{"id":9674,"date":"2026-04-07T18:15:17","date_gmt":"2026-04-07T18:15:17","guid":{"rendered":"https:\/\/sepro.vn\/?p=9674"},"modified":"2026-04-07T18:15:17","modified_gmt":"2026-04-07T18:15:17","slug":"nhung-sai-lam-pho-bien-ve-quat","status":"publish","type":"post","link":"https:\/\/sepro.vn\/vi\/nhung-sai-lam-pho-bien-ve-quat\/","title":{"rendered":"Nh\u1eefng Sai L\u1ea7m Ph\u1ed5 Bi\u1ebfn V\u1ec1 QUAT Trong Ph\u00f2ng S\u1ea1ch GMP \u2014 V\u00e0 V\u00ec Sao Nhi\u1ec1u Nh\u00e0 M\u00e1y D\u01b0\u1ee3c V\u1eabn L\u1eb7p L\u1ea1i"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Theo <strong><a href=\"https:\/\/sepro.vn\/\">Sepro<\/a><\/strong> bi\u1ebft trong th\u1ef1c t\u1ebf v\u1eadn h\u00e0nh, nhi\u1ec1u c\u01a1 s\u1edf s\u1ea3n xu\u1ea5t d\u01b0\u1ee3c ph\u1ea9m s\u1eed d\u1ee5ng h\u1ee3p ch\u1ea5t amoni b\u1eadc b\u1ed1n (QUAT) nh\u01b0 m\u1ed9t th\u00e0nh ph\u1ea7n ch\u00ednh trong ch\u01b0\u01a1ng tr\u00ecnh kh\u1eed khu\u1ea9n ph\u00f2ng s\u1ea1ch, do c\u00e1c \u01b0u \u0111i\u1ec3m nh\u01b0 chi ph\u00ed th\u1ea5p, t\u00e1c d\u1ee5ng nhanh v\u00e0 m\u1ee9c \u0111\u1ed9 \u0103n m\u00f2n th\u1ea5p.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Tuy nhi\u00ean, vi\u1ec7c ph\u1ee5 thu\u1ed9c v\u00e0o QUAT m\u00e0 kh\u00f4ng ki\u1ec3m so\u00e1t \u0111\u1ea7y \u0111\u1ee7 c\u00e1c y\u1ebfu t\u1ed1 li\u00ean quan c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn nh\u1eefng kho\u1ea3ng tr\u1ed1ng trong ki\u1ec3m so\u00e1t nhi\u1ec5m. C\u00e1c v\u1ea5n \u0111\u1ec1 th\u01b0\u1eddng g\u1eb7p bao g\u1ed3m t\u00edch l\u0169y d\u01b0 l\u01b0\u1ee3ng tr\u00ean b\u1ec1 m\u1eb7t, hi\u1ec7u qu\u1ea3 h\u1ea1n ch\u1ebf \u0111\u1ed1i v\u1edbi biofilm, v\u00e0 ch\u01b0\u01a1ng tr\u00ecnh th\u1ea9m \u0111\u1ecbnh (validation) ch\u01b0a bao qu\u00e1t \u0111\u1ea7y \u0111\u1ee7 c\u00e1c \u0111i\u1ec1u ki\u1ec7n th\u1ef1c t\u1ebf.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Nh\u1eefng y\u1ebfu t\u1ed1 n\u00e0y c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m hi\u1ec7u qu\u1ea3 kh\u1eed khu\u1ea9n, g\u00f3p ph\u1ea7n l\u00e0m t\u0103ng nguy c\u01a1 th\u00edch nghi c\u1ee7a vi sinh v\u1eadt, \u00f4 nhi\u1ec5m s\u1ea3n ph\u1ea9m, ho\u1eb7c \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng l\u00f4 s\u1ea3n xu\u1ea5t.<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><strong><a href=\"https:\/\/sepro.vn\/vi\/nhung-sai-lam-pho-bien-ve-quat\/\">B\u00e0i vi\u1ebft n\u00e0y<\/a><\/strong> s\u1ebd ch\u1ec9 ra 5 sai l\u1ea7m ph\u1ed5 bi\u1ebfn v\u1ec1 QUAT m\u00e0 b\u1ea1n c\u00f3 th\u1ec3 \u0111ang m\u1eafc ph\u1ea3i m\u00e0 kh\u00f4ng bi\u1ebft, c\u00f9ng v\u1edbi c\u00e1ch \u0111\u1ec3 tr\u00e1nh ch\u00fang.<\/span><\/p>\n<h2><b>L\u1ee3i \u00cdch C\u1ee7a QUAT V\u00e0 Gi\u1edbi H\u1ea1n Th\u1ef1c T\u1ebf<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Tr\u01b0\u1edbc khi ph\u00e2n t\u00edch c\u00e1c sai s\u00f3t, c\u1ea7n hi\u1ec3u c\u01a1 ch\u1ebf ho\u1ea1t \u0111\u1ed9ng h\u00f3a ch\u1ea5t kh\u1eed khu\u1ea9n n\u00e0y. QUAT (h\u1ee3p ch\u1ea5t amoni b\u1eadc b\u1ed1n) l\u00e0 m\u1ed9t t\u00e1c nh\u00e2n kh\u1eed khu\u1ea9n kh\u00f4ng oxy h\u00f3a, ho\u1ea1t \u0111\u1ed9ng th\u00f4ng qua t\u01b0\u01a1ng t\u00e1c t\u0129nh \u0111i\u1ec7n. Ph\u00e2n t\u1eed QUAT mang \u0111i\u1ec7n t\u00edch d\u01b0\u01a1ng b\u1ecb h\u00fat v\u00e0o m\u00e0ng t\u1ebf b\u00e0o vi khu\u1ea9n (mang \u0111i\u1ec7n t\u00edch \u00e2m), x\u00e2m nh\u1eadp v\u00e0o l\u1edbp lipid bilayer, ph\u00e1 v\u1ee1 c\u1ea5u tr\u00fac v\u00e0 g\u00e2y r\u00f2 r\u1ec9 n\u1ed9i b\u00e0o.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">QUAT c\u00f3 hi\u1ec7u qu\u1ea3 cao \u0111\u1ed1i v\u1edbi vi khu\u1ea9n t\u1ef1 do, v\u1edbi th\u1eddi gian t\u00e1c \u0111\u1ed9ng nhanh (5\u201310 ph\u00fat), chi ph\u00ed th\u1ea5p, \u00edt \u0103n m\u00f2n v\u00e0 m\u1ee9c k\u00edch \u1ee9ng t\u01b0\u01a1ng \u0111\u1ed1i th\u1ea5p. Nh\u01b0ng gi\u1edbi h\u1ea1n c\u1ee7a n\u00f3 c\u0169ng r\u1ea5t l\u1edbn: k\u00e9m hi\u1ec7u qu\u1ea3 tr\u00ean biofilm (nh\u1eefng c\u1ed9ng \u0111\u1ed3ng vi khu\u1ea9n b\u00e1m d\u00ednh c\u00f3 l\u1edbp ma tr\u1eadn b\u1ea3o v\u1ec7), d\u1ec5 b\u1ecb t\u01b0\u01a1ng t\u00e1c v\u1edbi ch\u1ea5t b\u1ea9n m\u00f4i tr\u01b0\u1eddng, c\u00f3 th\u1ec3 g\u00e2y kh\u00e1ng ch\u00e9o \u1edf n\u1ed3ng \u0111\u1ed9 th\u1ea5p.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Vi\u1ec7c nh\u1eadn di\u1ec7n r\u00f5 c\u00e1c gi\u1edbi h\u1ea1n n\u00e0y l\u00e0 c\u01a1 s\u1edf \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 v\u00e0 t\u1ed1i \u01b0u ch\u01b0\u01a1ng tr\u00ecnh kh\u1eed khu\u1ea9n trong ph\u00f2ng s\u1ea1ch GMP.<\/span><\/p>\n<h2><b>Gi\u1edbi H\u1ea1n C\u1ee7a Test In Vitro So V\u1edbi \u0110i\u1ec1u Ki\u1ec7n Ph\u00f2ng S\u1ea1ch Th\u1ef1c T\u1ebf<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Test In Vitro l\u00e0 g\u00ec? \u0110\u00f3 l\u00e0 c\u00e1c \u0111\u00e1nh gi\u00e1 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n trong m\u00f4i tr\u01b0\u1eddng ph\u00f2ng th\u00ed nghi\u1ec7m, trong \u1ed1ng nghi\u1ec7m ho\u1eb7c petri dish, v\u1edbi c\u00e1c \u0111i\u1ec1u ki\u1ec7n \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t v\u00e0 \u0111\u01a1n gi\u1ea3n h\u00f3a. N\u00f3 kh\u00e1c ho\u00e0n to\u00e0n v\u1edbi test &#8220;in vivo&#8221; (tr\u00ean c\u01a1 th\u1ec3 s\u1ed1ng) hay &#8220;in situ&#8221; (trong m\u00f4i tr\u01b0\u1eddng th\u1ef1c t\u1ebf).<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Trong c\u00e1c th\u1eed nghi\u1ec7m in vitro, QUAT th\u01b0\u1eddng cho th\u1ea5y hi\u1ec7u qu\u1ea3 di\u1ec7t khu\u1ea9n cao. Tuy nhi\u00ean, khi \u00e1p d\u1ee5ng trong ph\u00f2ng s\u1ea1ch, hi\u1ec7u qu\u1ea3 c\u00f3 th\u1ec3 kh\u00f4ng \u0111\u1ea1t t\u01b0\u01a1ng \u0111\u01b0\u01a1ng do s\u1ef1 kh\u00e1c bi\u1ec7t v\u1ec1 tr\u1ea1ng th\u00e1i t\u1ed3n t\u1ea1i c\u1ee7a vi sinh v\u1eadt.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">L\u00fd do ch\u00ednh n\u1eb1m \u1edf c\u00e1ch vi sinh v\u1eadt t\u1ed3n t\u1ea1i trong hai m\u00f4i tr\u01b0\u1eddng kh\u00e1c nhau. Trong ph\u00f2ng th\u00ed nghi\u1ec7m, vi sinh v\u1eadt \u0111\u01b0\u1ee3c test \u1edf tr\u1ea1ng th\u00e1i &#8220;t\u1ef1 do l\u01a1 l\u1eedng&#8221; trong dung d\u1ecbch, d\u1ec5 ti\u1ebfp x\u00fac v\u1edbi QUAT, d\u1ec5 b\u1ecb ti\u00eau di\u1ec7t. Nh\u01b0ng trong ph\u00f2ng s\u1ea1ch th\u1ef1c t\u1ebf, vi sinh v\u1eadt t\u1ed3n t\u1ea1i d\u01b0\u1edbi d\u1ea1ng biofilm (nh\u1eefng c\u1ed9ng \u0111\u1ed3ng b\u00e1m d\u00ednh tr\u00ean b\u1ec1 m\u1eb7t v\u1edbi l\u1edbp ma tr\u1eadn b\u1ea3o v\u1ec7). Hi\u1ec7u qu\u1ea3 c\u1ee7a QUAT tr\u00ean biofilm gi\u1ea3m t\u1edbi 50-80% so v\u1edbi tr\u1ea1ng th\u00e1i t\u1ef1 do.