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Help! The disinfectant I hope to use is not included in my infection control guidelines, what should I do??

This is a more common occurrence than one might think. In fact, this is an actual question that my colleagues and I are presented with on a regular basis. So what may you ask is our brilliant response? Quite frankly, one must realize that no guideline can realistically evaluate and include reference to all suitable disinfectants. There are over 8000 disinfectant products registered in North America. Can you imagine having to evaluate all of those products? Nor is it possible for the committee whom created the guideline to continually amend the document to include any new disinfectants that are brought to market between the date of original publication and any subsequent revision – which is typically several years later. For these reasons, there could very easily be several disinfectants that would be deemed satisfactory for use but have not been referenced in the guidelines and there also may have been changes to contact time or claims on products that had been included in the earlier version of the guideline. For the reason, the product label as approved by Health Canada, US EPA or FDA should always take precedence.

Once we understand this dynamic, end-users can be empowered to make educated decisions on the disinfectants they’re selecting for particular applications provided the disinfectant’s attributes fall within the general parameters that are outlined within the prevailing best practice guidelines. For instance, if the guideline recommends the use of disinfectants that are approved by the appropriate regulatory agency, fast acting, broad spectrum and safe to use then a disinfectant that carries a DIN/EPA registration, achieves bactericidal, virucidal, fungicidal and tuberculocidal efficacy in a contact time under 5 mins while remaining non-toxic and non-irritating to eyes and skin should be considered acceptable regardless of the fact that it may not be specifically referenced in said best practice document.
If you are still uncertain as to a product’s appropriateness, two of the best reference websites are Health Canada’s Drug Product Database and the EPA’s Pesticide Product Labelling System. Both of which can be used to verify the registration status, the product claims and correct use of the product.
Have you ever been faced with this predicament? What did you do?
Hasta la vista
Lee – The Germinator