jueves, 20 de febrero de 2014

DISINFECTION


Are there any misconceptions about cleaners and disinfectants?

Disinfecting is more important than cleaning – Ultimately, infection control comes down to efficient cleaning practices and not simply applying a disinfectant. The physical removal of a "germ" is much more important than the chemical destruction of it. A good example of this is: You are at a picnic...you drop part of a sandwich on the ground...before you know it you are being invaded by ants. Now, if you want to take the "disinfectant" approach you can simply spray insect spray on the ants. The ants will die, but you will find that more ants will return from another angle.
Now if you do the right thing by picking up the sandwich and placing it in the trash, or "cleaning” it from the area, you will have eliminated the food source and thus ultimately stopping and preventing the problem. 
•    Hospital Grade disinfectants require a TB claim – A “Hospital Grade” Disinfectant only requires 2 organisms to be tested: Pseudomonas aeruginosa and Staphylococcus aureus.  
In fact, tuberculocidal disinfectants are not used to control the spread of TB; the TB claim is only used as an indicator of strength.  TB is transmitted only by the airborne route, meaning that the only way this disease is spread is by infected people coughing and sneezing tiny infected droplets into the air and others breathing those droplets into their lungs.  Therefore, surface cleaners and disinfectants will have no impact on the spread of this pathogen.  
•    Bleach is the ultimate disinfectant.  In order for bleach to function properly as a disinfectant or sanitizer the surface MUST be precleaned prior to the application of bleach.  (NO if, ands, or buts about it.) Disinfecting and sanitizing with bleach is a two-step process.  
Bleach's shelf life is unstable.  Depending on the age and storage conditions, the actual amount of active chlorine will vary. Sodium hypochlorite a.k.a. bleach will break down into salt and water. Never store bleach in warm areas.  Because of this the following are true:
o    A fresh solution of bleach must be made prior to disinfection or sanitation.  (Water ions or hardness and soil contaminants from a dirty container can adversely affect available chlorine ppms) 
o    Only an E.P.A. registered bleach product can be used for disinfection or sanitation.
•    Microorganisms are becoming resistant to disinfectants or disinfectants are promoting antibiotic resistance in microorganisms - The mode of action for a disinfectant is different than the mode of action of an antibiotic. For example – if antibiotics are like poison to a bacteria, then disinfectants would be like a shotgun. The same thing that protects you from poison would not protect you from a shotgun.    
This same scenario applies to antibiotic resistant bacteria (think MRSA or CRE).  Antibiotic resistant bacteria have developed a resistance to a type of antibiotic; the ability of a bacteria to be resistant to an antibiotic has no direct indication of the efficacy of a disinfectant for that same bacteria.

There are many misconceptions associated with cleaners and disinfectants in healthcare settings, some include:
•    Kill time is the same as wet time. This is untrue—the time it takes a product to eliminate microorganisms is not necessarily the same as the time it is able to keep a surface wet.
•    Fast “overall” kill times are best. While fast kill times are important, what the product kills is more important. Some manufacturers may leave off tough-to-kill organisms in order to achieve a fast overall kill time. For example, if it takes a certain product 5 minutes to kill Norovirus, but the manufacturer wants to keep the overall product kill time to 3 minutes, they may leave Norovirus off the label all together.
•    All products will react the same on surfaces. Different ingredients and different formulas will react differently with different surfaces. And just because two products may have the same active ingredient doesn’t mean they will necessarily have the same interactions with surfaces.  For example, some products contain special corrosion inhibitors in their formulas to provide enhanced surface compatibility.
•    Residue is bad. Usually residue left behind on a surface by a product is due to dissolved ingredients in the formula that dry on the surface as solids. These are often important ingredients, such as detergents for more powerful cleaning, corrosion inhibitors for protecting surfaces, or stabilizing agents to maintain product shelf life. To protect surfaces, avoid residue buildup by periodically removing it with a clean, damp cloth.
•    The more chemical, the better. Cleaning and disinfecting products are formulated for use in specific amounts and concentrations. When mixing or diluting products, it is important to closely follow the manufacturer’s instructions to avoid potentially hazardous situations.
•    Bleach contains chlorine gas. This is untrue. Sodium hypochlorite is the active ingredient in bleach disinfectants.
•    Bleach odor is harmful. Multiple studies have shown that when exposed to bleach, little or no concern about the odor of bleach was expressed by patients, families or staff. EPA-registered bleach disinfectants are formulated well below the levels recognized to cause potential respiratory irritation or overt health effects. Bleach is not a recognized asthmagen by any regulatory agency.
•    Bleach is bad for the Environment. Sodium hypochlorite breaks down rapidly into salt and water in the environment and has no negative impact on the environment. According to the EPA, “currently registered uses of the hypochlorites will not result in unreasonable adverse effects to the environment. –


 

viernes, 7 de febrero de 2014

The Science Of Odor Control


The Science behind Odor Control.

