Chloramine for routine cleaning. Algorithm for preparing chloramine
Target: disinfection
Equipment:
Workwear
A weighed portion of dry chloramine powder is 10 g, 20, 30.
Water capacity with markings up to 1l
Container for disinfectant solution
Wooden spatula.
Action algorithm:
1. Put on overalls.
2.Pour a small amount of water into a labeled container.
3.Pour the required amount of dry chloramine powder into the container.
4.Add water to 1 liter, stir and close the lid.
5. Mark the date and time of preparation of the solution on the tag and sign.
Note: A 0.5% chloramine solution is used to disinfect tableware. A 1% chloramine solution is used to treat objects that have not been in contact with the patient’s blood and mucous membranes, and for routine cleaning of premises. A 3% chloramine solution is used to disinfect instruments and care items that come into contact with the patient’s blood and mucous membranes. A 5% chloramine solution is used for general cleaning of premises, disinfection of objects and instruments in contact with tuberculosis infection.
Strictly follow safety precautions when working with disinfectants. If the solution gets on your skin or mucous membranes, rinse them quickly and generously with running water (use the freshly prepared solution once).
ALGORITHM FOR STERILIZATION OF MEDICAL DEVICES IN A DRY-HEAT CABINET
Target: destruction of vegetative forms of microorganisms and their spores.
Conditions:
Sterilization of glass, metal, fine porcelain products.
Sterilization open method, on trays.
All sterilized utensils and instruments must be pre-disinfected and subjected to pre-sterilization treatment.
Requirements: Do not wrap materials to be sterilized in cotton, silk or synthetic fabrics: they will burn or char.
Action algorithm:
1. Treat the inside of the dry-heat cabinet by wiping it twice with a rag soaked in a disinfectant solution.
2. Place the tools on the grid in the trays.
3. To control the sterilization performed, place test indicators at 5 control points (2 indicators per back wall, 2 - on the front and 1 - in the center). Turn on the dry-heat oven, at 180 degrees, sterilization lasts 60 minutes, this time is made up of 25 minutes. materials needed for heating, and 35 min. - the period of death of microorganisms and their spores at the specified temperature.
4. Turn off the dry-heat oven, open the doors only after With lowering the temperature to 45-50 degrees. A nurse in a clean surgical gown, a mask, and sterile gloves pulls out sterile instruments in trays.
Note: make a note in the sterilization control log.
LAYING STERILIZATION BOXES
Target: laying for sterilization in an autoclave and maintaining sterility during storage for a regulated time.
Equipment:
Disinfectant solution: 1% chloramine solution (or other regulated solution)
Rags marked “for beaks” - 2 pieces
Containers for disinfection of rags and gloves
Gloves, mask
A large linen (calico) napkin for lining the inner surface of the bix
Dressing, products medical purposes
Sterilization boxes of different capacities and shapes with tags.
Action algorithm:
1. Wash your hands and dry them.
2. Check the serviceability of the bix.
3. Disinfect the bix twice with an interval of 15 minutes from the inside and outside.
4. Line the inside of the bix with a linen napkin so that it hangs down 2/3 of the height of the bix.
5. Place materials or products loosely so that ventilation between them is maintained.
6.Put the sterilization indicator at three levels depending on temperature regime for this type of product.
7. Cover the entire laid material with a napkin hanging from the edges of the bix.
8. Close the lid of the box with a lock.
9. Attach a tag to the handle indicating the name of the department and office, the type of material being sterilized.
10. Open the windows in the containers and place them in the autoclave.
Note: delivery of bix to the central processing center is carried out in a tight, clean bag, delivery from the central processing center is also carried out in a dense, clean bag.
AZOPYRAM TEST
Target: carry out comprehensive quality control of pre-sterilization cleaning of medical instruments.
Equipment:
Azopyram stock solution
3% hydrogen peroxide solution
Glass with blood smears
Tray with cotton swabs, instruments subject to quality control
Pre-sterilization cleaning control log.
Conditions:
Use a freshly prepared 1% azopyram solution for 1-2 hours.
Action algorithm:
1.Check the activity of the working solution by dropping a few drops onto a glass with a blood smear; if the color of the reagent changes, then the reagent is “working”.
2.Apply 1 - 2 drops of 1% azopyram working solution with a pipette onto the product.
A blue-violet color indicates the presence of blood.
5. If the sample is positive, the entire batch of products must be re-cleaned, starting from the first stage of decontamination.
