{"id":4266,"date":"2021-04-11T00:54:18","date_gmt":"2021-04-10T18:54:18","guid":{"rendered":"https:\/\/purahubbd.com\/?page_id=4266"},"modified":"2021-07-16T14:22:28","modified_gmt":"2021-07-16T08:22:28","slug":"food-safety-hygiene-disinfectant-chemicals","status":"publish","type":"page","link":"https:\/\/purahubbd.com\/index.php\/food-safety-hygiene-disinfectant-chemicals\/","title":{"rendered":"Food Safety Hygiene Biocide &#038; Cleaning Chemicals."},"content":{"rendered":"<p>[vc_row][vc_column][vc_custom_heading text=&#8221;Food safety&#8221; font_container=&#8221;tag:h3|text_align:left&#8221; google_fonts=&#8221;font_family:ABeeZee%3Aregular%2Citalic|font_style:400%20regular%3A400%3Anormal&#8221;][vc_column_text]<\/p>\n<p align=\"justify\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt; color: #000000;\">Access to sufficient amounts of safe and nutritious food is key to sustaining life and promoting good health. Unsafe food containing harmful bacteria, viruses, parasites, or chemical substances can cause more than 200 different diseases \u2013 ranging from diarrhoea to cancers. Around the world, an estimated 600 million &#8211; almost 1 in 10 people \u2013 fall ill after eating contaminated food each year, resulting in 420 000 deaths and the loss of 33 million healthy life years.<\/span><\/p>\n<p align=\"justify\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\"><span style=\"color: #000000;\">Food safety, nutrition, and food security are closely linked. Unsafe food creates a vicious cycle of disease and malnutrition, particularly affecting infants, young children, the elderly, and the sick. In addition to contributing to food and nutrition security, a safe food supply also supports national economies, trade, and tourism, stimulating sustainable development. The globalization of food trade, a growing world population, climate change and rapidly changing food systems have an impact on the safety of food.<\/span> <span style=\"color: #0070c0;\">WHO<\/span><span style=\"color: #000000;\"> aims to enhance at a global and country-level the capacity to prevent, detect, and respond to public health threats associated with unsafe food.<\/span><\/span><\/p>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_custom_heading text=&#8221;What are the common chemicals used in cleaning and sanitizing?&#8221; font_container=&#8221;tag:h3|text_align:left|color:%231e73be&#8221; google_fonts=&#8221;font_family:ABeeZee%3Aregular%2Citalic|font_style:400%20regular%3A400%3Anormal&#8221;][vc_column_text]<\/p>\n<ul>\n<li><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt; color: #000000;\">CHLORINE.\u00a0Chlorine\u00a0is the most common chemical sanitizing agent used in the milk industry. <\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt; color: #000000;\">IODINE. Iodine sanitisers used in milk plants are usually in the form of Iodophors.<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt; color: #000000;\">QUATERNARY AMMONIUM COMPOUNDS\u00a0(Cationic).<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt; color: #000000;\">CHLORINE\u00a0DIOXIDE. <\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt; color: #000000;\">ACID SANITIZERS.<\/span><\/li>\n<\/ul>\n<p>[\/vc_column_text][vc_row_inner][vc_column_inner][vc_custom_heading text=&#8221;What chemicals disinfect service area?&#8221; font_container=&#8221;tag:h3|text_align:left|color:%231e73be&#8221; google_fonts=&#8221;font_family:ABeeZee%3Aregular%2Citalic|font_style:400%20regular%3A400%3Anormal&#8221;][vc_custom_heading text=&#8221;5 Most Effective Sanitizing Chemicals&#8221; font_container=&#8221;tag:h4|text_align:left|color:%23000000&#8243; google_fonts=&#8221;font_family:ABeeZee%3Aregular%2Citalic|font_style:400%20regular%3A400%3Anormal&#8221;][vc_column_text]<\/p>\n<ul>\n<li><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\"><span style=\"color: #0070c0;\">Hypochlorites<\/span> \u2013 Probably the most commonly\u00a0found chemical\u00a0in\u00a0sanitisers, hypochlorite and its compounds are highly effective in killing microbes. Not only that, but they can also successfully destroy microbe DNA. However, spores do have a resistance to hypochlorites because their outer coat is not susceptible to the oxidizing nature of the chemical.<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\"><span style=\"color: #0070c0;\">Chlorine Dioxide<\/span> \u2013 Although known as explosive in its gas form, this inorganic compound is safe in a liquid solution. It is highly effective against bacteria, viruses and fungi as it reacts with proteins and fatty acids to break down the organisms structurally. It is effective in low concentrations, with just a 5ppm solution enough to adequately sanitize food contact surfaces with a contact time of less than 1 minute.<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\"><span style=\"color: #0070c0;\">Iodophors <\/span>\u2013 Effective as both a sanitiser and a disinfectant, the real advantage that Iodophors have over other chemicals is their sustained-release effect. It means that microbes are killed steadily over an extended period of time, ensuring a surface stays clean and sanitized for longer. Iodophors work by attaching themselves to sulfurs in proteins, which basically warrants them inactive.<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\"><span style=\"color: #0070c0;\">Peroxyacetic Acid (PAA) <\/span>\u2013 Effective against most microorganisms, it can work very well in colder temperatures. Especially when they are paired with stabilized hydrogen peroxide. Even at temperatures as low as 4<sup>0<\/sup>C, it records high levels of microbe mortality, which in turn makes it ideal in food processing areas where lower-than-ambient temperatures are necessary. PAA is also effective against biofilms but is less effective as water P<sup>H<\/sup> nears neutral and depending on requirements, can be used at a concentration from 100-200 ppm (peroxyacetic acid) and 80-600 ppm (hydrogen peroxide).<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\"><span style=\"color: #0070c0;\">Quaternary Ammonium Compounds (QACs or Quats) <\/span>\u2013 One of the more complex compounds found in sanitisers, QACs comprise nitrogen bound to 4 different organic groups. They work by blocking a microbe\u2019s nutritional intake process, effectively starving them, but it has no real effect on spores. As sanitisers, they are usually applied at concentrations of 200 ppm and allowed to dry, at which point the QAC residue continues to work. They are usually odourless, non-staining, non-corrosive and relatively non-toxic to users and while heavy soil and hard water can severely lessen effectiveness, chelating agents can be added to some compounds to counter these issues.<\/span><\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_custom_heading text=&#8221;10 Tips: Be Food Safe&#8221; font_container=&#8221;tag:h4|text_align:left|color:%231e73be&#8221; google_fonts=&#8221;font_family:ABeeZee%3Aregular%2Citalic|font_style:400%20regular%3A400%3Anormal&#8221;][vc_column_text]<\/p>\n<p align=\"justify\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">A critical part of healthy eating is keeping foods safe. Individuals in their own homes can reduce contaminants and keep food safe to eat by following safe food handling practices. Four basic food safety principles work together to reduce the risk of foodborne illness \u2014 <span style=\"color: #031597;\">Clean, Separate, Cook, and Chill<\/span>. These four principles are the cornerstones of Fight BAC!<sup><b>\u00ae<\/b><\/sup>, a national public education campaign to promote food safety to consumers and educate them on how to handle and prepare food safely.<\/span><\/p>\n<p>[\/vc_column_text][vc_row_inner][vc_column_inner][vc_custom_heading text=&#8221;CLEAN&#8221; font_container=&#8221;tag:h4|text_align:left|color:%231e73be&#8221; google_fonts=&#8221;font_family:ABeeZee%3Aregular%2Citalic|font_style:400%20regular%3A400%3Anormal&#8221;][vc_column_text]<\/p>\n<ul>\n<li><span style=\"font-size: 10pt; font-family: verdana, geneva, sans-serif;\"><span style=\"color: #0070c0;\">Wash hands with soap and water: <\/span>Wet hands with clean running water and apply soap. Use warm water if it is available. Rub hands together to make a lather and scrub all parts of the hand for 20 seconds. Rinse hands thoroughly and dry using a clean paper towel. If possible, use a paper towel to turn Off the faucet.<span style=\"color: #212121;\"><br \/>\n<\/span><\/span><\/li>\n<li><span style=\"font-size: 10pt; font-family: verdana, geneva, sans-serif;\"><span style=\"color: #0070c0;\">Sanitize surfaces: <\/span>Surfaces should be washed with hot, soapy water. A solution of 1 tablespoon of unscented,\u00a0liquid chlorine bleach per gallon of water can be used to sanitize surfaces.