safety of Agro-products(2021DG700024-KF202517)the Zhejiang Provincial Department of Agriculture and Rural Affairs Project(2024SNJF044)the Key Research and Development Program of Zhuji(2022J10).
文摘The contamination of pork during breeding can negatively impact both food quality and safety.Sodium dichloroiso-cyanurate(NaDCC),a chlorine-containing disinfectant,is widely used in animal environments.In this study,16S rRNA sequencing was used to determine the bacterial communities in a pork farm.We also assessed the effectiveness of NaDCC disinfection by analyzing microbial diversity.The results revealed that the predominant genera in pork skin samples and environmental samples were Staphylococcus and Acinetobacter,respectively.Escherichia coli and Strep-tococcus equinus were present in all the samples,suggesting that NaDCC is not fully effective in preventing zoonotic pathogen contamination.The Chao1 and Shannon indices for sow skins increased after disinfection.No significant differences were observed in the microbiological composition of sow barn samples before and after disinfection(p>0.1).Additionally,bacterial abundance in sow skin was strongly correlated with abundance on pen floors(r=0.906,p<0.05),indicating potential cross-contamination between these sample types.Conversely,the bacterial abun-dance in the floor samples was weakly correlated with that in the other samples,suggesting that NaDCC is effective as a decontaminant.This study provides valuable insights into microbial contamination on pork farms and under-scores the importance of proper disinfection practices.This study also offers scientific recommendations for improv-ing disinfection protocols.
基金supported by the National Natural Science Foundation of China(No.52300005)China Postdoctoral Science Foundation(No.2023TQ0098)+5 种基金Heilongjiang Postdoctoral Fund(No.LBH-Z23175)Heilongjiang Touyan Innovation Team Program(No.HIT-SE-01)the Crossover Fund of Medical Engineering Science of Harbin Institute of Technology(No.IR2021107)the National Natural Science Foundation of International(Regional)Cooperation and Exchange Project(No.51961125104)the State Key Laboratory of Urban Water Resource and Environment(Harbin Institute of Technology)(No.2022TS15)the Ecological and Environmental Protection Research Project of Heilongjiang Province(No.HST2022ST006).
文摘Halogenated aromatic disinfection byproducts(DBPs)are gradually receiving attention due to their high detection frequency and usually higher toxicity than regulated DBPs.In this study,we established a solid phase extraction(SPE)-LC-MS/MS method to simultaneously trace analyze 59 halogenated aromatic DBPs.The limits of detection and limits of quantification of halogenated aromatic DBPs ranged from 0.03 to 135.23 ng/L and from 0.1 to 450.76 ng/L,respectively.The range of recoveries and relative standard deviation(RSD)in river water were between 72.41%to 119.54%and 1.86%to 16.03%,respectively.Therefore,this method can be used to accurately analyze trace levels of halogenated aromatic DBPs in drinking water.The occurrence and transformation of halogenated aromatic DBPs were explored based on this method.In the chlorinated simulated source water and chlorinated river water,20 and 45 halogenated aromatic DBPs were determined,respectively.The active halogen species(HOCl,HOBr,and HOI)first reacted with natural organic matter(NOM)to form halogenated aromatic DBPs.Then,chlorine further reacted with the halogenated aromatic DBPs to convert them into small-molecule halogenated aliphatic DBPs through oxidation,electrophilic substitution,and hydrolysis reaction,etc.In the chlorinated simulated source water,chlorinated river water,and tap water,the toxicity contribution of bromoacetic acids(Br-HAAs)accounted for themajority(>71.16%).Given that halogenated aromatic DBPs are intermediate products of halogenated aliphatic DBPs,controlling the formation of halogenated aromatic DBPs is beneficial in decreasing the formation of halogenated aliphatic DBPs,thereby diminishing the toxicity of drinking water.
文摘BACKGROUND The application of perioperative disinfection and isolation measures to patients undergoing gastrointestinal surgery with postoperative infection can provide a data reference for reducing the postoperative infection rate,improving post-operative biochemical markers,and enhancing postoperative recovery outcomes.AIM To explore the effectiveness of perioperative disinfection and isolation measures in controlling postoperative infection following gastrointestinal surgery.It also sought to compare infection rates and biochemical markers between the obser-vation and control groups and evaluate the impact of disinfection and isolation measures on reducing postoperative complications.METHODS A retrospective analysis was conducted.Ninety-six patients who underwent gastrointestinal surgery between January 2022 and December 2023 were selected and divided into an observation group and a control group,with 48 cases in each.The observation group received disinfection and isolation measures during the perioperative period,whereas the control group received standard nursing care.The incidence of infection,white blood cell count,C-reactive protein levels,hemoglobin levels,and liver function markers(alanine aminotransferase,aspartate aminotransferase,creatinine,and blood urea nitrogen)were monitored postoperatively in both groups.RESULTS The postoperative infection rate in the observation group was significantly lower than that in the control group(P<0.05).White blood cell and C-reactive protein levels decreased significantly after surgery in the observation group and were significantly lower than those in the control group(P<0.05).Alanine aminotransferase,aspartate aminotransferase,creatinine,and blood urea nitrogen levels in the observation group were lower than those in the control group on postoperative days 1 and 3,showing a significant difference(P<0.05).CONCLUSION Perioperative disinfection and isolation measures effectively reduce postoperative infection rates in gastrointestinal surgery patients and improve biochemical markers,thereby enhancing recovery outcomes.This study provides a valuable basis for postoperative infection control and has significant clinical applications.