6. Record the test results in the log book.
Note:
ALGORITHMS FOR QUALITY CONTROL OF PRE-STERILIZATION TREATMENT
PHENOLPHTHALEIN TEST
Target: quality control of washing medical products from the cleaning solution.
Equipment:
Reagent: 1% alcohol solution phenolphthalein
Reagent pipette
Tray with cotton swabs
Tools subject to quality control.
Action algorithm:
1.Apply 1-2 drops of 1% alcohol solution phenolphthalein on the product.
2.Hold the instrument over the cotton wool, observing the color of the flowing reagent.
4. If the test is negative, the color of the reagent does not change.
5. If the test is positive, the color of the reagent changes from pink to crimson. In this case, the products must be washed again under running water.
Note: 1% of the total number of products is subject to quality control of pre-sterilization cleaning.
ALGORITHM FOR GENERAL CLEANING OF THE ROOM
Target: destruction of pathogenic and conditionally pathogenic microorganisms.
Requirement:
General cleaning is carried out once a week according to the schedule.
Cleaning should be carried out from the least contaminated areas to the most contaminated, as well as from high-lying areas to lower ones.
Conditions:
General cleaning should be carried out in the absence of patients.
Action algorithm:
1. Put on a change of sanitary clothing for general cleaning.
2. Prepare a disinfectant solution according to the instructions included with the disinfectant used.
3. To carry out general cleaning, use cleaning equipment with markings.
4.Take out the trash.
5.Fold up bedding, move beds, bedside tables to the center of the room.
6. Sweep cobwebs from the ceiling.
7.Use a rag generously moistened with a disinfectant solution to irrigate it in a certain sequence: walls, glass, window sill, heating system pipes, furniture, floor.
8. Treat the sink with a cleaning agent using a special rag, which must be disinfected or boiled after use.
9.After 1 hour, wash off with soap and water using a clean rag. soda solution(for 10 liters of water 25 g. detergent, 25 g soda ash) treated surfaces.
10. Dry the treated surfaces with a dry cloth.
11. Turn on the bactericidal irradiator for 30 minutes, leave the room.
12.Remove gloves, wash your hands.
13.Ventilate the room for 10 minutes.
Note: after general cleaning, empty the containers from dirty water, prepare a disinfectant solution, immerse the rags for disinfection for 1 hour. Dry the rags and store them dry in a place specially designated for storing cleaning equipment. Treat the mop with a rag soaked in a disinfectant solution by wiping.
DISINFECTION OF MEDICAL INSTRUMENTS
Stage – disinfection
Target: ensuring infectious safety.
Equipment:
Two containers with appropriate markings and disinfectant solution for washing instruments from blood and other biological fluids
Spent medical products
Cotton-gauze swabs or brushes for washing instruments.
Conditions: disinfect products immediately after use
1. Put on overalls: gown, mask, gloves.
2. Prepare a disinfectant solution in two containers.
In the first container:
Rinse by filling the internal channels of medical devices.
In the second container:
Fill the internal channels of medical devices by completely immersing them in the solution;
Cover the container with a lid for 1 hour;
After 1 hour, rinse the medical products several times under running water and place them in a tray.
3.Pour out the used disinfectant. solution into the sewer.
4.Remove your gloves and throw them into the KBU.
CHLORAMINE B
Name (Latin)
Composition and release form
It is the sodium salt of benzenesulfonic acid chloramide, available in the form of a white to light yellow crystalline powder with a faint odor of chlorine. The content of active chlorine in the product should be in the range from 24% to 27%. Produced in plastic bags of 100 - 500 g, transport packaging - bags up to 30 kg.
Pharmacological properties
The drug has antimicrobial effect against bacteria (including Mycobacterium tuberculosis), viruses (including HIV) and parenteral pathogens viral hepatitis), fungi of the genus Candida, dermatophytes, pathogens of particularly dangerous infections - anthrax, plague, cholera. According to the parameters of acute toxicity according to GOST 12.1.007-76, it belongs to the 3rd class of moderately hazardous substances when administered into the stomach, moderately toxic when administered parenterally, low-hazard in terms of volatility, in powder form it has a pronounced local irritant effect on the skin and mucous membranes of the eyes and a weak sensitizing effect action, carcinogenic and cocarcinogenic effects have not been identified.