<span style=\"color: #212121;\"><br \/>\n<\/span><\/span><\/li>\n<li><span style=\"font-size: 10pt; font-family: verdana, geneva, sans-serif;\"><span style=\"color: #0070c0;\">Clean sweep refrigerated foods once a week: <\/span>At least once a week, throw out refrigerated foods that should no longer be eaten. Cooked leftovers should be discarded after 4 days; raw poultry and ground meats, 1 to 2 days.<br \/>\n<\/span><\/li>\n<li><span style=\"font-size: 10pt; font-family: verdana, geneva, sans-serif;\"><span style=\"color: #0070c0;\">Keep appliances clean: <\/span><span style=\"color: #212121;\">Clean the inside and the outside of appliances. Pay particular attention to buttons and\u00a0\u00a0<\/span><span style=\"color: #212121;\">Handles where cross-contamination to hands can occur.<br \/>\n<\/span><\/span><\/li>\n<li><span style=\"font-size: 10pt; font-family: verdana, geneva, sans-serif;\"><span style=\"color: #0070c0;\">Rinse produce: <\/span><span style=\"color: #212121;\">Rinse fresh vegetables and fruits under running water just before eating, cutting, or cooking. Even if you plan to peel or cut the produce before eating, it is important to thoroughly rinse it first to prevent microbes from transferring from the outside to the inside of the produce.<\/span><\/span><\/li>\n<\/ul>\n<p>[\/vc_column_text][vc_custom_heading text=&#8221;SEPARATE&#8221; font_container=&#8221;tag:h4|text_align:left|color:%231e73be&#8221; google_fonts=&#8221;font_family:ABeeZee%3Aregular%2Citalic|font_style:400%20regular%3A400%3Anormal&#8221;][vc_column_text]<\/p>\n<ul>\n<li><span style=\"font-size: 10pt;\"><span style=\"font-family: verdana, geneva, sans-serif;\"><span style=\"color: #0070c0;\">Separate foods when shopping: <\/span><\/span><span style=\"font-family: verdana, geneva, sans-serif;\">Place raw seafood, meat, and poultry in plastic bags. Store them below ready-to-eat foods\u00a0<\/span><span style=\"font-family: verdana, geneva, sans-serif;\">In your refrigerator.<span style=\"color: #212121;\"><br \/>\n<\/span><\/span><\/span><\/li>\n<li style=\"text-align: left;\"><span style=\"font-size: 10pt;\"><span style=\"font-family: verdana, geneva, sans-serif;\"><span style=\"color: #0070c0;\">Separate foods when preparing and serving: <\/span><\/span><span style=\"font-family: verdana, geneva, sans-serif;\">Always use a clean cutting board for fresh produce and a separate one for raw seafood, meat, and poultry. Never place cooked food back on the same plate or cutting board that previously held raw food.<\/span><\/span><\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_custom_heading text=&#8221;COOK AND CHILL&#8221; font_container=&#8221;tag:h4|text_align:left|color:%231e73be&#8221; google_fonts=&#8221;font_family:ABeeZee%3Aregular%2Citalic|font_style:400%20regular%3A400%3Anormal&#8221;][vc_column_text]<\/p>\n<ul>\n<li><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\"><span style=\"color: #0070c0;\">Use a food thermometer when cooking: <\/span><\/span><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">A food thermometer should be used to ensure that food is safely cooked and that cooked\u00a0<\/span><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">food is held at safe temperatures until eaten.<br \/>\n<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\"><span style=\"color: #0070c0;\">Cook food to safe internal temperatur<\/span><span style=\"color: #0070c0;\">es:\u00a0<\/span><\/span><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">One effective way to prevent illness is to check the internal temperature of seafood, meat, poultry, and egg dishes. Cook all raw beef, pork, lamb, and veal steaks, chops, and roasts to a safe minimum internal temperature of 145 \u00b0F. For safety and quality, allow the meat to rest for at least 3 minutes before carving or eating. Cook all raw ground beef, pork, lamb, and veal to an internal temperature of 160 \u00b0F. Cook all poultry, including ground turkey and chicken, to an internal temperature of 165 \u00b0F.<br \/>\n<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\"><span style=\"color: #0070c0;\">Keep foods at safe temperatures: <\/span><\/span><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\"><span style=\"color: #212121;\">Hold cold foods at 40 \u00b0F or below. Keep hot foods at 140 \u00b0F or above. Foods are no longer safe to eat when they have been in the danger zone between 40-140 \u00b0F for more than 2 hours (1 hour if the temperature was above 90 \u00b0F).<\/span><\/span><\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_custom_heading text=&#8221;PuraHub Limited marketed HALAL certified approved company\u2019s products&#8221; font_container=&#8221;tag:h2|text_align:center|color:%231e73be&#8221; google_fonts=&#8221;font_family:ABeeZee%3Aregular%2Citalic|font_style:400%20regular%3A400%3Anormal&#8221;][vc_row_inner][vc_column_inner width=&#8221;2\/3&#8243;][vc_single_image image=&#8221;4270&#8243; img_size=&#8221;full&#8221; alignment=&#8221;center&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;4271&#8243; img_size=&#8221;full&#8221; alignment=&#8221;center&#8221;][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;4272&#8243; img_size=&#8221;350&#215;350&#8243; alignment=&#8221;center&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;4273&#8243; img_size=&#8221;300&#215;300&#8243; alignment=&#8221;center&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;4274&#8243; img_size=&#8221;400&#215;400&#8243; alignment=&#8221;center&#8221;][\/vc_column_inner][\/vc_row_inner][vc_custom_heading text=&#8221;FOOD SAFETY PROCESS and HACCP PLAN (Hygiene System and Equipment)&#8221; font_container=&#8221;tag:h3|text_align:center|color:%231e73be&#8221; google_fonts=&#8221;font_family:ABeeZee%3Aregular%2Citalic|font_style:400%20regular%3A400%3Anormal&#8221;][vc_gallery type=&#8221;image_grid&#8221; images=&#8221;4277,4278,4281,4283,4284,4286,4287,4289,4290,4291,4292,4294,4295,4296,4297,4298,4300,4299,4301,4302,4303&#8243; img_size=&#8221;180&#215;180&#8243;][vc_custom_heading text=&#8221;Food, Beverage and Dairy Hygienic plants&#8221; font_container=&#8221;tag:h3|text_align:center|color:%231e73be&#8221; google_fonts=&#8221;font_family:ABeeZee%3Aregular%2Citalic|font_style:400%20regular%3A400%3Anormal&#8221;][vc_gallery type=&#8221;image_grid&#8221; images=&#8221;4304,4305,4306,4307,4308,4309,4310,4311,4312,4313,4314,4315,4316,4317,4318,4319,4320,4321,4322,4323,4324,4325,4326,4327,4328,4329,4330,4331&#8243; img_size=&#8221;180&#215;180&#8243;][vc_custom_heading text=&#8221;Sanitation in Meat and Poultry Plants&#8221; font_container=&#8221;tag:h3|text_align:center|color:%231e73be&#8221; google_fonts=&#8221;font_family:ABeeZee%3Aregular%2Citalic|font_style:400%20regular%3A400%3Anormal&#8221;][vc_gallery type=&#8221;image_grid&#8221; images=&#8221;4332,4333,4334,4335,4336,4337,4338,4339&#8243; img_size=&#8221;158&#215;158&#8243;][vc_custom_heading text=&#8221;Cleaning steps of the CIP (Cleaning in Place) process in dairy plants&#8221; font_container=&#8221;tag:h3|text_align:left|color:%231e73be&#8221; google_fonts=&#8221;font_family:ABeeZee%3Aregular%2Citalic|font_style:400%20regular%3A400%3Anormal&#8221;][vc_single_image image=&#8221;4340&#8243; img_size=&#8221;620&#215;500&#8243;][vc_custom_heading text=&#8221;Automated &#038; efficient cleaning of dairy, juice or drink production equipment&#8221; font_container=&#8221;tag:h3|text_align:left|color:%231e73be&#8221; google_fonts=&#8221;font_family:ABeeZee%3Aregular%2Citalic|font_style:400%20regular%3A400%3Anormal&#8221;][vc_single_image image=&#8221;4341&#8243; img_size=&#8221;large&#8221;][vc_custom_heading text=&#8221;Industrial hygiene and cleaning&#8221; font_container=&#8221;tag:h3|text_align:left|color:%231e73be&#8221; google_fonts=&#8221;font_family:ABeeZee%3Aregular%2Citalic|font_style:400%20regular%3A400%3Anormal&#8221;][vc_row_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_single_image image=&#8221;4342&#8243; img_size=&#8221;large&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_single_image image=&#8221;4343&#8243; img_size=&#8221;600&#215;230&#8243;][\/vc_column_inner][\/vc_row_inner][vc_custom_heading text=&#8221;7 Steps of Effective Sanitation&#8221; font_container=&#8221;tag:h3|text_align:left|color:%231e73be&#8221; google_fonts=&#8221;font_family:ABeeZee%3Aregular%2Citalic|font_style:400%20regular%3A400%3Anormal&#8221;][vc_single_image image=&#8221;4344&#8243; img_size=&#8221;full&#8221;][\/vc_column][\/vc_row][vc_row][vc_column][vc_custom_heading text=&#8221;PuraHub Limited cleaning products for the food industry&#8221; font_container=&#8221;tag:h3|text_align:left|color:%231e73be&#8221; google_fonts=&#8221;font_family:ABeeZee%3Aregular%2Citalic|font_style:400%20regular%3A400%3Anormal&#8221;][vc_custom_heading text=&#8221;Formaldehyde&#8221; font_container=&#8221;tag:h4|text_align:left|color:%231e73be&#8221; google_fonts=&#8221;font_family:ABeeZee%3Aregular%2Citalic|font_style:400%20regular%3A400%3Anormal&#8221;][vc_row_inner][vc_column_inner width=&#8221;2\/3&#8243;][vc_single_image image=&#8221;4049&#8243; img_size=&#8221;full&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;4050&#8243; img_size=&#8221;medium&#8221; alignment=&#8221;right&#8221;][\/vc_column_inner][\/vc_row_inner][vc_column_text]<\/p>\n<p align=\"justify\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt; color: #000000;\">Formaldehyde &#8211; Primarily available as a water-based solution called formalin, which contains 37% formaldehyde by weight &#8211; is used as a high-level disinfectant and sterilant. Formaldehyde exerts its bactericidal, tuberculocidal, fungicidal, virucidal and sporicidal effects in the aqueous state, as well as in combination with low-temperature steam.