文摘This editorial critically evaluated the recent study by Wang et al,which systematically investigated the efficacy of perioperative disinfection and isolation measures(including preoperative povidone-iodine disinfection,intraoperative sterile barrier techniques,and postoperative intensive care)in reducing infection rates.The study further incorporated the surgical site infection risk prediction model(constructed via the least absolute shrinkage and selection operator al-gorithm,integrating patients'baseline characteristics,surgical indicators,and regional antibiotic-resistant bacterial data),and proposed a dynamic prevention and control system termed“disinfection protocols-predictive models–real-time monitoring”.The article highlighted that preoperative risk stratification,intraoperative personalized antibiotic selection,and postoperative multidimensional monitoring(encompassing inflammatory biomarkers,imaging,and microbiological testing)enabled the precise identification of high-risk patients and optimized intervention thresholds.Future research is deemed necessary to validate the synergistic effects of disinfection protocols and predictive models through large-scale multicenter studies,combined with advanced intraoperative rapid microbial detection technologies.This approach aims to establish standardized infection control protocols tailored for precision medicine and regional adaptability.Future research should prioritize validating the synergistic effects of disinfection protocols and predictive models via multi-center studies,while incorporating advanced rapid intraoperative microbial detection technologies to develop standardized infection prevention and control procedures.Such efforts will enhance the implementation of precise and regionally adaptive infection control strategies.
文摘Objective:To study the effectiveness of the PDCA cycle model in the nursing management of the disinfection supply room.Method:From March 2022 to February 2024,the hospital adopted the PDCA cycle model to manage the related work of the disinfection supply room.In this study,40 nursing staff were selected as the research subjects.Sixty-five sets of data generated during the implementation of the PDCA model were selected,and 65 sets of similar data before the implementation were also selected.The relevant data information was compared and evaluated to understand the changes in work before and after the implementation of the PDCA cycle model management.Meanwhile,twenty departments in the hospital were selected to investigate the satisfaction before and after the implementation of the PDCA cycle model management.Result:After the implementation of the PDCA cycle model,the completion rates of various tasks were improved,and there was a significant difference compared with those before the implementation(P<0.05).The work quality of each working link has also been improved since the implementation.Compared with that before the implementation of the PDCA cycle model,there are significant changes(P<0.05).It can be learned from the comparison of satisfaction among various departments that the satisfaction of departments has improved after the implementation of PDCA,and there is a significant difference compared with that before the implementation(P<0.05).Conclusion:The application of the PDCA cycle model in the nursing management of the disinfection supply room can effectively improve the working conditions of the disinfection supply room and provide a basic guarantee for hospital treatment.Therefore,the PDCA cycle management model can be actively adopted in the actual work management.
基金supported by the National Major Project of Science & Technology Ministry of China (No. 2008ZX07314-003,2009ZX07424-003)the National HiTech Research and Development Program (863) of China (No. 2008AA062501,2008AA06A414)
文摘Several disinfection processes of ultraviolet （UV）, chlorine or UV followed by chlorine were investigated in municipal wastewater according to the inactivation of Escherichia coli, Shigella dysenteriae and toxicity formation. The UV inactivation of the tested pathogenic bacteria was not affected by the quality of water. It was found that the inactivated bacteria were obviously reactivated after one day in dark. Fluorescent light irradiation increased the bacteria repair. The increase of UV dosage could cause more damage to bacteria to inhibit bacteria self-repair. No photoreactivation was detected when the UV dose was up to 80 mJ/cm2 for E. coli DH5ct, and 23 mJ/cm2 for S. dysenteriae. Nevertheless, sequential use of 8 mJ/cm2 of UV and low concentration of chlorine （1.5 mg/L） could effectively inhibit the photoreactivation and inactivate E. coli below the detection limits within seven days. Compared to chlorination alone, the sequential disinfection decreased the genotoxicity of treated wastewater, especially for the sample with high NH3-N concentration.
文摘The concentration of suspended solids of effluent often varies in a wide range, therefore the dose of ultraviolet light （UV） in disinfection process needs to be adjusted to meet the disinfection criterion at a high frequency, and the desired disinfection effect is difficult to be ensured. The particles size and particle-associated fecal coliform （F.C.） contribution, and their influence on UV disinfection were investigated when ClO2 and UV combined disinfection process was used. The results showed that suspended solids content had a major impact on UV disinfection efficiency, especially the large particle size fraction. Particles （D〉10μm） associated F. C. were difficult to be disinfected and were the main part of the railings of F.C. inactivation curve. Pre-ClO2 oxidation could reduce the number of particles in effluent, and make large particles decrease to small ones. Therefore, the influence of particles on UV disinfection could be reduced after pre-ClO2 oxidation, and the resistance ability to particle loadings of combined process was enhanced. Moreover, the combined process has a lot of advantages, such as low toxicity, low operational/maintenance costs; it is also convenient to be established in the existing wastewater plant or the new planned one.