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Th\u00eam v\u00e0o \u0111\u00f3, d\u1eef li\u1ec7u t\u1eeb ph\u00f2ng th\u00ed nghi\u1ec7m (in vitro) kh\u00e1c ho\u00e0n to\u00e0n v\u1edbi d\u1eef li\u1ec7u t\u1eeb \u0111i\u1ec1u ki\u1ec7n d\u00f9ng th\u1ef1c t\u1ebf (in use). M\u1ed9t b\u00e0i nghi\u00ean c\u1ee9u t\u1eeb PubMed ch\u1ec9 ra &#8220;relatively few studies have been conducted to assess their efficacy in practice&#8221; \u2014 h\u1ea7u h\u1ebft \u0111\u00e1nh gi\u00e1 QUAT d\u1ef1a tr\u00ean ph\u00f2ng th\u00ed nghi\u1ec7m, trong khi d\u1eef li\u1ec7u th\u1ef1c t\u1ebf t\u1eeb ph\u00f2ng s\u1ea1ch c\u00f2n \u00edt h\u01a1n r\u1ea5t nhi\u1ec1u.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Do \u0111\u00f3, d\u1eef li\u1ec7u in vitro th\u01b0\u1eddng \u0111\u00e1nh gi\u00e1 hi\u1ec7u qu\u1ea3 kh\u1eed khu\u1ea9n trong \u0111i\u1ec1u ki\u1ec7n t\u1ed1i \u01b0u v\u00e0 c\u00f3 xu h\u01b0\u1edbng cao h\u01a1n so v\u1edbi th\u1ef1c t\u1ebf v\u1eadn h\u00e0nh. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn vi\u1ec7c \u0111\u00e1nh gi\u00e1 qu\u00e1 m\u1ee9c hi\u1ec7u qu\u1ea3 c\u1ee7a QUAT n\u1ebfu kh\u00f4ng xem x\u00e9t \u0111\u1ea7y \u0111\u1ee7 c\u00e1c y\u1ebfu t\u1ed1 th\u1ef1c t\u1ebf trong ph\u00f2ng s\u1ea1ch. Cho th\u1ea5y kho\u1ea3ng c\u00e1ch \u0111\u00e1ng k\u1ec3 gi\u1eefa d\u1eef li\u1ec7u ph\u00f2ng th\u00ed nghi\u1ec7m v\u00e0 hi\u1ec7u qu\u1ea3 th\u1ef1c t\u1ebf.<\/span><\/p>\n<table>\n<tbody>\n<tr>\n<td><b>\u0110i\u1ec1u Ki\u1ec7n<\/b><\/td>\n<td><b>Test In Vitro (Ph\u00f2ng Th\u00ed Nghi\u1ec7m)<\/b><\/td>\n<td><b>Ph\u00f2ng S\u1ea1ch Th\u1ef1c T\u1ebf<\/b><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Tr\u1ea1ng th\u00e1i vi sinh<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Vi khu\u1ea9n t\u1ef1 do l\u01a1 l\u1eedng<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Vi khu\u1ea9n b\u00e1m d\u00ednh biofilm<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Ti\u1ebfp x\u00fac v\u1edbi QUAT<\/span><\/td>\n<td><span style=\"font-weight: 400;\">100% tr\u1ef1c ti\u1ebfp<\/span><\/td>\n<td><span style=\"font-weight: 400;\">20-50% (ma tr\u1eadn EPS c\u1ea3n tr\u1edf)<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Hi\u1ec7u qu\u1ea3 di\u1ec7t khu\u1ea9n<\/span><\/td>\n<td><span style=\"font-weight: 400;\">99%+<\/span><\/td>\n<td><span style=\"font-weight: 400;\">20-50%<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">D\u01b0 l\u01b0\u1ee3ng<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Kh\u00f4ng ki\u1ec3m so\u00e1t, t\u00edch l\u0169y<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Bi\u1ebfn s\u1ed1 m\u00f4i tr\u01b0\u1eddng<\/span><\/td>\n<td><span style=\"font-weight: 400;\">\u00cdt (n\u01b0\u1edbc tinh khi\u1ebft, pH ki\u1ec3m so\u00e1t)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Nhi\u1ec1u (n\u01b0\u1edbc c\u1ee9ng, ch\u1ea5t b\u00e9o)<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Th\u1eddi gian<\/span><\/td>\n<td><span style=\"font-weight: 400;\">V\u00e0i ph\u00fat \u0111\u1ebfn gi\u1edd<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Tu\u1ea7n sang th\u00e1ng<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">K\u1ebft qu\u1ea3 th\u1ef1c t\u1ebf<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Hi\u1ec7u qu\u1ea3 cao tr\u00ean gi\u1ea5y<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Hi\u1ec7u qu\u1ea3 th\u1ea5p khi \u00e1p d\u1ee5ng<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2><b>\u0110i\u1ec3m Kh\u00e1c Bi\u1ec7t Gi\u1eefa QUAT, PAA V\u00e0 H2O2<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">\u0110\u1ec3 t\u1ed1i \u01b0u h\u00f3a chi\u1ebfn l\u01b0\u1ee3c kh\u1eed khu\u1ea9n, c\u1ea7n hi\u1ec3u r\u00f5 s\u1ef1 kh\u00e1c bi\u1ec7t v\u1ec1 c\u01a1 ch\u1ebf t\u00e1c \u0111\u1ed9ng, ph\u1ed5 di\u1ec7t khu\u1ea9n v\u00e0 gi\u1edbi h\u1ea1n s\u1eed d\u1ee5ng c\u1ee7a ba h\u00f3a ch\u1ea5t ch\u1ee7 l\u1ef1c trong ph\u00f2ng s\u1ea1ch GMP.<\/span><\/p>\n<table>\n<tbody>\n<tr>\n<td><b>Ti\u00eau Ch\u00ed<\/b><\/td>\n<td><b>QUAT khi d\u00f9ng tr\u00ean vi khu\u1ea9n t\u1ef1 do l\u01a1 l\u1eedng<\/b><\/td>\n<td><b>QUAT khi d\u00f9ng tr\u00ean biofilm b\u00e1m d\u00ednh<\/b><\/td>\n<td><b>PAA k\u1ebft h\u1ee3p H2O2<\/b><\/td>\n<td><b>IPA 70%<\/b><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Hi\u1ec7u qu\u1ea3<\/span><\/td>\n<td><span style=\"font-weight: 400;\">\u226599.99% (4\u20136 log)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">~90\u201399.9% (1\u20133 log)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">\u226599.999% (\u22656 log)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">~99\u201399.9%<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Th\u1eddi gian ti\u1ebfp x\u00fac<\/span><\/td>\n<td><span style=\"font-weight: 400;\">5-10 ph\u00fat<\/span><\/td>\n<td><span style=\"font-weight: 400;\">15-20 ph\u00fat<\/span><\/td>\n<td><span style=\"font-weight: 400;\">10-15 ph\u00fat<\/span><\/td>\n<td><span style=\"font-weight: 400;\">5-10 ph\u00fat<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">N\u1ed3ng \u0111\u1ed9 s\u1eed d\u1ee5ng<\/span><\/td>\n<td><span style=\"font-weight: 400;\">0.5-1%<\/span><\/td>\n<td><span style=\"font-weight: 400;\">0.5-1%<\/span><\/td>\n<td><span style=\"font-weight: 400;\">0.2-0.35% c\u1ed9ng 25%<\/span><\/td>\n<td><span style=\"font-weight: 400;\">70%<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">G\u00e2y \u0103n m\u00f2n v\u1eadt li\u1ec7u<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Kh\u00f4ng<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Kh\u00f4ng<\/span><\/td>\n<td><span style=\"font-weight: 400;\">C\u00f3<\/span><\/td>\n<td><span style=\"font-weight: 400;\">C\u00f3 (nh\u00f4m)<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">D\u01b0 l\u01b0\u1ee3ng<\/span><\/td>\n<td><span style=\"font-weight: 400;\">C\u00f3 (c\u1ea7n r\u1eeda k\u1ef9)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">C\u00f3 (c\u1ea7n r\u1eeda k\u1ef9)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Kh\u00f4ng<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Kh\u00f4ng<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">\u1ee8ng d\u1ee5ng Grade<\/span><\/td>\n<td><span style=\"font-weight: 400;\">C\/D<\/span><\/td>\n<td><span style=\"font-weight: 400;\">C\/D<\/span><\/td>\n<td><span style=\"font-weight: 400;\">A\/B<\/span><\/td>\n<td><span style=\"font-weight: 400;\">A\/B (thi\u1ebft b\u1ecb)<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><span style=\"font-weight: 400;\">QUAT c\u00f3 hi\u1ec7u qu\u1ea3 cao tr\u00ean vi khu\u1ea9n t\u1ef1 do (th\u01b0\u1eddng \u0111\u1ea1t \u22654\u20136 log reduction, t\u01b0\u01a1ng \u0111\u01b0\u01a1ng \u226599.99%). Tuy nhi\u00ean, hi\u1ec7u qu\u1ea3 gi\u1ea3m \u0111\u00e1ng k\u1ec3 trong \u0111i\u1ec1u ki\u1ec7n biofilm do h\u1ea1n ch\u1ebf khu\u1ebfch t\u00e1n v\u00e0 b\u1ea3o v\u1ec7 t\u1eeb ma tr\u1eadn EPS, v\u1edbi m\u1ee9c gi\u1ea3m th\u01b0\u1eddng ch\u1ec9 kho\u1ea3ng 1\u20133 log (\u224890\u201399.9%), th\u1ea5p h\u01a1n r\u00f5 r\u1ec7t so v\u1edbi tr\u1ea1ng th\u00e1i planktonic.