\u00a0<\/span><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt; color: #000000;\">This extremely reactive chemical&#8217;s mechanism of action is attributed to its interactive and cross-linking properties with protein, DNA and RNA in vitro, resulting in the disruption of DNA synthesis. It can also penetrate bacterial spores.<\/span><\/p>\n<p align=\"justify\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt; color: #000000;\">Formaldehyde has been traditionally used to sterilize equipment such as surgical instruments and haemodialysers in combination with alcohols. Paraformaldehyde, a solid polymer of formaldehyde, is used in combination with low-temperature steam for the disinfection of heat-sensitive medical equipment.\u00a0<\/span><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt; color: #000000;\">Exposure hazards and the potential carcinogenic effects of formaldehyde have limited its healthcare uses recently, while next-generation aldehydes such as glutaraldehyde and o-phthalaldehyde, with better sporicidal activity, faster onset of action and lesser exposure effects, have replaced formaldehyde in the disinfection manuals of most healthcare establishments.<\/span><\/p>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_custom_heading text=&#8221;Glutaraldehyde&#8221; font_container=&#8221;tag:h4|text_align:left|color:%231e73be&#8221; google_fonts=&#8221;font_family:ABeeZee%3Aregular%2Citalic|font_style:400%20regular%3A400%3Anormal&#8221;][vc_row_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_single_image image=&#8221;4051&#8243; img_size=&#8221;full&#8221; alignment=&#8221;center&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_single_image image=&#8221;4052&#8243; img_size=&#8221;medium&#8221; alignment=&#8221;center&#8221;][\/vc_column_inner][\/vc_row_inner][vc_column_text]<\/p>\n<p align=\"justify\"><span style=\"color: #000000; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Glutaraldehyde is a saturated dialdehyde widely used as a potent sterilant and high-level disinfectant. Its broad spectrum, covering bactericidal, sporicidal, fungicidal and virucidal activity, makes it an ideal chemical for the low-temperature disinfection and sterilisation of critical and semi-critical equipment such as endoscopes, dialysers and surgical tools.\u00a0Aqueous solutions of glutaraldehyde when activated (rendered alkaline at 7.5- 8.5 P<sup>H<\/sup>) become sporicidal, while its microbicidal action is attributed primarily to its strong association with the outer layers of bacterial cells and the alkylation of sulphydryl, hydroxyl, carboxyl and amino groups, which alter RNA, DNA and protein synthesis within microorganisms.<\/span><\/p>\n<p align=\"justify\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt; color: #000000;\">Glutaraldehyde is a saturated dialdehyde that has gained wide acceptance as a high-level disinfectant and chemical sterilant. Aqueous solutions of glutaraldehyde are acidic and generally in this state are not sporicidal. Only when the solution is \u201cactivated\u201d (made alkaline) by the use of alkalinising agents to P<sup>H<\/sup> 7.5\u20138.5 does the solution become sporicidal. Once activated, these solutions have a shelf-life of minimally 14 days because of the polymerization of the glutaraldehyde molecules at alkaline P<sup>H<\/sup> levels. This polymerization blocks the active sites (aldehyde groups) of the glutaraldehyde molecules that are responsible for its biocidal activity.<\/span><\/p>\n<p align=\"justify\"><span style=\"color: #000000; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Glutaraldehyde is also mycobactericidal, and glutaraldehyde formulations with phenols and alcohols have better usage life while maintaining excellent microbicidal activity. Glutaraldehyde exposure should be monitored to ensure a safe working environment. Acute or chronic exposure, resulting in skin irritation, mucous membrane irritation and multiple pulmonary symptoms such as occupational asthma and allergic rhinitis have been reported in healthcare workers.\u00a0Due to its exposure hazards, US healthcare associations advocate the use of glutaraldehyde alternatives such as o-phthalaldehyde, hydrogen peroxide and peracetic acid.<\/span><\/p>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_custom_heading text=&#8221;Ortho-phthalaldehyde&#8221; font_container=&#8221;tag:h4|text_align:left|color:%231e73be&#8221; google_fonts=&#8221;font_family:ABeeZee%3Aregular%2Citalic|font_style:400%20regular%3A400%3Anormal&#8221;][vc_single_image image=&#8221;4053&#8243; img_size=&#8221;200&#215;200&#8243; alignment=&#8221;center&#8221;][vc_column_text]<\/p>\n<p align=\"justify\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt; color: #000000;\">Since its introduction in 1999, ortho-phthalaldehyde (OPA) has been accepted as a better, safer alternative to glutaraldehyde in most US healthcare facilities. OPA by Advanced Sterilization Products was cleared by the US FDA as a high-level disinfectant and emerged as a suitable replacement of glutaraldehyde for the disinfection of endoscopes.\u00a0<\/span><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt; color: #000000;\">OPA has excellent microbiocidal activity and superior mycobactericidal activity compared with glutaraldehyde and has potent bactericidal and sporicidal activity. Like glutaraldehyde, it interacts with amino acids, proteins and microorganisms.<\/span><\/p>\n<p align=\"justify\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt; color: #000000;\">OPA has many advantages over glutaraldehyde, such as improved stability at varying P<sup>H<\/sup> ranges, lower inhalation exposure risk and a wider range of material compatibility, although it costs almost three times more; but, considering the cost of the sophisticated ventilation systems needed to minimize the respiratory hazards of using glutaraldehyde, OPA is more economical.\u00a0<\/span><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt; color: #000000;\">Ortho-phthalaldehyde is a high-level disinfectant that received FDA clearance in October 1999. It contains 0.55% 1,2-benzenedicarboxaldehyde (OPA). OPA solution is a clear, pale-blue liquid with a P<sup>H<\/sup> of 7.5.<\/span><\/p>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_custom_heading text=&#8221;Hydrogen peroxide&#8221; font_container=&#8221;tag:h4|text_align:left|color:%231e73be&#8221; google_fonts=&#8221;font_family:ABeeZee%3Aregular%2Citalic|font_style:400%20regular%3A400%3Anormal&#8221;][vc_row_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_single_image image=&#8221;4054&#8243; img_size=&#8221;135&#215;210&#8243; alignment=&#8221;center&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_single_image image=&#8221;4055&#8243; img_size=&#8221;medium&#8221;][\/vc_column_inner][\/vc_row_inner][vc_column_text]<\/p>\n<p align=\"justify\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt; color: #000000;\">Disinfectant solutions containing 7.5% hydrogen peroxide have been approved by the US FDA for sterilisation and high-level disinfection in healthcare settings.\u00a0<\/span><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt; color: #000000;\">&#8220;Disinfectant solutions containing 7.5% hydrogen peroxide have been approved by the US FDA for sterilisation.&#8221; A 0.5% accelerated hydrogen peroxide demonstrated bactericidal and virucidal activity in 1 minute and mycobactericidal and fungicidal activity in 5 minutes.