Q21 家里有病毒性肝炎患者可以使用84消毒液消毒吗?
不同病原体对消毒剂的抵抗力不同。①煮沸消毒方式对于各型肝炎病原体均有效。②HAV或HEV属于亲水型病毒,推荐使用含氯消毒剂,比如:84消毒液等。③HBV、HCV或HDV属于亲脂型病毒,其对消毒剂的抵抗力低于亲水型病毒,含氯消毒剂仍然有效,还可以使用消毒能力稍弱且刺激性较低的其他消毒剂,比如:季铵盐消毒剂或医用乙醇等。
对于病毒性肝炎患者家庭消毒时,一般采用消毒剂喷雾、表面擦拭、浸泡、煮沸以及消毒剂覆盖搅拌等方法,如:患者的排泄物、分泌物可用漂白粉(固体消毒剂接触面积更大,效果更好)覆盖混匀消毒;患者使用过的餐具或饮具推荐煮沸消毒(15分钟以上)或消毒剂浸泡消毒(30分钟以上,根据消毒剂的使用说明适当调整);一般患者接触过的台面用消毒剂擦拭消毒或者喷雾消毒即可。
(陈恺韵 施阳 潘启超)
参考文献
[1] Organization W H. Prevention and control of viral hepatitis infection: framework for global action[J]. World Health Organization, 2012.
[2] Tei S, Kitajima N, Takahashi K, et al. Zoonotic transmission of hepatitis E virus from deer to human beings[J]. Lancet, 2003, 362:371-373.
[3] Boxall E, Herborn A, Kochethu G, et al. Transfusion-transmitted hepatitis E in a ‘nonhyperendemic’ country[J]. Transfusion Medicine, 2010, 16(2):79-83.
[4] Matsubayashi K, Kang J H, Sakata H, et al. A case of transfusion-transmitted hepatitis E caused by blood from a donor infected with hepatitis E virus via zoonotic food-borne route[J]. Transfusion, 2008, 48(7):1368-1375.
[5] WHO. Hepatitis A [EB/OL]. (2016-07)[2017-04] http://www.who.int/mediacentre/factsheets/fs328/en/.
[6] WHO. Hepatitis E [EB/OL]. (2016-07)[2017-04] http://www.who.int/mediacentre/factsheets/fs280/zh/.(https://www.daowen.com)
[7] 中华医学会肝病学分会. 慢性乙型肝炎防治指南(2015年版)[J]. 中国肝脏病杂志:电子版, 2015, 19(3):1-18.
[8] WHO. Hepatitis C [EB/OL].(2016-07)[2017-04] http://www.who.int/mediacentre/factsheets/fs164/en/.
[9] Organization W H. Guidelines for the screening, care and treatment of persons with hepatitis C infection[J]. World Health Organization, 2014(172):343-346.
[10] Organization W H. WHO guidelines for the prevention, care and treatment of persons with chronic hepatitis B infection[J]. World Health Organization, 2015.
[11] Zhang H W, Yin J H, Li Y T, et al. Risk factors for acute hepatitis B and its progression to chronic hepatitis in Shanghai, China[J]. Gut, 2008, 57(12):1713-1720.
[12] WHO. Hepatitis B [EB/OL]. (2016-07)[2017-04] http://www.who.int/mediacentre/factsheets/fs204/en/.
[13] Centers for Disease Control and Prevention. When someone close to you has chronic hepatitis B [EB/OL]. (2016-07)[2017-04]https://www.cdc.gov/hepatitis/HBV/PDFs/Hep BWhen Someone Close. pdf.
[14] 中华医学会肝病学分会. 丙型肝炎防治指南(2015年版)[J]. 中国肝脏病杂志电子版,2015(3):19-35.