| SafeLink Tips | | Print | |
| Monday, 09 March 2009 16:11 |
How To Reduce Waste In Your Lab and Extend the Life of Your Equipment
Using Cold-Sterilants, i.e. Glutaraldehyde (excerpted from the 2003 CDC MMWR for Infection Control in Dental Settings)Heat-sensitive critical and semicritical instruments can be sterilized by immersing them in liquid chemical germicides registered by FDA as sterilants. When using a liquid chemical germicide for sterilization, certain poststerilization procedures are essential. To use this method, items need to be: 1) rinsed with sterile water after removal to remove toxic or irritating residues; 2) handled using sterile gloves and dried with sterile towels; and 3) delivered to the point of use in an aseptic manner. If stored before use, the instrument should not be considered sterile and should be sterilized again just before use. In addition, the sterilization process with liquid chemical sterilants cannot be verified with biological indicators.Because of these limitations and because liquid chemical sterilants can require approximately 12 hours of complete immersion, they are almost never used to sterilize instruments. These chemicals are more often used for high-level disinfection. Shorter immersion times (12--90 minutes) are used to achieve high-level disinfection of semicritical instruments or items. These powerful, sporicidal chemicals (e.g., glutaraldehyde, peracetic acid, and hydrogen peroxide) are highly toxic. Manufacturer instructions (e.g., regarding dilution, immersion time, and temperature) and safety precautions for using chemical sterilants/high-level disinfectants must be followed precisely. These chemicals should not be used for applications other than those indicated in their label instructions. Misapplications include use as an environmental surface disinfectant or instrument-holding solution.Because of their lack of chemical resistance to glutaraldehydes, medical gloves are not an effective barrier. Other factors that might apply when using these chemicals are the addition of room exhaust ventilation or ensuring 10 air exchanges/hour, keeping the container closedwith a lid at all times, testing for proper dilution, and disposal practices to ensure worker and environmental safety. For all of these reasons, using heat-sensitive semicritical items that must be processed with liquid chemical germicides is discouraged; heat-tolerant or disposable alternatives are available for the majority of such items.
Visit our new website at www.safelinkconsulting.com or call 1.800.330.6003 for more information. |
| Last Updated on Tuesday, 30 March 2010 12:27 |

Sign up for Our FREE Email Newsletter