Indications
For disinfection of indoor surfaces, sanitary equipment, linen, dishes, toys, patient care items, medical products, cleaning materials for bacterial (including tuberculosis) and viral infections (including hepatitis with parenteral transmission and HIV infection ) etiology, dermatophytosis, candidiasis, especially dangerous infections(anthrax, plague, cholera) during final, current and preventive disinfection in infectious foci, medical institutions, children's institutions, communal facilities, enterprises Catering, in everyday life, during general cleaning in medical and preventive care and children's institutions.
Doses and method of administration
For disinfection - used in the form of non-activated and activated solutions with ammonium salts or ammonia in a concentration of 0.5 - 5%. Working non-activated solutions are prepared by stirring it in water until completely dissolved in accordance with the calculations given in the table:
Note: for faster dissolution of Chloramine B, you should use water heated to 50 - 60 ° C. Activated solutions of Chloramine B are prepared by adding an activator (one of the ammonium salts - ammonium chloride, sulfate, ammonium nitrate, or ammonia) to its working solutions. The ratio of the amount of ammonium salt and the amount of active chlorine in the working solution is 1: 2, and the ratio of ammonia and the amount of active chlorine is 1: 8. Activated solutions are used immediately after preparation. When preparing activated solutions of Chloramine B, use the calculations given in the table:| Solution concentration according to the drug, % | Solution concentration for active chlorine, % | Amount of activator (g) added to: |
|||
| 1 liter of solution | 10 l of solution |
||||
| ammonium salt | ammonia 10% | ammonium salt | ammonia 10% |
||
The time for disinfecting objects with non-activated solutions of Chloramine B for infections of bacterial (except tuberculosis) etiology ranges from 0.5 to 5 hours, depending on the object and the method (wiping or irrigation, immersion or soaking) of disinfection. For household disinfection: dissolve 4 tablespoons (50 g) in 5 liters of water. Use the resulting solution to treat indoor surfaces (floors, walls, doors, etc.). Wipe sanitary equipment (baths, sinks, toilets, etc.) twice with a rag soaked in the product solution. Immerse dishes, toys, patient care items, and linen in the solution for 60 minutes. To disinfect linen contaminated with secretions and cleaning material, use a solution prepared at the rate of 2 tablespoons of product per 1 liter of water. After treatment, rinse linens and cleaning materials, wash dishes, toys, and care items with running water until the smell of chlorine disappears.
Side effects
If the rules are followed, no dilutions are observed.
Contraindications
Increased sensitivity to the drug.
special instructions
Avoid contact of product with eyes and skin. Carry out all work with rubber gloves.
Storage conditions
In a cool, dry, dark place, out of reach of children, away from medicines, food and petroleum products, explosives and flammable substances. Shelf life: 5 years. The shelf life of non-activated solutions is 15 days (if stored in a cool, dark place in a closed container). Activated solutions are used immediately after preparation.
(BCB) is a white or slightly yellowish powder with a faint odor of chlorine. Contains up to 30% active chlorine. It can be stored at home for years without reducing its activity. Unlike bleach, chloramine does not destroy fabrics and paints.
For use in the form of a solution of 0.2% -10% concentration for disinfection of brushes, tableware, etc.
Preparation of the solution
To prepare chloramine solutions, the following quantities of the drug are required:
Precautions when working with chloramine
When working with chloramine and especially its activated solutions, it is necessary to protect the respiratory system with a RU-60 respirator. The work is performed in a robe, rubber gloves, and an apron. Guidelines were developed at the All-Union Scientific Research Institute of Disinfection and Sterilization. Instructions for the use of chloramine for disinfection purposes dated December 24, 1947 from the date of approval of the data methodological instructions be considered invalid.
General information
Chloramines include a number of organic compounds that have a common chemical formula RSO 2 NH 2 (R - means radical), in which one or both hydrogen atoms located at nitrogen are replaced by chlorine. A distinction is made between chloramine B, if the starting product is benzene, and chloramine T, if toluene is used for this.
Domestic chloramine used for disinfection purposes is called chloramine B, belongs to the group of monochloramines and has the formula: C 6 H 5 SO 2 N(Na)C1*3H 2 . It is a sodium salt of benzene sulfonic acid chloramide and has the appearance of a white fine-crystalline powder. Typically contains 26% active chlorine, retaining this amount of chlorine for a long time if stored correctly.
Chloramine B is highly soluble in water at room temperature. Its solutions do not spoil or discolor fabrics.