Odor is a sensation, a cognitive response to a chemical stimulus of our olfactory sense.  The odor molecules arrive and land into specific receptor sites in our olfactory nerves and chemically react to produce a specific coded electrical signal that is transmitted to the brain. Our brain stores,  classifies  and  remembers thousands of different odors from different substances.

Since the beginning of times, men have been concerned with what we perceive as mal odors, bad odors foul or unpleasant and nasty odors.  Staring in Egyptian civilization, people used to cover themselves with fruit and flower extracts and waxes, and bathe in aromatic oils or solutions.

Bad odors are originated by many sources, but the fundamental bad odor molecules originate from bacteria, mold and mildew in humid environments, and from  aromatic molecules like mercaptans, terpenes, ammonia, sulfides, low amines, carboxylic acids and many other, present in rotten food, human and animal segregations, body fluids, spices, and also from burning tobacco, wood and other cellulosic material.

The true evolution of odor control started round 1880, when fragrant pastes and oils started to be used to disguise bad human body odors. These way, odors can be eliminated by using an overpowering fragrance to cover the bad odor; this method is still being used today, with the disadvantage that  the resulting odor is sometimes worst and wears out lo discover the bad odor behind.

The next generation of odor controlling solutions has been formulating with active molecules that chemically react with odor molecules to neutralize them. This requires a one to one match for the kill. Alternatively some molecules have been created with electrostatic forces, capable of neutralizing the odor molecules at one to one contact, and rendering them illegible by the olfactory sense.

At a next level we have some  odor controlling macro-molecules that in addition to be attracted electrically to bad odor molecules, are capable of trapping, encapsulating , bad odor molecules and pull them down to the surface before reaching our olfactory sense. Not all odor molecules can be disarmed with the same active ingredient.

Obviously  the bad odor, being originated by bacteria, mold and microorganism, can also be attacked by these mechanisms of odor control, however we need to assure that bacteria or mold are reduced to prevent the odor reappearing.

With more than 20 years of odor control research, science has  been able to combine most of the chemically active and thermodynamically enhanced odor counteractants and encapsulants, in a formula that also helps prevent the regrowth of microorganisms on surfaces. Additionally and, due to the volatility and vapor pressure of its nowadays components, they are  able to act in a multilevel mode, being able to attack bad odors with residual action, in the air, and on hard and soft surfaces.

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GREEN CHEMICALS

The Green Seal certification is granted by the organization with that name and has a great number of members contributing with the requirements to pass a raw material or a chemical product as "green". Generally for a material to be green, has to comply with a series of characteristics like: near neutral pH, low volatility, non combustible, non toxic to aquatic life, be biodegradable as measured by oxygen demand in accordance with the OECD definition.
Also the materials have to meet with toxicity and health requirements regarding inhalation, dermal and eye contact. There is also a specific list of materials that are prohibited or restricted from formulations, like ozone-depleting compounds and alkylphenol ethoxylates amongst others. Please go to http://www.greenseal.com/ for complete information on their requirements.
For information on current issues regarding green chemicals, see the blog from the Journalist Doris De Guzman, in the ICIS at: http://www.icis.com/blogs/green-chemicals/.
Certification is an important — and confusing — aspect of green cleaning. Third-party certification is available for products that meet standards set by Green Seal, EcoLogo, Energy Star, the Carpet & Rug Institute and others.
Manufacturers can also hire independent labs to determine whether a product is environmentally preferable and then place the manufacturer’s own eco-logo on the product; this is called self-certification. Finally, some manufacturers label a product with words like “sustainable,” “green,” or “earth friendly” without any third-party verification.
“The fact that there is not a single authoritative standard to go by adds to the confusion,” says Steven L. Mack M.Ed., director of buildings and grounds service for Ohio University, Athens, Ohio.
In www.happi.com of June 2008 edition, there is a report of Natural formulating markets that also emphasises the fact that registration of "green formulas" is very confused at present, due to lack of direction and unification of criteria and that some governmental instittion (in my opinion the EPA) should take part in this very important issue.