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Ng\u01b0\u1ee3c l\u1ea1i, c\u00e1c h\u1ec7 oxy h\u00f3a m\u1ea1nh nh\u01b0 peracetic acid (PAA) k\u1ebft h\u1ee3p hydrogen peroxide (H\u2082O\u2082) (v\u00ed d\u1ee5 nh\u01b0 c\u00f4ng s\u1ea3n ph\u1ea9m t\u1eeb STERIS Spor-Klenz, Contec PeridoxRTU, Veltek DECON-SPORE, Ecolab Disinfectant Plus, ho\u1eb7c c\u00e1c formulation PAA c\u1ee7a Noxilizer) duy tr\u00ec hi\u1ec7u qu\u1ea3 cao tr\u00ean c\u1ea3 vi khu\u1ea9n t\u1ef1 do v\u00e0 biofilm, v\u1edbi kh\u1ea3 n\u0103ng \u0111\u1ea1t \u22656 log reduction trong \u0111i\u1ec1u ki\u1ec7n s\u1eed d\u1ee5ng ph\u00f9 h\u1ee3p.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">IPA 70% c\u00f3 t\u1ed1c \u0111\u1ed9 t\u00e1c \u0111\u1ed9ng nhanh v\u00e0 hi\u1ec7u qu\u1ea3 t\u1ed1t tr\u00ean vi khu\u1ea9n t\u1ef1 do (\u22483\u20135 log), nh\u01b0ng kh\u00f4ng hi\u1ec7u qu\u1ea3 \u0111\u1ed1i v\u1edbi b\u00e0o t\u1eed v\u00e0 h\u1ea1n ch\u1ebf \u0111\u00e1ng k\u1ec3 trong \u0111i\u1ec1u ki\u1ec7n biofilm.<\/span><\/p>\n<h2><b>5 Sai L\u1ea7m Ch\u00ednh Khi S\u1eed D\u1ee5ng V\u00e0 \u0110\u00e1nh Gi\u00e1 QUAT<\/b><\/h2>\n<figure id=\"attachment_9675\" aria-describedby=\"caption-attachment-9675\" style=\"width: 600px\" class=\"wp-caption aligncenter\"><img fetchpriority=\"high\" decoding=\"async\" class=\"size-full wp-image-9675\" src=\"https:\/\/sepro.vn\/wp-content\/uploads\/2026\/04\/2-1.png\" alt=\"sai-lam-pho-bien-ve-quat-khi-su-dung-va-danh-gia\" width=\"600\" height=\"600\" srcset=\"https:\/\/sepro.vn\/wp-content\/uploads\/2026\/04\/2-1.png 600w, https:\/\/sepro.vn\/wp-content\/uploads\/2026\/04\/2-1-300x300.png 300w, https:\/\/sepro.vn\/wp-content\/uploads\/2026\/04\/2-1-150x150.png 150w, https:\/\/sepro.vn\/wp-content\/uploads\/2026\/04\/2-1-100x100.png 100w\" sizes=\"(max-width: 600px) 100vw, 600px\" \/><figcaption id=\"caption-attachment-9675\" class=\"wp-caption-text\"><em>Sai L\u1ea7m Ch\u00ednh Khi S\u1eed D\u1ee5ng V\u00e0 \u0110\u00e1nh Gi\u00e1 QUAT<\/em><\/figcaption><\/figure>\n<h3><b>Sai L\u1ea7m Th\u1ee9 Nh\u1ea5t: Ch\u1ec9 Ki\u1ec3m Tra Tr\u00ean Vi Khu\u1ea9n T\u1ef1 Do, B\u1ecf Qua Nh\u1eefng C\u1ed9ng \u0110\u1ed3ng Vi Sinh B\u00e1m D\u00ednh<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">QUAT c\u00f3 hi\u1ec7u qu\u1ea3 cao tr\u00ean vi khu\u1ea9n \u1edf tr\u1ea1ng th\u00e1i t\u1ef1 do (planktonic), th\u01b0\u1eddng \u0111\u1ea1t \u22654\u20136 log reduction trong \u0111i\u1ec1u ki\u1ec7n th\u1eed nghi\u1ec7m. Tuy nhi\u00ean, hi\u1ec7u qu\u1ea3 gi\u1ea3m \u0111\u00e1ng k\u1ec3 \u0111\u1ed1i v\u1edbi biofilm tr\u01b0\u1edfng th\u00e0nh do s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a ma tr\u1eadn ngo\u1ea1i b\u00e0o (EPS), l\u00e0m h\u1ea1n ch\u1ebf kh\u1ea3 n\u0103ng th\u00e2m nh\u1eadp c\u1ee7a h\u00f3a ch\u1ea5t. Trong \u0111i\u1ec1u ki\u1ec7n n\u00e0y, hi\u1ec7u qu\u1ea3 th\u01b0\u1eddng ch\u1ec9 \u0111\u1ea1t kho\u1ea3ng 1\u20133 log reduction.<\/span><\/p>\n<h4><strong>H\u1ec7 qu\u1ea3<\/strong><\/h4>\n<p><span style=\"font-weight: 400;\">Vi\u1ec7c ch\u1ec9 d\u1ef1a v\u00e0o d\u1eef li\u1ec7u in vitro (planktonic) c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn \u0111\u00e1nh gi\u00e1 qu\u00e1 m\u1ee9c hi\u1ec7u qu\u1ea3 c\u1ee7a QUAT, trong khi vi sinh v\u1eadt b\u00e1m d\u00ednh v\u1eabn t\u1ed3n t\u1ea1i trong m\u00f4i tr\u01b0\u1eddng ph\u00f2ng s\u1ea1ch.<\/span><\/p>\n<h4><strong>L\u01b0u \u00fd quan tr\u1ecdng<\/strong><\/h4>\n<p><span style=\"font-weight: 400;\">Vi\u1ec7c gi\u1ea3m s\u1ed1 l\u01b0\u1ee3ng vi khu\u1ea9n trong biofilm kh\u00f4ng \u0111\u1ed3ng ngh\u0129a v\u1edbi vi\u1ec7c lo\u1ea1i b\u1ecf biofilm kh\u1ecfi b\u1ec1 m\u1eb7t. Theo US EPA, nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p \u0111\u00e1nh gi\u00e1 kh\u00f4ng \u0111o l\u01b0\u1eddng kh\u1ea3 n\u0103ng lo\u1ea1i b\u1ecf c\u1ea5u tr\u00fac biofilm. N\u1ebfu biofilm v\u1eabn t\u1ed3n t\u1ea1i, vi sinh v\u1eadt c\u00f3 th\u1ec3 ph\u1ee5c h\u1ed3i v\u00e0 t\u00e1i ph\u00e1t tri\u1ec3n.<\/span><\/p>\n<h4><strong>Gi\u1ea3i ph\u00e1p<\/strong><\/h4>\n<p><span style=\"font-weight: 400;\">Th\u1ef1c hi\u1ec7n \u0111\u00e1nh gi\u00e1 hi\u1ec7u qu\u1ea3 kh\u1eed khu\u1ea9n tr\u00ean biofilm theo c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ho\u1eb7c ti\u00eau chu\u1ea9n ph\u00f9 h\u1ee3p, thay v\u00ec ch\u1ec9 d\u1ef1a tr\u00ean th\u1eed nghi\u1ec7m planktonic.<\/span><\/p>\n<p><i><span style=\"font-weight: 400;\">Xem th\u00eam t\u1ea1i <\/span><\/i><strong><a href=\"https:\/\/sepro.vn\/vi\/tac-dong-cua-quat-tren-biofilm-va-vi-sinh\/\"><i>T\u00e1c \u0110\u1ed9ng C\u1ee7a QUAT Tr\u00ean Biofilm V\u00e0 Vi Sinh<\/i><\/a><\/strong><i><span style=\"font-weight: 400;\"> \u0111\u1ec3 hi\u1ec3u r\u00f5 c\u01a1 ch\u1ebf.<\/span><\/i><\/p>\n<h3><b>Sai L\u1ea7m Th\u1ee9 Hai: B\u1ecf Qua Nh\u1eefng T\u00e1c \u0110\u1ed9ng T\u1eeb M\u00f4i Tr\u01b0\u1eddng Xung Quanh<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Hi\u1ec7u qu\u1ea3 c\u1ee7a QUAT c\u00f3 th\u1ec3 b\u1ecb \u1ea3nh h\u01b0\u1edfng \u0111\u00e1ng k\u1ec3 b\u1edfi c\u00e1c y\u1ebfu t\u1ed1 m\u00f4i tr\u01b0\u1eddng:<\/span><\/p>\n<blockquote>\n<ul>\n<li><b>N\u01b0\u1edbc c\u1ee9ng (Ca\u00b2\u207a, Mg\u00b2\u207a):<\/b><span style=\"font-weight: 400;\"> c\u00f3 th\u1ec3 g\u00e2y t\u01b0\u01a1ng t\u00e1c v\u00e0 l\u00e0m gi\u1ea3m ho\u1ea1t t\u00ednh c\u1ee7a QUAT<\/span><\/li>\n<li><b>T\u1ea1p ch\u1ea5t h\u1eefu c\u01a1 (lipid, protein):<\/b><span style=\"font-weight: 400;\"> ti\u00eau hao ho\u1ea1t ch\u1ea5t th\u00f4ng qua t\u01b0\u01a1ng t\u00e1c h\u00f3a h\u1ecdc, l\u00e0m gi\u1ea3m l\u01b0\u1ee3ng QUAT s\u1eb5n s\u00e0ng t\u00e1c \u0111\u1ed9ng l\u00ean vi sinh v\u1eadt<\/span><\/li>\n<li><b>Ch\u1ea5t ho\u1ea1t \u0111\u1ed9ng b\u1ec1 m\u1eb7t anionic:<\/b><span style=\"font-weight: 400;\"> c\u00f3 th\u1ec3 b\u1ea5t ho\u1ea1t QUAT do t\u01b0\u01a1ng t\u00e1c \u0111i\u1ec7n t\u00edch<\/span><\/li>\n<li><b>V\u1eadt li\u1ec7u lau (cellulose-based):<\/b><span style=\"font-weight: 400;\"> c\u00f3 th\u1ec3 h\u1ea5p ph\u1ee5 QUAT, l\u00e0m gi\u1ea3m n\u1ed3ng \u0111\u1ed9 ti\u1ebfp x\u00fac th\u1ef1c t\u1ebf<\/span><\/li>\n<\/ul>\n<\/blockquote>\n<p><b>V\u00ed d\u1ee5 th\u1ef1c t\u1ebf<\/b><b><br \/>\n<\/b><span style=\"font-weight: 400;\">Dung d\u1ecbch QUAT \u0111\u01b0\u1ee3c pha theo t\u1ef7 l\u1ec7 danh \u0111\u1ecbnh, nh\u01b0ng khi s\u1eed d\u1ee5ng v\u1edbi n\u01b0\u1edbc kh\u00f4ng ki\u1ec3m so\u00e1t ho\u1eb7c tr\u00ean b\u1ec1 m\u1eb7t ch\u01b0a \u0111\u01b0\u1ee3c l\u00e0m s\u1ea1ch, n\u1ed3ng \u0111\u1ed9 ho\u1ea1t t\u00ednh t\u1ea1i b\u1ec1 m\u1eb7t c\u00f3 th\u1ec3 th\u1ea5p h\u01a1n \u0111\u00e1ng k\u1ec3 so v\u1edbi t\u00ednh to\u00e1n.