Chloramine has high activity against gram-negative and gram-positive microorganisms, starting from 0.2%. Since active chlorine binds with organic substances, the concentration of solutions under practical conditions is increased to 0.5-1-2-3-5%. Hot solutions of chloramine have a higher disinfecting effect.
The bactericidal and virucidal properties of chloramine solutions are increased by the addition of ammonium compounds (ammonia, ammonium sulfate or ammonium chloride), which act as an activator. Activated chloramine solutions quickly lose active chlorine, so they are used immediately after preparation.
Store chloramine in a dark glass container with a well-fitted stopper or, even better, with a ground stopper, in wooden container or in tin containers coated on the inside with asphalt varnish, as well as in polyethylene bags. When storing chloramine, avoid direct exposure to light and moisture.
Chloramine and solutions prepared from it are checked from time to time for the content of active chlorine in them; This establishes the loss of active chlorine and the correct preparation and storage of solutions.
Find something else interesting:
1. GENERAL PROVISIONS
1.1. The product “Chloramine B” is sodium benzene sulfochloramide, available in the form of a fine-crystalline powder from white to light yellow in color with a slight odor of chlorine. The content of active chlorine in the product is 25.0±1.0% (by volume).
1.2. The shelf life of the product in unopened original packaging from the manufacturer is 5 years. The shelf life of non-activated solutions is 15 days (if stored in a cool, dark place in a closed container).
Available in 25 kg plastic bags; i/e bags of 300 g each, placed in fiber drums with plastic inserts.
The product is stored at temperatures from -20 C to +30 ° C in hermetically sealed original manufacturer packaging away from heat sources and open flames, separately from medicines in a dry, dark and cool place, out of reach of children.
If the product accidentally spills out, collect it and dispose of it in the manner established by the regional centers of the State Sanitary and Epidemiological Supervision. Wash off the remains big amount water and neutralize with a 5% solution of soda ash or sodium sulfite. In this case, you should use individual protective clothing, boots and personal protective equipment: for the respiratory system - universal respirators of type RLG-67 or RU-60 M with a cartridge of brand B. for the eyes - sealed glasses, for the skin of the hands - rubber gloves.
Transportation of the product is possible by any means of transport in original packaging manufacturer in accordance with the rules for the transportation of goods that apply to each type of transport and guarantee the safety of the product and charm.
The drug "Chloramine B" in terms of the degree of impact on the body and the parameters of acute toxicity according to GOST 12.1.007-76 belongs to class 3 of moderately hazardous substances when administered into the stomach, moderately toxic when administered parenterally, low-hazard in terms of volatility (vapor), in powder form has a pronounced local -irritating effect on the skin and mucous membranes of the eyes and a weak sensitizing effect. Working solutions up to 1% (of the drug)) with repeated exposures do not cause a local irritant effect, and working solutions more than 1% cause dry skin, in aerosol form they do! irritation of the respiratory system and mucous membranes of the eyes. MPC r/! for chlorine - 1 mg/mg. %
The product "Chloramine B" is intended for:
preventive, current and final disinfection of surfaces, hard furniture in premises, internal surfaces(salons) at transport facilities , including sanitary, sanitary equipment, linen, tableware from various materials, laboratory glassware, patient care items, toys, cleaning material and equipment, biological residues * liquids on surfaces - recreational and preventive, children's institutions, in clinical, microbiological, virological laboratories, in outbreaks infectious diseases: at catering establishments, trade, communal facilities (hotels, hostels, baths, laundries, hairdressers, swimming pools, sports complexes, etc.), in penitentiary institutions, institutions social security,
carrying out general cleaning in health care facilities and children's institutions;
disinfection of medical products, including dental instruments made of low-carbon steel, nickel-plated metals, rubber. glass, plastics (except for endoscopes and instruments for them).
Working solutions of Chloramine B are prepared in enamel, glass or polyethylene containers by stirring the powder in water. To dissolve Chloramine B more quickly, use water heated to 50-60° C.
And activated solutions of the product are prepared in accordance with the calculations given in Table 1.
| Concentration of working solution, % | Amount of product (g) required for preparations solution: |
|||
| by drug | for active chlorine | 1 L | Yul |
|
| 0.2 | 0.05 | 2,0 | 20 |
|
| 0.5 | 0.13 | 5,0 | 50 |
|
| 0.75 | 0.19 | 7,5 | 75 |
|
| 1.0 | 0,25 | 10.0 | 100 |
|
| 2.0 | 0.50 | 20,0 | 200 | |
| 3.0 | 0,75 | 30.0 | 300 | |
| 4.0 | 1,00 | 40,0 | 400 | |
| 5,0 | 1,25 | 50,0 | 500 | |
To impart cleaning properties to working solutions of Chloramine B, it is allowed to add synthetic detergents approved for pre-sterilization cleaning of medical devices ( Lotus , Lotus-automatic, Astra, Progress) in an amount of 0.5% (5 g/l solution or 50 g/10 l solution).