\u00a0<\/span><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt; color: #000000;\">Its good, broad-spectrum bactericidal, virucidal, sporicidal and fungicidal properties, combined with its excellent stability and environmentally friendly characteristics, have made hydrogen peroxide the disinfectant of choice for semi-critical and non-critical equipment while being an ideal surface disinfectant.<\/span><\/p>\n<p align=\"justify\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt; color: #000000;\">Despite not being listed as equipment-compatible by all endoscope manufacturers, hydrogen peroxide-based disinfectant solutions are still considered ideal alternatives for other toxic sterilants, such as ethylene oxide and aldehyde disinfectants. Hydrogen peroxide produces destructive hydroxyl-free radicals that act on membrane lipids, DNA and other essential cell components.<\/span><\/p>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_custom_heading text=&#8221;Peracetic acid&#8221; font_container=&#8221;tag:h4|text_align:left|color:%231e73be&#8221; google_fonts=&#8221;font_family:ABeeZee%3Aregular%2Citalic|font_style:400%20regular%3A400%3Anormal&#8221;][vc_row_inner][vc_column_inner width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;4056&#8243; img_size=&#8221;medium&#8221; alignment=&#8221;center&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;4057&#8243; img_size=&#8221;medium&#8221; alignment=&#8221;center&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;4058&#8243; img_size=&#8221;large&#8221;][\/vc_column_inner][\/vc_row_inner][vc_column_text]<\/p>\n<p align=\"justify\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Peracetic, or peroxyacetic, acid is characterized by rapid action against all microorganisms. Special advantages of peracetic acid are that it lacks harmful decomposition products (i.e., acetic acid, water, oxygen, hydrogen peroxide), enhances the removal of organic material, and leaves no residue. It remains effective in the presence of organic matter and is sporicidal even at low temperatures. Peracetic acid can corrode copper, brass, bronze, plain steel, and galvanized iron but these effects can be reduced by additives and P<sup>H<\/sup> modifications. It is considered unstable, particularly when diluted; for example, a 1% solution loses half its strength through hydrolysis in 6 days, whereas 40% peracetic acid loses 1%\u20132% of its active ingredients per month.<\/span><\/p>\n<p align=\"justify\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Another emerging alternative to ethylene oxide and aldehyde sterilants is peracetic acid. Peracetic acid-based solutions are considered to be a more potent disinfectant than hydrogen peroxide; are sporicidal, bactericidal, virucidal and fungicidal at low concentrations, and are environment friendly. They have replaced traditional disinfectants for medical devices, endoscopes and haemodialysers.\u00a0<\/span><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">It also acts as an environmental surface sterilant, and behaves similarly to other oxidising agents, disrupting cell wall permeability and oxidising sulphhydryl and sulphur bonds in proteins, enzymes and other metabolites.<\/span><\/p>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_custom_heading text=&#8221;Hydrogen peroxide and Peracetic acid combination&#8221; font_container=&#8221;tag:h4|text_align:left|color:%231e73be&#8221; google_fonts=&#8221;font_family:ABeeZee%3Aregular%2Citalic|font_style:400%20regular%3A400%3Anormal&#8221;][vc_row_inner][vc_column_inner width=&#8221;1\/4&#8243;][vc_single_image image=&#8221;4059&#8243; img_size=&#8221;large&#8221; alignment=&#8221;center&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;3\/4&#8243;][vc_single_image image=&#8221;4060&#8243; img_size=&#8221;large&#8221; alignment=&#8221;center&#8221;][\/vc_column_inner][\/vc_row_inner][vc_column_text]<\/p>\n<p align=\"justify\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt; color: #000000;\">Two chemical sterilants are available that contain peracetic acid plus hydrogen peroxide (i.e., 0.08% peracetic acid plus 1.0% hydrogen peroxide and 0.23% peracetic acid plus 7.35% hydrogen peroxide.\u00a0<\/span><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt; color: #000000;\">Peracetic acid, when combined with hydrogen peroxide, was found to be more effective, typically against glutaraldehyde-resistant mycobacteria. Combination of products cleared by the FDA.\u00a0<\/span><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt; color: #000000;\">The combination of peracetic acid and hydrogen peroxide has been used for disinfecting haemodialysers, but the mix was found to be incompatible with flexible gastrointestinal endoscopes as claimed by leading US manufacturers.<\/span><\/p>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_custom_heading text=&#8221;Intermediate-level disinfectants&#8221; font_container=&#8221;tag:h3|text_align:left|color:%231e73be&#8221; google_fonts=&#8221;font_family:ABeeZee%3Aregular%2Citalic|font_style:400%20regular%3A400%3Anormal&#8221;][vc_custom_heading text=&#8221;Sodium hypochlorite&#8221; font_container=&#8221;tag:h4|text_align:left|color:%231e73be&#8221; google_fonts=&#8221;font_family:ABeeZee%3Aregular%2Citalic|font_style:400%20regular%3A400%3Anormal&#8221;][vc_row_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_single_image image=&#8221;4061&#8243; img_size=&#8221;large&#8221; alignment=&#8221;center&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_single_image image=&#8221;4062&#8243; img_size=&#8221;large&#8221; alignment=&#8221;center&#8221;][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;4063&#8243; img_size=&#8221;large&#8221; alignment=&#8221;center&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;4064&#8243; img_size=&#8221;500&#215;375&#8243; alignment=&#8221;right&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;4065&#8243; img_size=&#8221;475&#215;375&#8243;][\/vc_column_inner][\/vc_row_inner][vc_column_text]<\/p>\n<p align=\"justify\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt; color: #000000;\">Chlorine-releasing agents (CRAs), the most popular sodium hypochlorite solution, are widely used for the disinfection of hard surfaces and blood spillages containing the human immunodeficiency virus or hepatitis B virus.\u00a0<\/span><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt; color: #000000;\">Recently, sodium hypochlorite was designated as the best defence against hospital-acquired and community-acquired\u00a0<em>Clostridium difficile<\/em>\u00a0infections. With a broad spectrum of antimicrobial activity, sodium hypochlorite is inexpensive with low toxicity.<\/span><\/p>\n<p align=\"justify\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt; color: #000000;\">CRAs are highly active oxidising agents and destroy the cellular activity of proteins. Hypochlorous acid, the active moiety, has been shown to have harmful effects on bacterial DNA through the formation of chlorinated derivatives of nucleotide bases.\u00a0<\/span><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt; color: #000000;\">High concentrations of sodium hypochlorite display significant levels of sporicidal and virucidal activity. Sodium hydroxide (7681-52-9)- 15-30%. Sodium hypochlorite (1310-73-2)-3-5%.\u00a0<\/span><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt; color: #000000;\">The most prevalent chlorine products in the United States are aqueous solutions of 5.25%\u20136.15% sodium hypochlorite (see glossary), usually called household bleach.<\/span><\/p>\n<p align=\"justify\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt; color: #000000;\">They have a broad spectrum of antimicrobial activity, do not leave toxic residues, are unaffected by water hardness, are inexpensive and fast-acting, remove dried or fixed organisms and biofilms from surfaces and have a low incidence of serious toxicity.\u00a0<\/span><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt; color: #000000;\">After reviewing environmental fate and ecologic data, EPA has determined the currently registered uses of hypochlorites will not result in unreasonable adverse effects on the environment.<\/span><\/p>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_custom_heading text=&#8221;Iodophors&#8221; font_container=&#8221;tag:h4|text_align:left|color:%231e73be&#8221; google_fonts=&#8221;font_family:ABeeZee%3Aregular%2Citalic|font_style:400%20regular%3A400%3Anormal&#8221;][vc_single_image image=&#8221;4066&#8243; img_size=&#8221;medium&#8221; alignment=&#8221;center&#8221;][vc_column_text]<\/p>\n<p align=\"justify\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt; color: #000000;\">Iodophors, complexes of iodine and a solubilising agent or carrier, are used as antiseptics and surface disinfectants. Iodine has bactericidal, fungicidal, tuberculocidal, virucidal and sporicidal properties, while its antiseptic properties are well known.