<\/span><\/p>\n<p><b>H\u1ec7 qu\u1ea3<\/b><b><br \/>\n<\/b><span style=\"font-weight: 400;\"> N\u1ed3ng \u0111\u1ed9 s\u1eed d\u1ee5ng th\u1ef1c t\u1ebf kh\u00f4ng \u0111\u1ea1t m\u1ee9c hi\u1ec7u qu\u1ea3, d\u1eabn \u0111\u1ebfn gi\u1ea3m hi\u1ec7u qu\u1ea3 kh\u1eed khu\u1ea9n d\u00f9 quy tr\u00ecnh pha ch\u1ebf \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u00fang tr\u00ean l\u00fd thuy\u1ebft.<\/span><\/p>\n<p><b>Gi\u1ea3i ph\u00e1p<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">S\u1eed d\u1ee5ng n\u01b0\u1edbc \u0111\u1ea1t ti\u00eau chu\u1ea9n (v\u00ed d\u1ee5 Purified Water ho\u1eb7c WFI) \u0111\u1ec3 pha ch\u1ebf<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Th\u1ef1c hi\u1ec7n l\u00e0m s\u1ea1ch c\u01a1 h\u1ecdc tr\u01b0\u1edbc khi kh\u1eed khu\u1ea9n \u0111\u1ec3 lo\u1ea1i b\u1ecf t\u1ea3i b\u1ea9n h\u1eefu c\u01a1<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ki\u1ec3m tra n\u1ed3ng \u0111\u1ed9 QUAT t\u1ea1i \u0111i\u1ec3m s\u1eed d\u1ee5ng b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p ph\u00f9 h\u1ee3p, thay v\u00ec ch\u1ec9 d\u1ef1a tr\u00ean t\u1ef7 l\u1ec7 pha lo\u00e3ng\u00a0<\/span><\/li>\n<\/ul>\n<h3><b>Sai L\u1ea7m Th\u1ee9 Ba: D\u01b0 L\u01b0\u1ee3ng QUAT T\u00edch L\u0169y T\u1ea1o Nh\u1eefng V\u00f9ng N\u1ed3ng \u0111\u1ed9 Th\u1ea5p K\u00edch Th\u00edch Vi Sinh<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">D\u01b0 l\u01b0\u1ee3ng QUAT tr\u00ean b\u1ec1 m\u1eb7t c\u00f3 th\u1ec3 t\u1ea1o ra c\u00e1c v\u00f9ng n\u1ed3ng \u0111\u1ed9 kh\u00f4ng \u0111\u1ed3ng nh\u1ea5t (concentration gradient). Khi kh\u00f4ng \u0111\u01b0\u1ee3c lo\u1ea1i b\u1ecf sau s\u1eed d\u1ee5ng, QUAT c\u00f3 th\u1ec3 t\u1ed3n t\u1ea1i \u1edf m\u1ee9c d\u01b0\u1edbi ng\u01b0\u1ee1ng \u1ee9c ch\u1ebf (sub-inhibitory), kh\u00f4ng \u0111\u1ee7 \u0111\u1ec3 ti\u00eau di\u1ec7t vi sinh v\u1eadt.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Trong \u0111i\u1ec1u ki\u1ec7n n\u00e0y, vi sinh v\u1eadt c\u00f3 th\u1ec3 t\u0103ng bi\u1ec3u hi\u1ec7n c\u00e1c c\u01a1 ch\u1ebf th\u00edch nghi, bao g\u1ed3m efflux pump, v\u00e0 t\u0103ng kh\u1ea3 n\u0103ng h\u00ecnh th\u00e0nh biofilm. C\u00e1c y\u1ebfu t\u1ed1 n\u00e0y l\u00e0m gi\u1ea3m hi\u1ec7u qu\u1ea3 kh\u1eed khu\u1ea9n trong c\u00e1c l\u1ea7n s\u1eed d\u1ee5ng ti\u1ebfp theo.<\/span><\/p>\n<p><b>V\u00ed d\u1ee5 th\u1ef1c t\u1ebf<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Vi\u1ec7c s\u1eed d\u1ee5ng QUAT l\u1eb7p l\u1ea1i m\u00e0 kh\u00f4ng lo\u1ea1i b\u1ecf d\u01b0 l\u01b0\u1ee3ng c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u00edch l\u0169y tr\u00ean b\u1ec1 m\u1eb7t, t\u1ea1o \u0111i\u1ec1u ki\u1ec7n cho biofilm ph\u00e1t tri\u1ec3n v\u00e0 l\u00e0m t\u0103ng s\u1ed1 l\u01b0\u1ee3ng vi sinh theo th\u1eddi gian.<\/span><\/p>\n<p><b>H\u1ec7 qu\u1ea3<\/b><b><br \/>\n<\/b><span style=\"font-weight: 400;\"> Gi\u1ea3m hi\u1ec7u qu\u1ea3 kh\u1eed khu\u1ea9n v\u00e0 c\u00f3 th\u1ec3 l\u00e0m t\u0103ng kh\u1ea3 n\u0103ng th\u00edch nghi c\u1ee7a vi sinh v\u1eadt, trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p li\u00ean quan \u0111\u1ebfn hi\u1ec7n t\u01b0\u1ee3ng gi\u1ea3m nh\u1ea1y v\u1edbi c\u00e1c t\u00e1c nh\u00e2n kh\u00e1c.<\/span><\/p>\n<p><b>Gi\u1ea3i ph\u00e1p<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Lo\u1ea1i b\u1ecf d\u01b0 l\u01b0\u1ee3ng sau khi \u0111\u1ea1t th\u1eddi gian ti\u1ebfp x\u00fac b\u1eb1ng n\u01b0\u1edbc ph\u00f9 h\u1ee3p (v\u00ed d\u1ee5 WFI ho\u1eb7c Purified Water)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ki\u1ec3m so\u00e1t t\u1ed3n d\u01b0 h\u00f3a ch\u1ea5t b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p gi\u00e1m s\u00e1t ph\u00f9 h\u1ee3p (v\u00ed d\u1ee5 swab ho\u1eb7c ph\u01b0\u01a1ng ph\u00e1p \u0111\u1ecbnh l\u01b0\u1ee3ng)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">K\u1ebft h\u1ee3p lu\u00e2n phi\u00ean h\u00f3a ch\u1ea5t \u0111\u1ec3 gi\u1ea3m \u00e1p l\u1ef1c ch\u1ecdn l\u1ecdc tr\u00ean vi sinh v\u1eadt<\/span><\/li>\n<\/ul>\n<p><i><span style=\"font-weight: 400;\">Xem th\u00eam t\u1ea1i <\/span><\/i><a href=\"https:\/\/sepro.vn\/quaternary-ammonium-vo-trung-trong-nganh-duoc-pham\/\"><i><span style=\"font-weight: 400;\">QUATERNARY AMMONIUM nh\u01b0 nh\u1eefng l\u00e1 ch\u1eafn an to\u00e0n b\u1ea3o v\u1ec7 m\u00f4i tr\u01b0\u1eddng v\u00f4 tr\u00f9ng<\/span><\/i><\/a><i><span style=\"font-weight: 400;\"> \u0111\u1ec3 hi\u1ec3u \u0111\u00fang ph\u1ea1m vi \u00e1p d\u1ee5ng v\u00e0 tr\u00e1nh d\u01b0 l\u01b0\u1ee3ng.<\/span><\/i><\/p>\n<h3><b>Sai L\u1ea7m Th\u1ee9 T\u01b0: Kh\u00f4ng Ki\u1ec3m Tra \u0110\u1ee7 K\u1ef9 Tr\u01b0\u1edbc Khi Tri\u1ec3n Khai Validation Kh\u00f4ng Ho\u00e0n Ch\u1ec9nh<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Nhi\u1ec1u c\u01a1 s\u1edf ch\u1ec9 d\u1ef1a v\u00e0o th\u1eed nghi\u1ec7m in vitro m\u00e0 kh\u00f4ng \u0111\u00e1nh gi\u00e1 tr\u00ean b\u1ec1 m\u1eb7t th\u1ef1c t\u1ebf trong ph\u00f2ng s\u1ea1ch. \u0110\u1ed3ng th\u1eddi, qu\u00e1 tr\u00ecnh validation th\u01b0\u1eddng ch\u01b0a bao qu\u00e1t \u0111\u1ea7y \u0111\u1ee7 c\u00e1c giai \u0111o\u1ea1n IQ, OQ v\u00e0 PQ, c\u0169ng nh\u01b0 ch\u01b0a ki\u1ec3m so\u00e1t \u0111\u1ea7y \u0111\u1ee7 y\u1ebfu t\u1ed1 thao t\u00e1c c\u1ee7a nh\u00e2n s\u1ef1, bao g\u1ed3m k\u1ef9 thu\u1eadt lau v\u00e0 m\u1ee9c \u0111\u1ed9 tu\u00e2n th\u1ee7 SOP.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">H\u1ec7 qu\u1ea3 l\u00e0 d\u1eef li\u1ec7u ph\u00f2ng th\u00ed nghi\u1ec7m cho th\u1ea5y hi\u1ec7u qu\u1ea3 di\u1ec7t khu\u1ea9n cao, nh\u01b0ng k\u1ebft qu\u1ea3 gi\u00e1m s\u00e1t m\u00f4i tr\u01b0\u1eddng trong v\u1eadn h\u00e0nh th\u1ef1c t\u1ebf kh\u00f4ng c\u1ea3i thi\u1ec7n t\u01b0\u01a1ng \u1ee9ng, g\u00e2y kh\u00f3 kh\u0103n trong vi\u1ec7c x\u00e1c \u0111\u1ecbnh nguy\u00ean nh\u00e2n sai l\u1ec7ch.