Activated solutions of Chloramine B are prepared by adding an activator (one of the salts of ammonium chloride, sulfate or ammonium nitrate) to its working solutions. The ratio of the amount of ammonium salt and the amount of active chlorine in the working solution is 1:2.
Activated solutions are used immediately after preparation. Cannot be stored. When preparing activated solutions of Chloramine B, use the calculations given in Table 2.
| Concentration of the solution for the drug. % | Solution concentration for active chlorine, % | Amount of activator (g) per |
|
| 1 liter of solution | 10 l of solution |
||
| 0,5 | 0,13 | 0.65 | 6,5 |
| 1.0 | 0.25 | 1,25 | 12.5 |
| 2.5 | 0,63 | 3.15 | 31,5 |
| 4,0 | 1,00 | 5.0 | 50,0 |
2.6. Calculation of the amount of water (ml) that must be taken to obtain a working solution with the required active chlorine content can be carried out using the formula:
X = -Bx100, where
X - the amount of water (ml) that must be taken to obtain a working solution with the required active chlorine content; B - content of active chlorine in the product, grams: A - concentration of active chlorine in the working solution, %.
3. APPLICATION OF SOLUTIONS OF “CHLORAMINE B”
3.1. Solutions of the product are used to disinfect surfaces in premises (floors, walls, doors, hard furniture, etc.) and internal surfaces (salons) of transport facilities, including sanitary, sanitary equipment, cleaning equipment, linen, tableware and laboratory utensils , toys, patient care items, residual amounts of biological liquid-step on surfaces, medical products made of corrosion-resistant metals , glass, plastic, rubber.
3.2. It is allowed to use solutions of “Chloramine B” with the addition of a synthetic detergent approved for pre-sterilization cleaning of medical products in an amount of 0.5% (5 g/l of solution or 50 g/10 l of solution).
Disinfection of objects is carried out by wiping, irrigation, immersion and soaking.
3.3. Surfaces in rooms (walls, floors, doors, etc.), (baths, sinks, etc.) I wipe them down! with a rag soaked in a solution of the product or irrigated with a hydraulic remote control, Automax, or Quasar-type sprayer. The consumption rate of the product when wiping is 150 ml/m2 of surface, when using a solution with detergent - 100 ml/m2, when irrigating - 300 ml/m2. Upon completion of disinfection, sanitary equipment is washed with water, and the room is ventilated until the smell of chlorine disappears.
3.4. Disinfection of internal surfaces (salons) of transport facilities (except sanitary ) carried out according to the regimes at bacterial infections(Table 3) -1.0% solution (for the drug) with an exposure of 60 minutes, carried out by wiping with a rag moistened with solutions of the product at the rate of 100 ml/m 2 or by irrigation at the rate of 150 ml/m until complete wetting of the surfaces .
Disinfection at sanitary transport facilities is carried out according to the regimen for tuberculosis (Table 5) with a 0.5% activated solution with an exposure of 60 minutes, or a non-activated 5.0% solution with an exposure of 120 minutes.
Lingerie soak in containers with a solution of the product at a consumption rate of 4 l/kg of dry laundry (for tuberculosis, dermatophytosis - 5 l/kg). I close the containers tightly! lid. After disinfection is completed, the linen is washed and rinsed.
Cleaning equipment immerse in the product solution, at the end of the disinfection time, rinse and dry.
Dinnerware , freed from food debris, immerse in a solution of the product at a consumption rate of 2 liters per 1 set. The container is closed with a lid. After disinfection is completed, the dishes are washed with water until the smell of chlorine disappears.
Disinfection of patient care items carried out by irrigation, wiping or immersion methods; toys - by immersion in a solution of the product. After disinfection is completed, they are washed with water until the smell of chlorine disappears.
