HHC Health & Home Care Clinical Policy And

HHC HEALTH & HOME CARE Section: 13-A
Infection Control: Appendix A
Disinfecting
Product
Sodium
Hypochlorite
(Bleach)
Phenolic 5%
(Lysol)
Hydrogen
Peroxide (3%)
Isopropyl or
Ethyl Alcohol
(70%)
DEFINITIONS
Concentration
1:10*
(5,000 ppm)
1:100**
(500 ppm)
Contact
Time
> 20"
10"
Follow label 10"
APPENDIX A
Home Disinfection Table
Items That Can Be Disinfected Comments
Use to disinfect smooth, hard
surfaces, drainage bags, leg
bags, and equipment, clean up
spills of blood or body fluid.
Items that come in contact with
intact skin, but not mucous
membranes.
Use to disinfect smooth, hard
surfaces.
Will corrode metals.
Inactivates HIV, HBV, M.
Tuberculosis.
Level of
Disinfection
High
Same as above. Intermediate
Will corrode metals, will
irritate skin, do not use on
surfaces that contact skin
or on equipment used
with infants. Use Lysol
Concentrate for
laundering.
Intermediate
Do not dilute 20" Smooth, hard surfaces ONLY. Intermediate
Do not dilute 10"
Smooth, hard surfaces,
thermometers, tracheostomy
cannulas, instruments.
1. All solutions must be diluted freshly and used within 24 hours to ensure effectiveness.
2. Solutions to be used on carpets and fabrics should be tested to prevent damage.
* 1:10 = 1 part bleach mixed with 9 parts of water
** 1:100 = 1 part bleach mixed with 99 parts of water
Will corrode metals. 70%
Isopropyl Alcohol
inactivates HBV and HIV.
Eythl Alcohol inactivates
HIV.
Intermediate
1. CLEANING: Removal of all foreign material from objects, e.g., soil, organic material. Normally accomplished with
water, mechanical action, and detergents. Cleaning must precede dinsinfection and sterilization procedures.
2. STERILIZATION: Complete elimination or destruction of all forms of microbial life by either physical or chemical
processes (generally in home care, sterile items are for one time use and are not resterilized).
3. DISINFECTION: Eliminates many or all pathogenic microorganisms on inanimate objects with the exception of
bacterial spores. This is generally accomplished by the use of liquid chemicals or wet pasteurization.
Levels of chemical disinfection:
1. High Level: Destroys all microorganisms with the exception of high numbers of bacterial spores.
2. Intermediate Level: Inactivates Mycobacterium tuberculosis, vegetative bacteria, most viruses, and most fungi, but
does not necessarily kill bacterial spores.
3. Low Level: Kills most bacteria, some viruses, and some fungi but cannot be relied on to kill resistant organisms
such as tubercle bacilli or bacterial spores.
A complete listing of disinfectants is available from: Antimicrobial Complaint System, Dept. of Preventive Medicine TTUHSC. Lubbock, TX
79430, 1-800-447-6349
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