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">M\u1ed9t thi\u1ebfu s\u00f3t th\u01b0\u1eddng g\u1eb7p trong validation l\u00e0 kh\u00f4ng x\u00e1c nh\u1eadn hi\u1ec7u l\u1ef1c c\u1ee7a ch\u1ea5t trung h\u00f2a (neutralizer). N\u1ebfu QUAT kh\u00f4ng \u0111\u01b0\u1ee3c trung h\u00f2a ngay sau khi k\u1ebft th\u00fac th\u1eddi gian ti\u1ebfp x\u00fac, h\u00f3a ch\u1ea5t c\u00f3 th\u1ec3 ti\u1ebfp t\u1ee5c t\u00e1c \u0111\u1ed9ng trong qu\u00e1 tr\u00ecnh th\u1eed nghi\u1ec7m v\u00e0 l\u00e0m sai l\u1ec7ch k\u1ebft qu\u1ea3 theo h\u01b0\u1edbng cao gi\u1ea3.<\/span><\/p>\n<p><b>Gi\u1ea3i ph\u00e1p<\/b><b><br \/>\n<\/b><span style=\"font-weight: 400;\"> Th\u1ef1c hi\u1ec7n \u0111\u00e1nh gi\u00e1 tr\u00ean b\u1ec1 m\u1eb7t th\u1ef1c t\u1ebf trong \u0111i\u1ec1u ki\u1ec7n s\u1eed d\u1ee5ng, x\u00e2y d\u1ef1ng ch\u01b0\u01a1ng tr\u00ecnh validation \u0111\u1ea7y \u0111\u1ee7 theo IQ\/OQ\/PQ, x\u00e1c nh\u1eadn hi\u1ec7u l\u1ef1c neutralizer, v\u00e0 \u0111\u00e1nh gi\u00e1 \u0111\u1ecbnh k\u1ef3 thao t\u00e1c c\u1ee7a nh\u00e2n s\u1ef1 \u0111\u1ec3 b\u1ea3o \u0111\u1ea3m t\u00ednh ph\u00f9 h\u1ee3p c\u1ee7a quy tr\u00ecnh trong m\u00f4i tr\u01b0\u1eddng ph\u00f2ng s\u1ea1ch GMP.<\/span><\/p>\n<h3><b>Sai L\u1ea7m Th\u1ee9 N\u0103m: D\u00f9ng QUAT Cho M\u1ecdi Khu V\u1ef1c B\u1ecf Qua C\u00e1c Ti\u00eau Chu\u1ea9n Grade C\u1ee7a Ph\u00f2ng S\u1ea1ch<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">QUAT kh\u00f4ng ph\u1ea3i l\u00e0 t\u00e1c nh\u00e2n di\u1ec7t b\u00e0o t\u1eed (sporicidal). Tuy nhi\u00ean, trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, QUAT \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng cho t\u1ea5t c\u1ea3 c\u00e1c khu v\u1ef1c ph\u00f2ng s\u1ea1ch, bao g\u1ed3m c\u1ea3 Grade A\/B, n\u01a1i y\u00eau c\u1ea7u ki\u1ec3m so\u00e1t b\u00e0o t\u1eed nghi\u00eam ng\u1eb7t.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">B\u00e0o t\u1eed vi khu\u1ea9n (v\u00ed d\u1ee5 <\/span><i><span style=\"font-weight: 400;\">Bacillus<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">Clostridium<\/span><\/i><span style=\"font-weight: 400;\">) c\u00f3 c\u1ea5u tr\u00fac b\u1ea3o v\u1ec7 \u0111\u1eb7c bi\u1ec7t, l\u00e0m gi\u1ea3m hi\u1ec7u qu\u1ea3 c\u1ee7a QUAT. Vi\u1ec7c s\u1eed d\u1ee5ng QUAT \u0111\u01a1n l\u1ebb trong c\u00e1c khu v\u1ef1c quan tr\u1ecdng c\u00f3 th\u1ec3 kh\u00f4ng ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c c\u00e1c d\u1ea1ng vi sinh n\u00e0y.<\/span><\/p>\n<p><b>H\u1ec7 qu\u1ea3<\/b><b><br \/>\n<\/b><span style=\"font-weight: 400;\"> B\u00e0o t\u1eed c\u00f3 th\u1ec3 t\u1ed3n t\u1ea1i v\u00e0 ph\u00e1t tri\u1ec3n, l\u00e0m t\u0103ng nguy c\u01a1 \u00f4 nhi\u1ec5m trong m\u00f4i tr\u01b0\u1eddng s\u1ea3n xu\u1ea5t v\u00e0 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng s\u1ea3n ph\u1ea9m.<\/span><\/p>\n<p><b>Y\u00eau c\u1ea7u v\u00e0 gi\u1ea3i ph\u00e1p<\/b><b><br \/>\n<\/b><span style=\"font-weight: 400;\"> Theo h\u01b0\u1edbng d\u1eabn GMP, c\u00e1c khu v\u1ef1c Grade A\/B c\u1ea7n s\u1eed d\u1ee5ng t\u00e1c nh\u00e2n c\u00f3 ho\u1ea1t t\u00ednh di\u1ec7t b\u00e0o t\u1eed trong ch\u01b0\u01a1ng tr\u00ecnh kh\u1eed khu\u1ea9n (v\u00ed d\u1ee5 peracetic acid k\u1ebft h\u1ee3p hydrogen peroxide ho\u1eb7c hydrogen peroxide \u1edf n\u1ed3ng \u0111\u1ed9 ph\u00f9 h\u1ee3p).<\/span><\/p>\n<p><span style=\"font-weight: 400;\">QUAT n\u00ean \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng cho c\u00e1c khu v\u1ef1c \u00edt quan tr\u1ecdng h\u01a1n (Grade C\/D) ho\u1eb7c trong c\u00e1c b\u01b0\u1edbc v\u1ec7 sinh duy tr\u00ec, k\u1ebft h\u1ee3p v\u1edbi ch\u01b0\u01a1ng tr\u00ecnh lu\u00e2n phi\u00ean h\u00f3a ch\u1ea5t \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o hi\u1ec7u qu\u1ea3 ki\u1ec3m so\u00e1t vi sinh.<\/span><\/p>\n<h2><b>C\u00e1ch \u00c1p D\u1ee5ng QUAT Trong Th\u1ef1c T\u1ebf \u2014 5 B\u01b0\u1edbc Kh\u00f4ng B\u1ecf S\u00f3t<\/b><\/h2>\n<h3><b>B\u01b0\u1edbc 1: Ch\u1ecdn S\u1ea3n Ph\u1ea9m \u0110\u00fang V\u00e0 Pha Lo\u00e3ng \u0110\u00fang T\u1ef7 L\u1ec7<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">D\u00f9ng n\u01b0\u1edbc WFI (kh\u00f4ng n\u01b0\u1edbc c\u1ee9ng). Pha QUAT theo khuy\u1ebfn ngh\u1ecb ch\u00ednh x\u00e1c (v\u00ed d\u1ee5 QT QUAT 1:256). Test n\u1ed3ng \u0111\u1ed9 th\u1ef1c t\u1ebf b\u1eb1ng test kit (kh\u00f4ng ch\u1ec9 d\u1ef1a v\u00e0o t\u1ef7 l\u1ec7 pha lo\u00e3ng).<\/span><\/p>\n<p><i><span style=\"font-weight: 400;\">Xem th\u00eam t\u1ea1i <\/span><\/i><strong><a href=\"https:\/\/sepro.vn\/product\/qt-quaternary-ammonium\/\"><i>DUNG D\u1ecaCH QT QUAT<\/i><\/a><\/strong><i><span style=\"font-weight: 400;\"> \u0111\u1ec3 ch\u1ecdn s\u1ea3n ph\u1ea9m pha s\u1eb5n, kh\u00f4ng sai t\u1ef7 l\u1ec7.<\/span><\/i><\/p>\n<h3><b>B\u01b0\u1edbc 2: L\u00e0m S\u1ea1ch B\u1ec1 M\u1eb7t Tr\u01b0\u1edbc Khi Kh\u1eed Tr\u00f9ng<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Lo\u1ea1i b\u1ecf ch\u1ea5t b\u00e9o, b\u1ee5i, protein b\u1eb1ng n\u01b0\u1edbc WFI c\u1ed9ng c\u00e2y qu\u00e9t. N\u1ebfu kh\u00f4ng s\u1ea1ch tr\u01b0\u1edbc, QUAT b\u1ecb &#8220;ti\u00eau hao&#8221; b\u1edfi t\u1ea1p ch\u1ea5t, n\u1ed3ng \u0111\u1ed9 th\u1ef1c t\u1ebf gi\u1ea3m.<\/span><\/p>\n<p><i><span style=\"font-weight: 400;\">Xem th\u00eam t\u1ea1i <\/span><\/i><strong><a href=\"https:\/\/sepro.vn\/o-nhiem-phong-sach-la-gi-6-nguon-ban-hay-bi-bo-sot\/\"><i>\u00d4 Nhi\u1ec5m Ph\u00f2ng S\u1ea1ch L\u00e0 G\u00ec: 6 Ngu\u1ed3n B\u1ea9n Hay B\u1ecb B\u1ecf S\u00f3t<\/i><\/a><\/strong><i><span style=\"font-weight: 400;\"> \u0111\u1ec3 nh\u1eadn di\u1ec7n ngu\u1ed3n b\u1ea9n hay b\u1ecb b\u1ecf s\u00f3t.<\/span><\/i><\/p>\n<h3><b>B\u01b0\u1edbc 3: Tu\u00e2n Th\u1ee7 \u0110\u00fang Th\u1eddi Gian Ti\u1ebfp X\u00fac V\u00e0 R\u1eeda S\u1ea1ch D\u01b0 L\u01b0\u1ee3ng<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Contact time: 15-20 ph\u00fat (\u0111\u1ea7y \u0111\u1ee7), kh\u00f4ng v\u1ed9i v\u00e0ng. R\u1eeda b\u1eb1ng n\u01b0\u1edbc WFI \u0111\u1ec3 lo\u1ea1i d\u01b0 l\u01b0\u1ee3ng QUAT (kh\u00f4ng v\u01b0\u1ee3t qu\u00e1 1-2 microgram\/cm2). D\u00f9ng ATP test ho\u1eb7c swab \u0111\u1ec3 ki\u1ec3m tra d\u01b0 l\u01b0\u1ee3ng.<\/span><\/p>\n<h3><b>B\u01b0\u1edbc 4: Lu\u00e2n Phi\u00ean H\u00f3a Ch\u1ea5t \u0110\u1ec3 Tr\u00e1nh Kh\u00e1ng Thu\u1ed1c<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Kh\u00f4ng d\u00f9ng QUAT h\u00e0ng ng\u00e0y (g\u00e2y d\u01b0 l\u01b0\u1ee3ng c\u1ed9ng ch\u1ecdn l\u1ecdc kh\u00e1ng). QUAT 1-2 l\u1ea7n\/tu\u1ea7n c\u1ed9ng PAA\/H2O2 (STERIS, Contec, Veltek, Ecolab) 1-2 l\u1ea7n\/tu\u1ea7n: ki\u1ec3m so\u00e1t bi\u1ebfn th\u1ec3 c\u1ed9ng an to\u00e0n.