Disinfection of residual quantities of biological .liquids on surfaces (blood, saliva, cerebrospinal fluid etc.) is carried out by filling with Chloramine B powder until biological fluids are completely absorbed at a ratio of 1:1 and exposure for 60 minutes; either by pouring a non-activated 5.0% solution of the product with an exposure of 240 minutes (according to the regime effective for tuberculosis) or an activated 1.0% solution of the product for 120 minutes. After the exposure time, the powder is disposed of in accordance with SanPiN 2.1.7.728-99 “Rules for collection , storage and disposal of waste from medical institutions." The collection container is disinfected by wiping according to the regimens for tuberculosis (Table 5). Disinfection of sputum is carried out with a 2.5% solution of the product with an exposure of 120 minutes at a ratio of sputum to product of 2:1.
When disinfecting medical products appointments , laboratory glassware they are completely immersed in the working solution of the product, the channels and cavities of the products are filled with syringes with the solution, avoiding the formation of air pockets; detachable products are immersed in the solution in disassembled form. Products with locking parts are immersed open, having previously made several working movements with them for better penetration of the solution into hard-to-reach areas of the products in the area of the locking part. The thickness of the layer of product solution above the products must be at least 1 cm.
3.11. Disinfection modes with solutions of Chloramine B are given in Table. Z-6.
In hotels , in dormitories, clubs and other public places, disinfection of various objects is carried out according to the regimes for bacterial infections (Table 3).
In bathhouses, hairdressers, swimming pools, sports complexes, etc. When carrying out preventive disinfection, objects are treated according to the regimes recommended for dermatophytosis (Table 6).
General cleaning in medical and preventive institutions and children's institutions is carried out in accordance with the regimes presented in table. 7.
In social security institutions, in barracks, and in penitentiary institutions, disinfection is carried out according to tuberculosis regimes (Table 5).
| Disinfection object | Concentration of the working solution according to the preparation, % | Time disinfection, min. | Disinfection method |
| Indoor surfaces, hard furniture | 0,5 1.0 0,75* | 120 | Wiping or irrigation Wiping |
| | 0.5 | 60 | Dive |
| Tableware with leftovers food | 1-0 0,75* | 60 | Dive |
| Linen not contaminated with secretions | 1.0 | 60 | Soak |
| Linen contaminated with secretions | 3,0 | 60 | Soak |
| Toys | 0,5 | 60 | Dive |
| Nursing Items | 1,0 | 60 | Dive Rubbing |
| | 1,0 | 30 | Dive |
| Laboratory glassware | 1,5 | 60 | Dive |
| Sanitary equipment | 1,0 | 60 | Wiping twice or irrigating twice with an interval of 15 minutes. |
| Cleaning equipment | 3,0 | 60 | Dive |
Note: * - with the addition of detergent in the amount of 0.5%
Table 4 MODES FOR DISINFECTION OF OBJECTS WITH SOLUTIONS OF “CHLORAMINE B” FOR VIRAL INFECTIONS
(HEPATITIS B, POLIOMYELITIS. HIV INFECTION)
| Disinfection object | Concentration of the working solution according to the preparation. % | Disinfection time, min | Disinfection method |
| Indoor surfaces, hard furniture | 2,5 | 60 | Rubbing |
| Tableware without food residues | 2,0 | 60 | 11immersion in excess solution |
| Dinnerware with leftover food | 2.5 | 60 | |
| Laboratory glassware | 2,5 | 60 | |
| Linen without protein contamination | 2,0 | 60 | Immersion in excess solution |
| Linen with protein contamination | 3.0 | 120 | |
| Medical products | 3,0 | 60 | Dive |
| Sanitary equipment | 2,0 | 60 | Wipe twice |
| Cleaning equipment | 3,0 | 120 | Dive |
Table 5 MODES FOR DISINFECTION OF OBJECTS WITH SOLUTIONS OF “CHLORAMINE” FOR TUBERCULOSIS
| Disinfection object | Product solutions | Disinfection method |
|||
| not activated | activated | ||||
| Solution concentration (by drug), % | Disinfection time, min | Concentration of solution (by drug). % | Disinfection time, min | ||
| Indoor surfaces , hard furniture | 5,0 | 120 | 0,5 | 60 | Irrigation or wiping |
| Tableware without leftover food | 5,0 | 240 | 0.5 | 60 | Dive |
| 11dining utensils with leftover food | 5.0 | 360 | 0.5 | 120 | Dive |
| Uncontaminated linen | 5.0 | 240 | 1.0 | 60 | Soak |
| Soiled laundry | 5,0 | 360 | 1.0 | 120 | Soak |
| Toys | 5,0 | 240 | 0,5 | 60 | 11immersion |
| Nursing Items | 5,0 | 360 | 1,0 | 120 | Immersion or rubbing |
| Medical products made of corrosion-resistant metals, rubbers, plastics, glass, laboratory glassware | 5,0 | 360 | Dive |
||
| Sanitary equipment | 5.0 | 360 | 0.5 | 120 | Wiping or irrigation |
| Cleaning and n. venter | 5,0 | 360 | 1.0 | 120 | Dive |
Chloramine is chemical, which has antiseptic, spermocidal and deodorizing properties. Used to disinfect any non-sterile surfaces.