\u00a0<\/span><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt; color: #000000;\">Iodophors, such as povidone-iodine and poloxamer-iodine, are much more stable, have fewer irritant characteristics and exert better microbicidal action than aqueous iodine solutions. The FDA has not cleared any liquid chemical sterilant or high-level disinfectant with iodophors as the main active ingredient, but iodophors are still used in healthcare settings for disinfecting blood culture bottles and medical equipment such as thermometers.<\/span><\/p>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_custom_heading text=&#8221;Low-level disinfectants&#8221; font_container=&#8221;tag:h3|text_align:left|color:%231e73be&#8221; google_fonts=&#8221;font_family:ABeeZee%3Aregular%2Citalic|font_style:400%20regular%3A400%3Anormal&#8221;][vc_custom_heading text=&#8221;Phenols&#8221; font_container=&#8221;tag:h4|text_align:left|color:%231e73be&#8221; google_fonts=&#8221;font_family:ABeeZee%3Aregular%2Citalic|font_style:400%20regular%3A400%3Anormal&#8221;][vc_row_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_single_image image=&#8221;4067&#8243; img_size=&#8221;medium&#8221; add_caption=&#8221;yes&#8221; alignment=&#8221;center&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_single_image image=&#8221;4068&#8243; img_size=&#8221;medium&#8221; add_caption=&#8221;yes&#8221; alignment=&#8221;center&#8221;][\/vc_column_inner][\/vc_row_inner][vc_column_text]<\/p>\n<p align=\"justify\"><span style=\"color: #000000; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">&#8220;Phenolic disinfectants disrupt the cell membrane of microorganisms.&#8221;\u00a0<\/span><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt; color: #000000;\">Since Dr Joseph Lister&#8217;s use of phenols for his pioneering work on antiseptic surgery, phenolic disinfectants have been used as low and intermediate-level disinfectants. Phenolic disinfectants are effective bactericides, fungicides, tuberculocides and virucides, but are ineffective against spore-forming bacteria such as\u00a0<em>Clostridium difficile<\/em>.<\/span><\/p>\n<p align=\"justify\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt; color: #000000;\">EPA-registered phenolic disinfectants are used to disinfect surface areas and non-critical medical devices. Phenolics are not FDA-cleared as high-level disinfectants for use with semi-critical items.\u00a0<\/span><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt; color: #000000;\">Phenolic disinfectants disrupt the cell membrane of microorganisms, and two phenol derivatives used commonly in hospital disinfectants are orthophenylphenol and ortho-benzyl-parachlorophenol.<\/span><\/p>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_custom_heading text=&#8221;Quaternary ammonium compounds&#8221; font_container=&#8221;tag:h4|text_align:left|color:%231e73be&#8221; google_fonts=&#8221;font_family:ABeeZee%3Aregular%2Citalic|font_style:400%20regular%3A400%3Anormal&#8221;][vc_row_inner][vc_column_inner width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;4069&#8243; img_size=&#8221;250&#215;250&#8243; alignment=&#8221;center&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;4070&#8243; img_size=&#8221;medium&#8221; alignment=&#8221;center&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;4071&#8243; img_size=&#8221;medium&#8221; alignment=&#8221;center&#8221;][\/vc_column_inner][\/vc_row_inner][vc_column_text]<\/p>\n<p align=\"justify\"><span style=\"color: #000000;\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Quaternary ammonium compounds (QACs) are used for a variety of clinical purposes such as preoperative disinfection, disinfection of non-critical instruments, and hard-surface cleaning and deodorisation.\u00a0<\/span><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">QACs possess bactericidal, fungicidal and virucidal properties; however, they only display mycobacteria static and spore static activity. Quaternary ammonium disinfectants contain NH<sub>4<\/sub><sup>+<\/sup>, the strong positive charge that results in better contact with negatively charged surfaces, making them good cleaning agents.<\/span><\/span><\/p>\n<p align=\"justify\"><span style=\"color: #000000;\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">EPA-registered QACs are appropriate for use in disinfecting medical equipment that contacts unbroken skin, such as blood pressure cuffs. US hospitals also use quaternary ammonium-based disinfectants for the terminal disinfection of hospital rooms.\u00a0<\/span><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Chemically, the quaternary is organically substituted ammonium compounds in which the nitrogen atom has a valence of 5, four of the substituent radicals (R<sub>1<\/sub>-R<sub>4<\/sub><\/span><span style=\"font-family: Verdana, serif;\"><span style=\"font-size: small;\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">) are alkyl or <\/span>heterocyclic radicals of a given size or chain length, and the fifth (X<\/span><\/span><sup><span style=\"font-family: Verdana, serif;\"><span style=\"font-size: small;\"><b>\u2011<\/b><\/span><\/span><\/sup><span style=\"font-family: Verdana, serif;\"><span style=\"font-size: small;\">) is a halide, sulfate, or similar radical. Each compound exhibits its own antimicrobial characteristics, hence the search for one compound with outstanding antimicrobial properties. Some of the chemical names of quaternary ammonium compounds used in healthcare are <\/span><\/span><span style=\"font-family: Verdana, serif;\"><span style=\"font-size: small;\">alkyl dimethyl benzyl ammonium chloride, alkyl didecyl dimethyl ammonium chloride, and dialkyl dimethyl ammonium chloride<\/span><\/span><span style=\"font-family: Verdana, serif;\"><span style=\"font-size: small;\">. The <\/span><\/span><span style=\"font-family: Verdana, serif;\"><span style=\"font-size: small;\">newer quaternary ammonium compounds (i.e., fourth-generation), referred to as twin-chain or dialkyl quaternary (e.g.) didecyl dimethyl ammonium bromide and dioctyl dimethyl ammonium bromide <\/span><\/span><span style=\"font-family: Verdana, serif;\"><span style=\"font-size: small;\">purportedly remain active in hard water and are tolerant of anionic residues.\u00a0<\/span><\/span><span style=\"font-family: Verdana, serif;\"><span style=\"font-size: small;\">A <\/span><\/span><span style=\"font-family: Verdana, serif;\"><span style=\"font-size: small;\">few case reports have documented occupational asthma <\/span><\/span><span style=\"font-family: Verdana, serif;\"><span style=\"font-size: small;\">as a result of exposure to <\/span><\/span><span style=\"font-family: Verdana, serif;\"><span style=\"font-size: small;\">benzalkonium chloride.<\/span><\/span><\/span><\/p>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]<\/p>\n<h2 align=\"justify\"><span style=\"font-family: Times New Roman, serif;\"><span style=\"font-size: medium;\"><span style=\"font-family: Verdana, serif;\"><span style=\"font-size: small;\">Table:1\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\"> \u00a0 \u00a0 <\/span><\/span><\/span><\/span><\/span><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt; color: #000080;\">Comparison of the characteristics of selected chemicals used as high-level disinfectants or chemical sterilants<\/span><\/h2>\n<table style=\"height: 1102px; width: 100%;\" width=\"1213\" cellspacing=\"0\" cellpadding=\"1\">\n<thead>\n<tr style=\"height: 41px;\" valign=\"bottom\">\n<td style=\"background: #4ebaaa; height: 41px;\" bgcolor=\"#4ebaaa\" width=\"113\" height=\"37\">\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Chemical Characteristics<\/span><\/p>\n<p>&nbsp;<\/td>\n<td style=\"background: #4ebaaa; height: 41px;\" bgcolor=\"#4ebaaa\" width=\"79\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Hydrogen Peroxide (7.5%)<\/span><\/p>\n<p align=\"center\"><\/td>\n<td style=\"background: #4ebaaa; height: 41px;\" bgcolor=\"#4ebaaa\" width=\"82\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Peracetic Acid (0.2%)<\/span><\/p>\n<p align=\"center\"><\/td>\n<td style=\"background: #4ebaaa; height: 41px;\" bgcolor=\"#4ebaaa\" width=\"135\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Glutaraldehyde<\/span><\/p>\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\"> (\u22652.0%)<\/span><\/p>\n<\/td>\n<td style=\"background: #4ebaaa; height: 41px;\" bgcolor=\"#4ebaaa\" width=\"107\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">OPA<\/span><\/p>\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">(0.55%)<\/span><\/p>\n<\/td>\n<td style=\"background: #4ebaaa; height: 41px;\" bgcolor=\"#4ebaaa\" width=\"120\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Hydrogen Peroxide \/ Peracetic Acid <\/span><\/p>\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">(7.35%\/0.23%)<\/span><\/p>\n<\/td>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"height: 122px;\" valign=\"top\">\n<td style=\"text-align: left; height: 122px;\" width=\"113\" height=\"50\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">High-level disinfectant claim<\/span><\/td>\n<td style=\"text-align: left; height: 122px;\" width=\"79\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">30 minutes @ 20\u00b0C<\/span><\/p>\n<\/td>\n<td style=\"text-align: left; height: 122px;\" width=\"82\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Not Applicable<\/span><\/p>\n<\/td>\n<td style=\"text-align: left; height: 122px;\" width=\"135\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">20-90 minutes @ 20<sup>o<\/sup>-25\u00b0C<\/span><\/p>\n<\/td>\n<td style=\"text-align: left; height: 122px;\" width=\"107\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">12 minutes @ 20\u00b0C,<\/span><\/p>\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">5 minutes @ 25\u00b0C in AER<\/span><\/p>\n<\/td>\n<td style=\"text-align: left; height: 122px;\" width=\"120\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">15 minutes @ 20\u00b0C<\/span><\/p>\n<\/td>\n<\/tr>\n<tr style=\"height: 63px;\" valign=\"top\">\n<td style=\"text-align: left; height: 63px;\" width=\"113\" height=\"18\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Sterilization Claim<\/span><\/td>\n<td style=\"text-align: left; height: 63px;\" width=\"79\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">6 hours @ 20\u00b0C<\/span><\/p>\n<\/td>\n<td style=\"text-align: left; height: 63px;\" width=\"82\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">12 minutes @ 50-56\u00b0C<\/span><\/p>\n<\/td>\n<td style=\"text-align: left; height: 63px;\" width=\"135\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">10 hours @ 20<sup>o<\/sup>-25\u00b0C<\/span><\/p>\n<\/td>\n<td style=\"text-align: left; height: 63px;\" width=\"107\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">None<\/span><\/p>\n<\/td>\n<td style=\"text-align: left; height: 63px;\" width=\"120\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">3 h @ 20\u00b0C<\/span><\/p>\n<\/td>\n<\/tr>\n<tr style=\"height: 63px;\" valign=\"top\">\n<td style=\"text-align: left; height: 63px;\" width=\"113\" height=\"22\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Activation<\/span><\/td>\n<td style=\"text-align: left; height: 63px;\" width=\"79\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">No<\/span><\/p>\n<\/td>\n<td style=\"text-align: left; height: 63px;\" width=\"82\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">No<\/span><\/p>\n<\/td>\n<td style=\"text-align: left; height: 63px;\" width=\"135\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Yes (alkaline glutaraldehyde)<\/span><\/p>\n<\/td>\n<td style=\"text-align: left; height: 63px;\" width=\"107\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">No<\/span><\/p>\n<\/td>\n<td style=\"text-align: left; height: 63px;\" width=\"120\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">No<\/span><\/p>\n<\/td>\n<\/tr>\n<tr style=\"height: 85px;\" valign=\"top\">\n<td style=\"text-align: left; height: 85px;\" width=\"113\" height=\"64\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Reuse life (number of days a product can be reused as determined by re-use protocol)<\/span><\/td>\n<td style=\"text-align: left; height: 85px;\" width=\"79\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">21 days<\/span><\/p>\n<\/td>\n<td style=\"text-align: left; height: 85px;\" width=\"82\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Single-use<\/span><\/p>\n<\/td>\n<td style=\"text-align: left; height: 85px;\" width=\"135\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">14-30 days<\/span><\/p>\n<\/td>\n<td style=\"text-align: left; height: 85px;\" width=\"107\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">14 days<\/span><\/p>\n<\/td>\n<td style=\"text-align: left; height: 85px;\" width=\"120\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">14 days<\/span><\/p>\n<\/td>\n<\/tr>\n<tr style=\"height: 63px;\" valign=\"top\">\n<td style=\"text-align: left; height: 63px;\" width=\"113\" height=\"55\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Shelf-life stability (the time a product can remain in storage (unused))<\/span><\/td>\n<td style=\"text-align: left; height: 63px;\" width=\"79\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">2 years<\/span><\/p>\n<\/td>\n<td style=\"text-align: left; height: 63px;\" width=\"82\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">6 months<\/span><\/p>\n<\/td>\n<td style=\"text-align: left; height: 63px;\" width=\"135\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">2 years<\/span><\/p>\n<\/td>\n<td style=\"text-align: left; height: 63px;\" width=\"107\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">2 years<\/span><\/p>\n<\/td>\n<td style=\"text-align: left; height: 63px;\" width=\"120\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">2 years<\/span><\/p>\n<\/td>\n<\/tr>\n<tr style=\"height: 117px;\" valign=\"top\">\n<td style=\"text-align: left; height: 117px;\" width=\"113\" height=\"85\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Disposal Restrictions<\/span><\/td>\n<td style=\"text-align: left; height: 117px;\" width=\"79\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">None<\/span><\/p>\n<\/td>\n<td style=\"text-align: left; height: 117px;\" width=\"82\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">None<\/span><\/p>\n<\/td>\n<td style=\"text-align: left; height: 117px;\" width=\"135\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Local (no U.S. EPA regulations exist but some states and local authorities have disposal restrictions)<\/span><\/p>\n<\/td>\n<td style=\"text-align: left; height: 117px;\" width=\"107\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Local (no U.S. EPA regulations exist but some states and local authorities have disposal restrictions)<\/span><\/p>\n<\/td>\n<td style=\"text-align: left; height: 117px;\" width=\"120\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">None<\/span><\/p>\n<\/td>\n<\/tr>\n<tr style=\"height: 63px;\" valign=\"top\">\n<td style=\"text-align: left; height: 63px;\" width=\"113\" height=\"26\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Materials Compatibility<\/span><\/td>\n<td style=\"text-align: left; height: 63px;\" width=\"79\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Good<\/span><\/p>\n<\/td>\n<td style=\"text-align: left; height: 63px;\" width=\"82\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Good<\/span><\/p>\n<\/td>\n<td style=\"text-align: left; height: 63px;\" width=\"135\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Excellent<\/span><\/p>\n<\/td>\n<td style=\"text-align: left; height: 63px;\" width=\"107\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Excellent<\/span><\/p>\n<\/td>\n<td style=\"text-align: left; height: 63px;\" width=\"120\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">No data<\/span><\/p>\n<\/td>\n<\/tr>\n<tr style=\"height: 63px;\" valign=\"top\">\n<td style=\"text-align: left; height: 63px;\" width=\"113\" height=\"33\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Monitor MEC of solution<\/span><\/td>\n<td style=\"text-align: left; height: 63px;\" width=\"79\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Yes (6%)<\/span><\/p>\n<\/td>\n<td style=\"text-align: left; height: 63px;\" width=\"82\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">No<\/span><\/p>\n<\/td>\n<td style=\"text-align: left; height: 63px;\" width=\"135\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Yes (1.5% or higher)<\/span><\/p>\n<\/td>\n<td style=\"text-align: left; height: 63px;\" width=\"107\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Yes (0.3% OPA)<\/span><\/p>\n<\/td>\n<td style=\"text-align: left; height: 63px;\" width=\"120\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">No<\/span><\/p>\n<\/td>\n<\/tr>\n<tr style=\"height: 90px;\" valign=\"top\">\n<td style=\"text-align: left; height: 90px;\" width=\"113\" height=\"53\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Safety<\/span><\/td>\n<td style=\"text-align: left; height: 90px;\" width=\"79\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Serious eye irritant (safety glasses)<\/span><\/p>\n<\/td>\n<td style=\"text-align: left; height: 90px;\" width=\"82\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Serious eye and skin irritant (conc. Soln.)