<\/span><\/p>\n<p><i><span style=\"font-weight: 400;\">Xem th\u00eam t\u1ea1i <\/span><\/i><strong><a href=\"https:\/\/sepro.vn\/vi\/hoa-chat-khu-khuan-phong-sach-theo-gmp-eu\/\"><i>H\u00f3a Ch\u1ea5t Kh\u1eed Khu\u1ea9n Ph\u00f2ng S\u1ea1ch Theo GMP EU<\/i><\/a><\/strong><i><span style=\"font-weight: 400;\"> \u0111\u1ec3 x\u00e2y d\u1ef1ng chi\u1ebfn l\u01b0\u1ee3c lu\u00e2n phi\u00ean \u0111\u00fang.<\/span><\/i><\/p>\n<h3><b>B\u01b0\u1edbc 5: Ki\u1ec3m Tra Biofilm V\u00e0 Vi Sinh V\u1eadt \u0110\u1ecbnh K\u1ef3<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Test surface biofilm (ISO 5-8) kh\u00f4ng ch\u1ec9 planktonic test. Monitor environmental (EM) vi sinh \u0111\u1ecbnh k\u1ef3. N\u1ebfu vi sinh t\u0103ng \u0111\u1ed9t ng\u1ed9t, \u0111i\u1ec1u ch\u1ec9nh n\u01b0\u1edbc lau, SOP, ho\u1eb7c thay h\u00f3a ch\u1ea5t.<\/span><\/p>\n<p><i><span style=\"font-weight: 400;\">Xem th\u00eam t\u1ea1i <\/span><\/i><strong><a href=\"https:\/\/sepro.vn\/dos-donts-phong-sach-gmp-eu-annex-1\/\"><i>Dos And Don&#8217;ts Trong Ph\u00f2ng S\u1ea1ch: H\u01b0\u1edbng D\u1eabn Chu\u1ea9n GMP<\/i><\/a><\/strong><i><span style=\"font-weight: 400;\"> \u0111\u1ec3 tr\u00e1nh sai s\u00f3t con ng\u01b0\u1eddi.<\/span><\/i><\/p>\n<h2><b>3 \u00dd Ki\u1ebfn G\u00e2y Tranh C\u00e3i V\u1ec1 QUAT<\/b><\/h2>\n<figure id=\"attachment_9677\" aria-describedby=\"caption-attachment-9677\" style=\"width: 600px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" class=\"size-full wp-image-9677\" src=\"https:\/\/sepro.vn\/wp-content\/uploads\/2026\/04\/3-1.png\" alt=\"y-kien-gay-tranh-cai-ve-quat\" width=\"600\" height=\"600\" srcset=\"https:\/\/sepro.vn\/wp-content\/uploads\/2026\/04\/3-1.png 600w, https:\/\/sepro.vn\/wp-content\/uploads\/2026\/04\/3-1-300x300.png 300w, https:\/\/sepro.vn\/wp-content\/uploads\/2026\/04\/3-1-150x150.png 150w, https:\/\/sepro.vn\/wp-content\/uploads\/2026\/04\/3-1-100x100.png 100w\" sizes=\"(max-width: 600px) 100vw, 600px\" \/><figcaption id=\"caption-attachment-9677\" class=\"wp-caption-text\"><em>\u00dd Ki\u1ebfn G\u00e2y Tranh C\u00e3i V\u1ec1 Quat<\/em><\/figcaption><\/figure>\n<h3><b>Tranh C\u00e3i Th\u1ee9 Nh\u1ea5t: QUAT G\u00e2y K\u00edch \u1ee8ng V\u00e0 D\u1ecb \u1ee8ng Cho Nh\u00e2n Vi\u00ean, C\u00f3 Nguy Hi\u1ec3m D\u00e0i H\u1ea1n Kh\u00f4ng?<\/b><\/h3>\n<h4><strong>Quan \u0110i\u1ec3m T\u1eeb C\u1ed9ng \u0110\u1ed3ng Nghi\u00ean C\u1ee9u Vi Sinh:<\/strong><\/h4>\n<p><span style=\"font-weight: 400;\">C\u00e1c nghi\u00ean c\u1ee9u cho th\u1ea5y QUAT c\u00f3 th\u1ec3 g\u00e2y k\u00edch \u1ee9ng da, m\u1eaft, h\u00f4 h\u1ea5p \u1edf n\u1ed3ng \u0111\u1ed9 cao (tr\u00ean 1%). M\u1ed9t s\u1ed1 nh\u00e2n vi\u00ean g\u1eb7p ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng (hi\u1ebfm g\u1eb7p nh\u01b0ng c\u00f3). Nguy c\u01a1 kh\u00e1ng thu\u1ed1c \u1edf ph\u00f2ng s\u1ea1ch d\u00e0i h\u1ea1n n\u1ebfu d\u01b0 l\u01b0\u1ee3ng QUAT t\u00edch l\u0169y, efflux pump \u0111\u01b0\u1ee3c k\u00edch ho\u1ea1t, vi sinh kh\u00e1ng c\u1ea3 kh\u00e1ng sinh.<\/span><\/p>\n<h4><strong>Quan \u0110i\u1ec3m T\u1eeb Ng\u00e0nh C\u00f4ng Nghi\u1ec7p:<\/strong><\/h4>\n<p><span style=\"font-weight: 400;\">M\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u t\u1eeb nh\u00e0 cung c\u1ea5p QUAT cho r\u1eb1ng n\u1ed3ng \u0111\u1ed9 khuy\u1ebfn c\u00e1o (0.5-1%) l\u00e0 an to\u00e0n cho nh\u00e2n vi\u00ean n\u1ebfu tu\u00e2n th\u1ee7 SOP. Kh\u00f4ng th\u1ea5y t\u0103ng kh\u00e1ng sau expose d\u00e0i h\u1ea1n (tr\u00ean 5 n\u0103m) n\u1ebfu kh\u00f4ng d\u01b0 l\u01b0\u1ee3ng QUAT.<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><strong>V\u1ea5n \u0110\u1ec1<\/strong>: D\u1eef li\u1ec7u t\u1eeb nh\u00e0 m\u00e1y d\u01b0\u1ee3c Vi\u1ec7t Nam th\u1ef1c t\u1ebf \u00edt \u0111\u01b0\u1ee3c c\u00f4ng b\u1ed1. Ch\u01b0a c\u00f3 protocol GMP Vi\u1ec7t Nam c\u1ee5 th\u1ec3 \u0111\u1ec3 test QUAT tr\u00ean biofilm \u0111a lo\u00e0i \u1edf ph\u00f2ng s\u1ea1ch Grade A-C.<\/span><\/p>\n<h3><b>Tranh C\u00e3i Th\u1ee9 Hai: QUAT Versus PAA\/H2O2 Thay Th\u1ebf Hay K\u1ebft H\u1ee3p?<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Quan \u0110i\u1ec3m \u1ee6ng H\u1ed9 QUAT:<\/span><\/p>\n<p><span style=\"font-weight: 400;\">QUAT r\u1ebb h\u01a1n 2-3 l\u1ea7n so v\u1edbi PAA\/H2O2 (nh\u01b0 STERIS Spor-Klenz, Contec PeridoxRTU, Veltek DECON-SPORE). \u00cdt g\u00e2y \u0103n m\u00f2n. D\u1ec5 s\u1eed d\u1ee5ng, \u00edt \u0111\u1ed9c t\u00ednh.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Quan \u0110i\u1ec3m \u1ee6ng H\u1ed9 Thay Th\u1ebf (PAA\/H2O2):<\/span><\/p>\n<p><span style=\"font-weight: 400;\">PAA\/H2O2 m\u1ea1nh h\u01a1n QUAT 50-80% tr\u00ean biofilm. Kh\u00f4ng \u0111\u1ec3 l\u1ea1i d\u01b0 l\u01b0\u1ee3ng \u0111\u1ed9c h\u1ea1i (ph\u00e2n h\u1ee7y th\u00e0nh ch\u1ea5t kh\u00f4ng \u0111\u1ed9c). Gi\u1ea3m r\u1ee7i ro kh\u00e1ng ch\u00e9o n\u1ebfu d\u00f9ng k\u1ebft h\u1ee3p.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Th\u1ef1c T\u1ebf: Thay th\u1ebf ho\u00e0n to\u00e0n QUAT b\u1eb1ng PAA\/H2O2 qu\u00e1 \u0111\u1eaft v\u00e0 kh\u00f3 tri\u1ec3n khai \u1edf Grade C\/D. K\u1ebft h\u1ee3p QUAT c\u1ed9ng PAA\/H2O2 (lu\u00e2n phi\u00ean) l\u00e0 gi\u1ea3i ph\u00e1p th\u1ef1c t\u1ebf nh\u1ea5t t\u1ed1i \u01b0u chi ph\u00ed c\u1ed9ng hi\u1ec7u qu\u1ea3 c\u1ed9ng an to\u00e0n.<\/span><\/p>\n<h3><b>Tranh C\u00e3i Th\u1ee9 Ba: QUAT V\u1eabn D\u00f9ng R\u1ed9ng D\u00f9 Lo Ng\u1ea1i TSCA Pre-1976<\/b><\/h3>\n<p><span style=\"font-weight: 400;\"><strong>V\u1ea5n \u0110\u1ec1:<\/strong> M\u1ed9t s\u1ed1 QUAT \u0111\u01b0\u1ee3c ph\u00ea duy\u1ec7t tr\u01b0\u1edbc n\u0103m 1976 theo TSCA (Lu\u1eadt Ki\u1ec3m So\u00e1t Ch\u1ea5t \u0110\u1ed9c M\u1ef9). EPA y\u00eau c\u1ea7u ki\u1ec3m tra l\u1ea1i nh\u01b0ng qu\u00e1 tr\u00ecnh ch\u1eadm. Ch\u01b0a c\u00f3 c\u1ea5m ho\u00e0n to\u00e0n.<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><strong>Quan \u0110i\u1ec3m:<\/strong> \u1ede Vi\u1ec7t Nam ch\u01b0a c\u00f3 quy \u0111\u1ecbnh c\u1ee5 th\u1ec3, nh\u00e0 m\u00e1y v\u1eabn d\u00f9ng QUAT b\u00ecnh th\u01b0\u1eddng. \u1ede EU m\u1ed9t s\u1ed1 QUAT b\u1ecb gi\u1edbi h\u1ea1n, xu h\u01b0\u1edbng chuy\u1ec3n sang PAA\/H2O2 ho\u1eb7c QUAT th\u1ebf h\u1ec7 m\u1edbi (pH trung t\u00ednh, kh\u00f4ng corrosive).