What to know
Neutralization of germicides from the Guideline for Disinfection and Sterilization in Healthcare Facilities (2008).
Neutralization of Germicides
One of the difficulties associated with evaluating the bactericidal activity of disinfectants is prevention of bacteriostasis from disinfectant residues carried over into the subculture media. Likewise, small amounts of disinfectants on environmental surfaces can make an accurate bacterial count difficult to get when sampling of the health-care environment as part of an epidemiologic or research investigation. One way these problems may be overcome is by employing neutralizers that inactivate residual disinfectants 807-809. Two commonly used neutralizing media for chemical disinfectants are Letheen Media and D/E Neutralizing Media. The former contains lecithin to neutralize quaternaries and polysorbate 80 (Tween 80) to neutralize phenolics, hexachlorophene, formalin, and, with lecithin, ethanol. The D/E Neutralizing media will neutralize a broad spectrum of antiseptic and disinfectant chemicals, including quaternary ammonium compounds, phenols, iodine and chlorine compounds, mercurials, formaldehyde, and glutaraldehyde 810. A review of neutralizers used in germicide testing has been published808.
- Updates
- Authors
- Summary of Recommendations
- Introduction
- Rational Approach
- Healthcare Equipment
- Efficacy Factors
- Cleaning
- Disinfection
- Chemical Disinfectants
- Miscellaneous Inactivating Agents
- Regulatory Framework
- Neutralization of Germicides
- Sterilization
- Steam Sterilization
- Flash Sterilization
- Low-Temperature Sterilization
- Ethylene Oxide "Gas" Sterilization
- Hydrogen Peroxide Gas Plasma
- Peracetic Acid Sterilization
- Microbicidal Activity of Low-Temperature Sterilization
- Bioburden of Surgical Devices
- Cleaning Effect on Sterilization
- Other Sterilization Methods
- Sterilizing Practices
- Reuse of Single-Use Medical Devices
- Conclusion
- Performance Indicators
- Glossary
- References
- Executive Summary
- Tables and Figure
- Sterilization and Disinfection Methods
- Properties of an ideal disinfectant
- Epidemiologic Evidence
- Resistance of Microorganisms
- Comparison of Selected Chemicals
- Chemical Advantages and Disadvantages
- Sterilization Advantages & Disadvantages
- Minimum Steam Sterilization Cycle Times
- Flash Steam Sterilization Parameters
- Ideal Low-Temperature Sterilization
- Sterilization Efficacy
- Evaluation of Microbicidal Activity
- Positive Biological Indicator