<sup>\u00a05<\/sup><\/span><\/p>\n<\/td>\n<td style=\"text-align: left; height: 90px;\" width=\"135\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Respiratory irritant<\/span><\/p>\n<\/td>\n<td style=\"text-align: left; height: 90px;\" width=\"107\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Eye irritant, stains skin<\/span><\/p>\n<\/td>\n<td style=\"text-align: left; height: 90px;\" width=\"120\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Eye irritant<\/span><\/p>\n<\/td>\n<\/tr>\n<tr style=\"height: 63px;\" valign=\"top\">\n<td style=\"text-align: left; height: 63px;\" width=\"113\" height=\"33\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Processing<\/span><\/td>\n<td style=\"text-align: left; height: 63px;\" width=\"79\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Manual or automated<\/span><\/p>\n<\/td>\n<td style=\"text-align: left; height: 63px;\" width=\"82\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Automated<\/span><\/p>\n<\/td>\n<td style=\"text-align: left; height: 63px;\" width=\"135\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Manual or automated<\/span><\/p>\n<\/td>\n<td style=\"text-align: left; height: 63px;\" width=\"107\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Manual or automated<\/span><\/p>\n<\/td>\n<td style=\"text-align: left; height: 63px;\" width=\"120\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Manual<\/span><\/p>\n<\/td>\n<\/tr>\n<tr style=\"height: 63px;\" valign=\"top\">\n<td style=\"text-align: left; height: 63px;\" width=\"113\" height=\"33\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Organic material resistance<\/span><\/td>\n<td style=\"text-align: left; height: 63px;\" width=\"79\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Yes<\/span><\/p>\n<\/td>\n<td style=\"text-align: left; height: 63px;\" width=\"82\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Yes<\/span><\/p>\n<\/td>\n<td style=\"text-align: left; height: 63px;\" width=\"135\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Yes<\/span><\/p>\n<\/td>\n<td style=\"text-align: left; height: 63px;\" width=\"107\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Yes<\/span><\/p>\n<\/td>\n<td style=\"text-align: left; height: 63px;\" width=\"120\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Yes<\/span><\/p>\n<\/td>\n<\/tr>\n<tr style=\"height: 84px;\" valign=\"top\">\n<td style=\"text-align: left; height: 84px;\" width=\"113\" height=\"65\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">OSHA exposure limit<\/span><\/td>\n<td style=\"text-align: left; height: 84px;\" width=\"79\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">1 ppm TWA<\/span><\/p>\n<\/td>\n<td style=\"text-align: left; height: 84px;\" width=\"82\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">None<\/span><\/p>\n<\/td>\n<td style=\"text-align: left; height: 84px;\" width=\"135\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">None (The ceiling limit recommended by the American Conference of Governmental Industrial Hygienists is 0.05 ppm.)<\/span><\/p>\n<\/td>\n<td style=\"text-align: left; height: 84px;\" width=\"107\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">None<\/span><\/p>\n<\/td>\n<td style=\"text-align: left; height: 84px;\" width=\"120\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Hydrogen Peroxide -1 ppm (time-weighted average for a conventional 8-hour workday)<\/span><\/p>\n<\/td>\n<\/tr>\n<tr style=\"height: 122px;\" valign=\"top\">\n<td style=\"text-align: left; height: 122px;\" width=\"113\" height=\"42\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Cost profile (per cycle)<sup>1<\/sup><\/span><\/td>\n<td style=\"text-align: left; height: 122px;\" width=\"79\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">+ (manual)<\/span><\/p>\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">++ (automated)<\/span><\/p>\n<\/td>\n<td style=\"text-align: left; height: 122px;\" width=\"82\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">+++++ (automated)<\/span><\/p>\n<\/td>\n<td style=\"text-align: left; height: 122px;\" width=\"135\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">+ (manual)<\/span><\/p>\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">++ (automated)<\/span><\/p>\n<\/td>\n<td style=\"text-align: left; height: 122px;\" width=\"107\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">++ (manual)<\/span><\/p>\n<\/td>\n<td style=\"text-align: left; height: 122px;\" width=\"120\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">++ (manual)<\/span><\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Abbreviations and Footnotes:\u00a0<\/span><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">OPA\u00a0ortho-phthalaldehyde (FDA cleared as a high-level disinfectant, included for comparison to other chemical agents used for high-level disinfection)<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">AER Automated Endoscope Reprocessor.\u00a0\u00a0<\/span><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">MEC\u00a0minimum effective concentration is the lowest concentration of active ingredients at which the product is still effective.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">1\u00a0per cycle cost profile considers the cost of the processing solution (suggested list price to healthcare facilities in August 2001) and assumes maximum use life (e.g., 21\u00a0days for hydrogen peroxide, 14\u00a0days for glutaraldehyde), 5\u00a0reprocessing cycles per day, 1-gallon basin for manual processing, and 4-gallon tank for automated processing.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">+\u00a0= least expensive;\u00a0<\/span><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">+++++\u00a0= most expensive<\/span><\/p>\n<h2><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Table 2:\u00a0 \u00a0 \u00a0 <span style=\"color: #000080;\">Summary of advantages and disadvantages of chemical agents used as chemical sterilants1 or as high-level disinfectants<\/span><\/span><\/h2>\n<table style=\"height: 1160px; width: 100%;\" width=\"1183\" cellspacing=\"0\" cellpadding=\"1\">\n<thead>\n<tr style=\"height: 62px;\" valign=\"bottom\">\n<td style=\"background: #4ebaaa; height: 62px;\" bgcolor=\"#4ebaaa\" width=\"109\" height=\"14\">\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Sterilization Method<\/span><\/p>\n<p>&nbsp;<\/td>\n<td style=\"background: #4ebaaa; height: 62px;\" bgcolor=\"#4ebaaa\" width=\"294\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Advantages<\/span><\/p>\n<p align=\"center\"><\/td>\n<td style=\"background: #4ebaaa; height: 62px;\" bgcolor=\"#4ebaaa\" width=\"252\">\n<p align=\"center\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Disadvantages<\/span><\/p>\n<p align=\"center\"><\/td>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"height: 117px;\" valign=\"top\">\n<td style=\"height: 117px;\" width=\"109\" height=\"63\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Peracetic Acid\/Hydrogen Peroxide<\/span><\/td>\n<td style=\"height: 117px;\" width=\"294\">\n<ul>\n<li><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">No activation required<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Odour or irritation not significant<\/span><\/li>\n<\/ul>\n<\/td>\n<td style=\"height: 117px;\" width=\"252\">\n<ul>\n<li><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Materials compatibility concerns (lead, brass, copper, zinc) both cosmetic and functional<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Limited clinical experience<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Potential for eye and skin damage<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr style=\"height: 198px;\" valign=\"top\">\n<td style=\"height: 198px;\" width=\"109\" height=\"115\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Glutaraldehyde<\/span><\/td>\n<td style=\"height: 198px;\" width=\"294\">\n<ul>\n<li><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Numerous use studies published<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Relatively inexpensive<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Excellent materials compatibility<\/span><\/li>\n<\/ul>\n<\/td>\n<td style=\"height: 198px;\" width=\"252\">\n<ul>\n<li><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Respiratory irritation from glutaraldehyde vapour<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Pungent and irritating odour<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Relatively slow mycobactericidal activity<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Coagulates blood and fixes tissue to surfaces<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Allergic contact