<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><strong>Gi\u1ea3i ph\u00e1p An To\u00e0n:<\/strong> Ch\u1ecdn QUAT th\u1ebf h\u1ec7 th\u1ee9 5 (c\u00f4ng th\u1ee9c c\u1ea3i ti\u1ebfn) ho\u1eb7c lu\u00e2n phi\u00ean v\u1edbi PAA\/H2O2 (v\u00ed d\u1ee5 Ecolab Disinfectant Plus, Noxilizer PAA solutions).<\/span><\/p>\n<h2><b>T\u1ea1i Sao QUAT K\u1ebft H\u1ee3p PAA\/H2O2 M\u1edbi L\u00e0 Gi\u1ea3i Ph\u00e1p An To\u00e0n Cho Nh\u00e0 M\u00e1y D\u01b0\u1ee3c?<\/b><\/h2>\n<h3><b>L\u00fd Do Th\u1ee9 Nh\u1ea5t: Ki\u1ec3m So\u00e1t Bi\u1ebfn Th\u1ec3 Vi Sinh V\u00e0 Kh\u00e1ng Ch\u00e9o<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">QUAT \u0111\u01a1n l\u1ebb t\u1ea5n c\u00f4ng vi sinh v\u1eadt b\u1eb1ng 1 c\u01a1 ch\u1ebf (t\u01b0\u01a1ng t\u00e1c t\u0129nh \u0111i\u1ec7n), d\u1ec5 t\u1ea1o kh\u00e1ng. QUAT c\u1ed9ng PAA\/H2O2 (nh\u01b0 c\u00e1c s\u1ea3n ph\u1ea9m t\u1eeb STERIS, Veltek, Contec) t\u1ea5n c\u00f4ng b\u1eb1ng 2-3 c\u01a1 ch\u1ebf kh\u00e1c nhau, vi sinh kh\u00f3 ph\u00e1t tri\u1ec3n kh\u00e1ng c\u00f9ng l\u00fac v\u1edbi nhi\u1ec1u mechanisms. X\u00e1c su\u1ea5t kh\u00e1ng ch\u00e9o gi\u1ea3m t\u1eeb 30-50% xu\u1ed1ng d\u01b0\u1edbi 5%.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">V\u00ed d\u1ee5: N\u1ebfu vi sinh kh\u00e1ng QUAT (b\u1eb1ng efflux pump), PAA s\u1ebd t\u1ea5n c\u00f4ng b\u1eb1ng oxy h\u00f3a, vi sinh ch\u1ebft. Vi sinh kh\u00f4ng th\u1ec3 &#8220;c\u00f9ng l\u00fac&#8221; kh\u00e1ng c\u1ea3 t\u01b0\u01a1ng t\u00e1c t\u0129nh \u0111i\u1ec7n l\u1eabn oxy h\u00f3a.<\/span><\/p>\n<h3><b>L\u00fd Do Th\u1ee9 Hai: Qu\u1ea3n L\u00fd D\u01b0 L\u01b0\u1ee3ng V\u00e0 Nh\u1eefng V\u00f9ng N\u1ed3ng \u0111\u1ed9 Th\u1ea5p<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">QUAT \u0111\u01a1n l\u1ebb d\u1eabn \u0111\u1ebfn d\u01b0 l\u01b0\u1ee3ng, gradient, k\u00edch th\u00edch biofilm. QUAT c\u1ed9ng PAA\/H2O2: PAA\/H2O2 kh\u00f4ng \u0111\u1ec3 l\u1ea1i d\u01b0 l\u01b0\u1ee3ng (ph\u00e2n h\u1ee7y th\u00e0nh ch\u1ea5t v\u00f4 h\u1ea1i). QUAT d\u1ef1a v\u00e0o pha lo\u00e3ng \u0111\u00fang c\u1ed9ng r\u1eeda k\u1ef9. Lu\u00e2n phi\u00ean h\u1ee3p l\u00fd (QUAT 2 l\u1ea7n\/tu\u1ea7n, PAA 1-2 l\u1ea7n\/tu\u1ea7n) kh\u00f4ng d\u01b0 l\u01b0\u1ee3ng k\u00edch th\u00edch kh\u00e1ng.<\/span><\/p>\n<h3><b>L\u00fd Do Th\u1ee9 Ba: An To\u00e0n Cho Nh\u00e2n Vi\u00ean K\u1ef9 Thu\u1eadt<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Lu\u00e2n phi\u00ean QUAT c\u1ed9ng PAA\/H2O2: Gi\u1ea3m ti\u1ebfp x\u00fac QUAT d\u00e0i h\u1ea1n (ch\u1ec9 2 l\u1ea7n\/tu\u1ea7n thay v\u00ec h\u00e0ng ng\u00e0y). PAA\/H2O2 ph\u00e2n h\u1ee7y nhanh, kh\u00f4ng t\u00edch l\u0169y. N\u1ed3ng \u0111\u1ed9 t\u1eebng ch\u1ea5t th\u1ea5p h\u01a1n khi lu\u00e2n phi\u00ean.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">So s\u00e1nh: D\u00f9ng QUAT h\u00e0ng ng\u00e0y d\u1eabn \u0111\u1ebfn ti\u1ebfp x\u00fac cao, r\u1ee7i ro d\u1ecb \u1ee9ng d\u00e0i h\u1ea1n. Lu\u00e2n phi\u00ean gi\u1ea3m ti\u1ebfp x\u00fac, an to\u00e0n h\u01a1n.<\/span><\/p>\n<h3><b>L\u00fd Do Th\u1ee9 T\u01b0: Hi\u1ec7u Qu\u1ea3 T\u1ed1i \u01afu C\u1ed9ng Chi Ph\u00ed H\u1ee3p L\u00fd<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">K\u1ebft h\u1ee3p t\u1ed1i \u01b0u:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">QUAT cho Grade C\/D v\u00e0 maintenance: r\u1ebb, nhanh, \u00edt ph\u1ee9c t\u1ea1p<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">PAA\/H2O2 (STERIS Spor-Klenz, Contec PeridoxRTU, Veltek DECON-SPORE) cho Grade A\/B v\u00e0 sporicide: m\u1ea1nh, sporicide, kh\u00f4ng d\u01b0 l\u01b0\u1ee3ng<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Lu\u00e2n phi\u00ean = hi\u1ec7u qu\u1ea3 cao c\u1ed9ng chi ph\u00ed trung b\u00ecnh<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Chi\u1ebfn l\u01b0\u1ee3c 4 tu\u1ea7n:<\/span><\/p>\n<blockquote>\n<ul>\n<li><span style=\"font-weight: 400;\">Tu\u1ea7n 1: PAA c\u1ed9ng H2O2 (Grade A\/B)<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Tu\u1ea7n 2: QUAT (Grade C\/D c\u1ed9ng maintenance)<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Tu\u1ea7n 3: H2O2 6% (lu\u00e2n phi\u00ean)<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Tu\u1ea7n 4: IPA 70% (thi\u1ebft b\u1ecb)<\/span><\/li>\n<\/ul>\n<\/blockquote>\n<h2><b>C\u00e2u H\u1ecfi Ch\u01b0a C\u00f3 C\u00e2u Tr\u1ea3 L\u1eddi Ch\u00ednh X\u00e1c<\/b><\/h2>\n<h3><b>Li\u1ec7u D\u01b0 L\u01b0\u1ee3ng QUAT \u1ede M\u1ee9c N\u00e0o G\u00e2y K\u00edch Th\u00edch Biofilm?<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">C\u00e2u h\u1ecfi ch\u01b0a r\u00f5: D\u01b0 QUAT \u1edf m\u1ee9c n\u00e0o (microgram\/cm2) s\u1ebd k\u00edch th\u00edch biofilm v\u00e0 kh\u00e1ng thu\u1ed1c? Hi\u1ec7n t\u1ea1i ch\u1ec9 c\u00f3 khuy\u1ebfn c\u00e1o chung: d\u01b0 l\u01b0\u1ee3ng QUAT d\u01b0\u1edbi 1-2 microgram\/cm2. Li\u1ec7u n\u1ed3ng \u0111\u1ed9 QUAT 0.5 microgram\/cm2 c\u00f3 an to\u00e0n kh\u00f4ng? Hay c\u00f2n &#8220;threshold&#8221; n\u00e0o th\u1ea5p h\u01a1n ch\u01b0a ph\u00e1t hi\u1ec7n?<\/span><\/p>\n<h3><b>Lo\u1ea1i Test N\u00e0o Cho K\u1ebft Qu\u1ea3 Ch\u00ednh X\u00e1c Nh\u1ea5t?<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">C\u00e2u h\u1ecfi ch\u01b0a r\u00f5: In vitro test (\u1ed1ng nghi\u1ec7m) nhanh nh\u01b0ng kh\u00f4ng gi\u1ed1ng th\u1ef1c t\u1ebf. Surface real-time test g\u1ea7n th\u1ef1c t\u1ebf nh\u01b0ng ch\u1eadm v\u00e0 \u0111\u1eaft. Biofilm test ISO 5-8 g\u1ea7n th\u1ef1c t\u1ebf nh\u1ea5t nh\u01b0ng ph\u1ee9c t\u1ea1p. Nh\u00e0 m\u00e1y d\u01b0\u1ee3c Vi\u1ec7t Nam n\u00ean \u01b0u ti\u00ean test n\u00e0o? Hay c\u1ea7n ph\u1ed1i h\u1ee3p c\u1ea3 ba?<\/span><\/p>\n<h3><b>QUAT Hay PAA An To\u00e0n H\u01a1n Cho Nh\u00e2n Vi\u00ean D\u00e0i H\u1ea1n?<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">C\u00e2u h\u1ecfi ch\u01b0a r\u00f5: QUAT c\u00f3 an to\u00e0n h\u01a1n PAA (nh\u01b0 STERIS Spor-Klenz, Contec PeridoxRTU) cho nh\u00e2n vi\u00ean d\u00e0i h\u1ea1n kh\u00f4ng? Hay c\u1ea7n OEL (Occupational Exposure Limit) chu\u1ea9n Vi\u1ec7t Nam c\u1ee5 th\u1ec3 \u0111\u1ec3 so s\u00e1nh?<\/span><\/p>\n<h2><b>FAQ V\u1ec1 Nh\u1eefng Sai L\u1ea7m Ph\u1ed5 Bi\u1ebfn V\u1ec1 Quat<\/b><\/h2>\n<blockquote>\n<h3><strong>QUAT C\u00f3 Th\u1ef1c S\u1ef1 Gi\u1ebft Vi Khu\u1ea9n Kh\u00f4ng?<\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">C\u00f3, r\u1ea5t hi\u1ec7u qu\u1ea3 tr\u00ean vi khu\u1ea9n t\u1ef1 do (99%+), nh\u01b0ng hi\u1ec7u qu\u1ea3 k\u00e9m tr\u00ean biofilm (50-80% gi\u1ea3m). V\u1ea5n \u0111\u1ec1 kh\u00f4ng ph\u1ea3i QUAT kh\u00f4ng ho\u1ea1t \u0111\u1ed9ng, m\u00e0 l\u00e0 c\u00e1ch \u0111\u00e1nh gi\u00e1 sai l\u1ec7ch.