Indications for use
The drug is used as disinfectant for processing non-metallic tools and surfaces. IN medical practice Suitable for treating hands and washing wounds.
Compound
The powder consists of the sodium salt of benzenesulfonic acid chloramide.
Medicinal properties
Chloramine B technical has strong antimicrobial and oxidizing properties. When the product hits a wet surface, it begins to slowly and gradually release chlorine. The drug oxidizes and chlorinates the protoplasm of cells of harmful bacteria. Staphylococcus dies within three minutes when using a 1% solution. anthrax dies within four hours from exposure to a 5% solution.
The higher the temperature of the solution, the stronger its bactericidal properties. If it is necessary to disinfect hair in veterinary medicine, then a 10% solution is used. In low concentrations, the drug can be used as a disinfectant for disinfection open wounds(up to 0.5%), and in high concentrations (up to 5%) the drug is used to disinfect care items for patients with typhoid, cholera or diphtheria.
Read the article about possible consequences in case of improper conduct of anesthesia procedures and methods of their treatment in the article:
The average price is from 200 to 250 rubles. per kg
Release forms
Chloramine B technical is available in the form of crystalline powder. Color – white or yellowish. It is produced in bags of 100 grams, and packaged in bags weighing up to 30 kg (as a wholesale purchase). Dissolves easily in warm water and alcohol.
Mode of application
Chloramine is used externally in medical practice; concentrations from 0.2 to 10% are used. For the treatment of affected areas on the skin, the required concentration is from 1.6 to 2%. To disinfect hands, you need to apply 0.25 – 0.5%. To get rid of the pathogens of scarlet fever, diphtheria or influenza, the required concentration of chloramine is 1-3% in water. To destroy Koch's wand you need to use a 5% solution. For example, to prepare a 10% solution, add 100 g of powder to a liter of water (10 liters of water - 1 kg of active substance).
About use during pregnancy and breastfeeding no data.
Contraindications
Inflammatory process on the surface of the skin, individual intolerance. There is a risk of irritation when applied to the face.
Precautionary measures
According to the toxicity level of GOST 12.1.007-76, the product belongs to class 3 of moderate danger if ingested.
When working with a substance during disinfection, it is necessary to protect respiratory organs from toxic effects using a respirator RU-60. Be sure to wear rubber gloves, a robe, and a special apron when using the substance.
Cross-drug interactions
To prepare an activated solution based on chloramine, ammonium salt and 10% ammonia solution are added in a certain concentration. These substances enhance the effect of the antiseptic solution.
Side effects
Local allergic reactions in places where the drug is applied.
Overdose
Due to the fact that there is no systemic effect of the drug on the body, an overdose is unlikely.
Conditions and shelf life
The product can be stored in powder form for no more than five years, and in dissolved form for up to fifteen days. It should be stored in a dark and cool place away from children, in a tightly sealed glass container.
Analogues
TK Meridian LLC, Russia
Price from 700 to 800 rub.
Active substance - sodium salt dichloroisocyanuric acid. Available in the form of tablets and granules. Packaged in 1 kg per pack. According to GOST 12.1.007-76, the level of toxicity upon contact with the stomach is 3, upon contact with skin – 4.
pros
- The substance disinfects well
- Fast acting
Minuses
- High price
- Toxicity.
MK VITA-POOL, Russia
Price from 600 to 750 rub.
The active ingredient is sodium dichloroisocyanurate 90%. Aids– sodium carbonate 8.0 – 9.0%, boric acid 1.0 - 2.0%. Available in the form of white tablets. There are 330 pieces in one package, a pack weighs 1 kg.
pros
- Effectively cleans and disinfects non-sterile environments
- Dissolves quickly in water
- Long shelf life
Minuses
- Severe toxicity.