dermatitis<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Glutaraldehyde vapour monitoring recommended<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr style=\"height: 225px;\" valign=\"top\">\n<td style=\"height: 225px;\" width=\"109\" height=\"115\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Hydrogen Peroxide<\/span><\/td>\n<td style=\"height: 225px;\" width=\"294\">\n<ul>\n<li><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">No activation required<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">May enhance the removal of organic matter and organisms<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">No disposal issues<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">No odour or irritation issues<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Does not coagulate blood or fix tissues to surfaces<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Inactivates\u00a0Cryptosporidium<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Use studies published<\/span><\/li>\n<\/ul>\n<\/td>\n<td style=\"height: 225px;\" width=\"252\">\n<ul>\n<li><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Material compatibility concerns (brass, zinc, copper, and nickel\/silver plating) both cosmetic and functional<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Serious eye damage with contact<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr style=\"height: 171px;\" valign=\"top\">\n<td style=\"height: 171px;\" width=\"109\" height=\"103\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Ortho-phthalaldehyde<\/span><\/td>\n<td style=\"height: 171px;\" width=\"294\">\n<ul>\n<li><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Fast-acting high-level disinfectant<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">No activation required<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Odour not significant<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Excellent materials compatibility claimed<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Does not coagulate blood or fix tissues to surfaces claimed<\/span><\/li>\n<\/ul>\n<\/td>\n<td style=\"height: 171px;\" width=\"252\">\n<ul>\n<li><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt; color: #000000;\">Stains skin, mucous membranes, clothing, and environmental surfaces<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt; color: #000000;\">Repeated exposure may result in hypersensitivity in some patients with bladder cancer<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt; color: #000000;\">More expensive than glutaraldehyde<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt; color: #000000;\">Eye irritation with contact<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt; color: #000000;\">Slow sporicidal activity<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr style=\"height: 387px;\" valign=\"top\">\n<td style=\"height: 387px;\" width=\"109\" height=\"289\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt; color: #000000;\">Peracetic Acid<\/span><\/td>\n<td style=\"height: 387px;\" width=\"294\">\n<ul>\n<li><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt; color: #000000;\">Rapid sterilization cycle time (30-45 minutes)<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt; color: #000000;\">Low temperature (50-55\u00b0C) liquid immersion sterilization<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt; color: #000000;\">Environmentally friendly by-products (acetic acid, O<sub>2<\/sub>, H<sub>2<\/sub>0)<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt; color: #000000;\">Fully automated<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt; color: #000000;\">The single-use system eliminates the need for concentration testing<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt; color: #000000;\">Standardized cycle<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt; color: #000000;\">May enhance the removal of organic material and endotoxin<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt; color: #000000;\">No adverse health effects on operators under normal operating conditions<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt; color: #000000;\">Compatible with many materials and instruments<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt; color: #000000;\">Does not coagulate blood or fix tissues to surfaces<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt; color: #000000;\">Sterilant flows through scope facilitating salt, protein, and microbe removal<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt; color: #000000;\">Rapidly sporicidal<\/span><\/li>\n<li><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt; color: #000000;\">Provides procedure standardization (constant dilution, perfusion of the channel, temperatures, exposure)<\/span><\/li>\n<\/ul>\n<\/td>\n<td style=\"height: 387px;\" width=\"252\">\n<ul>\n<li><span style=\"color: #000000; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Potential material incompatibility (e.g., the aluminium anodized coating becomes dull)<\/span><\/li>\n<li><span style=\"color: #000000; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Used for immersible instruments only<\/span><\/li>\n<li><span style=\"color: #000000; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">The biological indicator may not be suitable for routine monitoring<\/span><\/li>\n<li><span style=\"color: #000000; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">One scope or a small number of instruments can be processed in a cycle<\/span><\/li>\n<li><span style=\"color: #000000; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">More expensive (endoscope repairs, operating costs, purchase costs) than high-level disinfection<\/span><\/li>\n<li><span style=\"color: #000000; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Serious eye and skin damage (concentrated solution) with contact<\/span><\/li>\n<li><span style=\"color: #000000; font-family: verdana, geneva, sans-serif; font-size: 10pt;\">The point-of-use system, no sterile storage<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_custom_heading text=&#8221;Modified from Rutala&#8221; font_container=&#8221;tag:h4|text_align:left|color:%231e73be&#8221; google_fonts=&#8221;font_family:ABeeZee%3Aregular%2Citalic|font_style:400%20regular%3A400%3Anormal&#8221;][vc_column_text]<\/p>\n<p align=\"justify\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt; color: #000000;\">1.\u00a0All products effective in presence of organic soil, relatively easy to use, and have a broad spectrum of antimicrobial activity (bacteria, fungi, viruses, bacterial spores, and mycobacteria). The above characteristics are documented in the literature; contact the manufacturer of the instrument and sterilant for additional information. All products listed above are FDA-cleared as chemical sterilants except OPA, which is an FDA-cleared high-level disinfectant.<\/span><\/p>\n<p>[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][vc_custom_heading text=&#8221;Food safety&#8221; font_container=&#8221;tag:h3|text_align:left&#8221; google_fonts=&#8221;font_family:ABeeZee%3Aregular%2Citalic|font_style:400%20regular%3A400%3Anormal&#8221;][vc_column_text] Access to sufficient amounts of safe and nutritious food is key to sustaining life and promoting good health. Unsafe food containing harmful bacteria, viruses, parasites, or chemical substances can cause more than 200 different diseases \u2013 ranging from diarrhoea to cancers. Around the world, an estimated 600 million &#8211; almost&#8230;<\/p>\n","protected":false},"author":1,"featured_media":5238,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"kt_blocks_editor_width":"","_kad_post_transparent":"default","_kad_post_title":"default","_kad_post_layout":"default","_kad_post_sidebar_id":"","_kad_post_content_style":"default","_kad_post_vertical_padding":"default","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"footnotes":""},"class_list":["post-4266","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v17.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Food Safety Hygiene Biocide &amp; Cleaning Chemicals. - PuraHub Limited<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Food Safety Hygiene Biocide &amp; Cleaning Chemicals. - PuraHub Limited\" \/>\n<meta property=\"og:description\" content=\"[vc_row][vc_column][vc_custom_heading text=&#8221;Food safety&#8221; font_container=&#8221;tag:h3|text_align:left&#8221; google_fonts=&#8221;font_family:ABeeZee%3Aregular%2Citalic|font_style:400%20regular%3A400%3Anormal&#8221;][vc_column_text] Access to sufficient amounts of safe and nutritious food is key to sustaining life and promoting good health. 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