<\/span><\/p>\n<h3><strong>QUAT C\u00f3 G\u00e2y Kh\u00e1ng Thu\u1ed1c Kh\u00f4ng?<\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">N\u1ebfu d\u00f9ng sai (h\u00e0ng ng\u00e0y, kh\u00f4ng r\u1eeda k\u1ef9, d\u01b0 l\u01b0\u1ee3ng t\u00edch l\u0169y) c\u00f3 nguy c\u01a1. N\u1ebfu d\u00f9ng \u0111\u00fang (lu\u00e2n phi\u00ean, r\u1eeda k\u1ef9) r\u1ee7i ro r\u1ea5t th\u1ea5p.<\/span><\/p>\n<h3><strong>QUAT C\u00f3 An To\u00e0n Cho Nh\u00e2n Vi\u00ean Kh\u00f4ng?<\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">An to\u00e0n n\u1ebfu tu\u00e2n th\u1ee7 SOP: n\u1ed3ng \u0111\u1ed9 0.5-1%, PPE \u0111\u1ea7y \u0111\u1ee7, contact time 15-20 ph\u00fat. Lu\u00e2n phi\u00ean QUAT c\u1ed9ng PAA\/H2O2 an to\u00e0n h\u01a1n d\u00f9ng QUAT h\u00e0ng ng\u00e0y.<\/span><\/p>\n<h3><strong>L\u00e0m Sao Bi\u1ebft QUAT C\u00f3 D\u01b0 L\u01b0\u1ee3ng Kh\u00f4ng?<\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">D\u00f9ng swab test c\u1ed9ng ATP test ho\u1eb7c test kit QUAT c\u1ee5 th\u1ec3. N\u1ebfu v\u01b0\u1ee3t qu\u00e1 2 microgram\/cm2, d\u01b0 l\u01b0\u1ee3ng qu\u00e1 cao, r\u1eeda l\u1ea1i.<\/span><\/p>\n<h3><strong>QUAT Versus PAA N\u00ean D\u00f9ng C\u00e1i N\u00e0o?<\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">D\u00f9ng k\u1ebft h\u1ee3p (lu\u00e2n phi\u00ean): QUAT cho Grade C\/D (r\u1ebb), PAA (STERIS Spor-Klenz, Contec PeridoxRTU, Veltek DECON-SPORE) cho Grade A\/B (m\u1ea1nh). Kh\u00f4ng n\u00ean thay th\u1ebf ho\u00e0n to\u00e0n.<\/span><\/p><\/blockquote>\n<h2><b>K\u1ebft Lu\u1eadn<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Nh\u1eefng sai l\u1ea7m ph\u1ed5 bi\u1ebfn v\u1ec1 QUAT kh\u00f4ng ph\u1ea3i v\u00ec QUAT kh\u00f4ng ho\u1ea1t \u0111\u1ed9ng, m\u00e0 v\u00ec c\u00e1ch \u0111\u00e1nh gi\u00e1 v\u00e0 s\u1eed d\u1ee5ng sai. Sai l\u1ea7m ch\u00ednh n\u1eb1m \u1edf vi\u1ec7c ch\u1ec9 test planktonic, b\u1ecf qua t\u01b0\u01a1ng t\u00e1c m\u00f4i tr\u01b0\u1eddng, \u0111\u1ec3 d\u01b0 l\u01b0\u1ee3ng t\u00edch l\u0169y, validation k\u00e9m, v\u00e0 d\u00f9ng QUAT cho m\u1ecdi t\u00ecnh hu\u1ed1ng.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Gi\u1ea3i ph\u00e1p: QUAT k\u1ebft h\u1ee3p PAA\/H2O2 (lu\u00e2n phi\u00ean) l\u00e0 c\u00e1ch t\u1ed1i \u01b0u chi ph\u00ed c\u1ed9ng hi\u1ec7u qu\u1ea3 c\u1ed9ng an to\u00e0n cho nh\u00e0 m\u00e1y d\u01b0\u1ee3c Vi\u1ec7t Nam hi\u1ec7n t\u1ea1i.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u0110i\u1ec3m then ch\u1ed1t: Sai l\u1ea7m kh\u00f4ng n\u1eb1m \u1edf QUAT m\u00e0 n\u1eb1m \u1edf c\u00e1ch ngh\u0129 r\u1eb1ng QUAT l\u00e0 &#8220;ch\u1ea5t k\u1ef3 di\u1ec7u&#8221; d\u00f9ng cho m\u1ecdi th\u1ee9. Khi hi\u1ec3u r\u00f5 gi\u1edbi h\u1ea1n c\u1ee7a QUAT c\u1ed9ng \u00e1p d\u1ee5ng chi\u1ebfn l\u01b0\u1ee3c lu\u00e2n phi\u00ean \u0111\u00fang c\u1ed9ng tu\u00e2n th\u1ee7 GMP, QUAT l\u00e0 m\u1ed9t l\u1ef1a ch\u1ecdn t\u1ed1t v\u00e0 an to\u00e0n. Ch\u1ec9 khi \u0111\u00f3, nh\u00e0 m\u00e1y d\u01b0\u1ee3c m\u1edbi c\u00f3 th\u1ec3 \u0111\u1ea3m b\u1ea3o ph\u00f2ng s\u1ea1ch th\u1ef1c s\u1ef1 s\u1ea1ch khu\u1ea9n v\u00e0 an to\u00e0n cho c\u1ea3 s\u1ea3n ph\u1ea9m l\u1eabn nh\u00e2n vi\u00ean.<\/span><\/p>\n<p>Ngu\u1ed3n Tham Kh\u1ea3o<\/p>\n<ol>\n<li><strong>PubMed &#8211; Quaternary Ammonium Compounds (QACs) Efficacy in Application<\/strong>\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/25362069\/\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/pubmed.ncbi.nlm.nih.gov\/25362069\/<\/a><\/li>\n<li><strong>Springer &#8211; Comparative effectiveness of QUAT, ethanol and PAA in pharmaceutical cleanrooms<\/strong>\u00a0<a href=\"https:\/\/link.springer.com\/article\/10.1186\/s13756-023-01241-z\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/link.springer.com\/article\/10.1186\/s13756-023-01241-z<\/a><\/li>\n<li><strong>US EPA &#8211; Biofilm efficacy guidance and neutralization testing<\/strong>\u00a0<a href=\"https:\/\/www.epa.gov\/pesticide-analytical-methods\/efficacy-test-methods-test-criteria-and-labeling-guidance\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/www.epa.gov\/pesticide-analytical-methods\/efficacy-test-methods-test-criteria-and-labeling-guidance<\/a><\/li>\n<li><strong>ISO 14644 &#8211; Classification of air cleanliness by particle concentration<\/strong>\u00a0<a href=\"https:\/\/www.iso.org\/standard\/70822.html\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/www.iso.org\/standard\/70822.html<\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Theo Sepro bi\u1ebft trong th\u1ef1c t\u1ebf v\u1eadn h\u00e0nh, nhi\u1ec1u c\u01a1 s\u1edf s\u1ea3n xu\u1ea5t d\u01b0\u1ee3c ph\u1ea9m s\u1eed d\u1ee5ng h\u1ee3p ch\u1ea5t amoni b\u1eadc b\u1ed1n (QUAT) nh\u01b0 m\u1ed9t th\u00e0nh ph\u1ea7n ch\u00ednh trong ch\u01b0\u01a1ng tr\u00ecnh kh\u1eed khu\u1ea9n ph\u00f2ng s\u1ea1ch, do c\u00e1c \u01b0u \u0111i\u1ec3m nh\u01b0 chi ph\u00ed th\u1ea5p, t\u00e1c d\u1ee5ng nhanh v\u00e0 m\u1ee9c \u0111\u1ed9 \u0103n m\u00f2n th\u1ea5p. Tuy nhi\u00ean, vi\u1ec7c &hellip; <a href=\"https:\/\/sepro.vn\/vi\/nhung-sai-lam-pho-bien-ve-quat\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Nh\u1eefng Sai L\u1ea7m Ph\u1ed5 Bi\u1ebfn V\u1ec1 QUAT Trong Ph\u00f2ng S\u1ea1ch GMP \u2014 V\u00e0 V\u00ec Sao Nhi\u1ec1u Nh\u00e0 M\u00e1y D\u01b0\u1ee3c V\u1eabn L\u1eb7p L\u1ea1i<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":9679,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[126],"tags":[],"class_list":["post-9674","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tin-tuc"],"acf":[],"_links":{"self":[{"href":"https:\/\/sepro.vn\/vi\/wp-json\/wp\/v2\/posts\/9674","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sepro.vn\/vi\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/sepro.vn\/vi\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/sepro.vn\/vi\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/sepro.vn\/vi\/wp-json\/wp\/v2\/comments?post=9674"}],"version-history":[{"count":4,"href":"https:\/\/sepro.vn\/vi\/wp-json\/wp\/v2\/posts\/9674\/revisions"}],"predecessor-version":[{"id":9684,"href":"https:\/\/sepro.vn\/vi\/wp-json\/wp\/v2\/posts\/9674\/revisions\/9684"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sepro.vn\/vi\/wp-json\/wp\/v2\/media\/9679"}],"wp:attachment":[{"href":"https:\/\/sepro.vn\/vi\/wp-json\/wp\/v2\/media?parent=9674"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sepro.vn\/vi\/wp-json\/wp\/v2\/categories?post=9674"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sepro.vn\/vi\/wp-json\/wp\/v2\/tags?post=9674"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}