---
title: "Over Easy: Why safety profiles and ease of use will improve disinfection"
description: "Over Easy: Why safety profiles and ease of use will improve disinfection"
---

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## Over Easy: Why safety profiles and ease of use will improve disinfection

<http://static1.squarespace.com/static/595689fc9de4bbc892200518/t/59568acb5fd63b5f292877be/1498845525552//img.png.com/static/595689fc9de4bbc892200518/t/59568acb5fd63b5f292877be/1498843851075/1000w/>

This week is the third and final installment of the  
 dissection of Drs. Rutala and Weber's "[Selection of the Ideal Disinfectant](http://www.ncbi.nlm.nih.gov/pubmed/24915214)".  Before I get into  
 the discussion of the last three sections "SAFETY, EASE OF USE and OTHER  
 FACTORS", I hope that we can all agree that disinfection of non-critical  
 environmental surfaces and patient care equipment is key to a successful  
 infection prevention program.

From [Burnt Bums](http://talkcleantome.blogspot.ca/2013/03/burnt-bums-call-for-ban-on-disinfectants.html) and [Occupational Asthma](http://talkcleantome.blogspot.ca/2013/09/its-getting-harder-and-harder-to-breathe.html), to the [Necessary Evil of PPE](http://talkcleantome.blogspot.ca/2014/04/is-ppe-necessary-evil.html) and [Unintended Consequences of Improving Infection Prevention](http://talkcleantome.blogspot.ca/2012/02/unintentional-consequences-of-improving.html),  
 the  Talk Clean To Me blog has hit on  
 numerous topics around the health, safety and surface compatibility (or surface  
 safety) of disinfectants.  As noted in  
 the article "*products should be nontoxic and should not cause harm to  
 users, patients and visitors.*"  To  
 meet this criteria, a facility should chose a product with the lowest toxicity  
 rating, e.g. one that does not require PPE, one that can be used without  
 restriction, one that is not flammable or combustible and one that will not  
 cause temporary or permanent harm to staff. Further, we need to look at  
 disinfectants from their compatibility perspective.  By this I do not mean that the product has to  
 have the longest list of approved medical devices, because the truth is, not  
 all medical device manufacturers are willing to invest in the time to validate  
 newer, safer and more effective technologies. Instead look for a product that has been proven to be compatible with a  
 wide range of materials that are commonly used in the manufacturing of medical  
 devices and routinely used for the interior environmental surfaces such as  
 plastics, stainless steel and other materials...like mattress pads.

While focusing on what a product kills is great -  
 theoretically speaking the ugly truth is that it does not matter one iota what  
 a product kills if staff cannot tolerate using it and patients complain of the  
 smell. Never underestimate the [odor profile](http://talkcleantome.blogspot.ca/2011/07/vocs-smells-and-signs-of-summer.html) of a product, something that smells  
 like roses to one person may smell like pig poop to another! The easier the product is to use, the  
 greater the chance that staff will use it as intended, ensuring compliance is  
 met.  Compliance is the key to ensuring a  
 successful environmental hygiene program.   
 For convenience sake as well it is easier to have a product that comes  
 in various formats such as different sized wipes for the task at hand.  Of course in the "[ease of use](http://talkcleantome.blogspot.ca/2011/07/whats-in-your-bottle.html)"  
 perspective, products that have detergency properties to aid in cleaning and  
 soil removal, are effective in the presence of a soil load, and have an  
 extended shelf life once diluted and can be used with a number of different  
 wipe substrates without interaction (e.g. [no quat binding](http://talkcleantome.blogspot.ca/2013/12/cotton-it-absorbs-more-than-just-water.html)) are also areas to  
 consider.

The last area to consider in choosing a disinfectant are  
 some of the value added attributes if you will that may come with the product,  
 such as what training programs the vender will provide. Although these are  
 generally free, one thing for certain is that maintaining training programs is  
 an area that all facilities struggle with.   
 Additionally, do the vendors provide the dilution systems or wall  
 brackets for wipes free of charge and do they provide a maintenance program for  
 the dilution systems once installed?   
 Remember, dilutions systems are like cars and need routine maintenance  
 to ensure they work.  I have seen more  
 than one facility attribute an outbreak due to poorly maintained dilution  
 systems.  Then there are the questions  
 such as what does the product cost, how many litres or gallons of product or  
 how many wipes need to be used.  Those  
 are the easy numbers.   As one IP  
 recently told me "cost avoidance is not holding a lot of water" and  
 certainly, determining the "soft" or "indirect" costs such  
 as HAIs avoided or decrease in Occupational Health and Safety claims can be  
 more difficult to prove, but if you can show how much a facility spent year  
 over year on HAIs or Occupational Health and Safety issues..those numbers add  
 up and those numbers are NEVER included in someone's budget!

In the end, the truth is that the perfect disinfectant  
 does not exist.  However, by following  
 the straight forward recommendations of Drs. Rutala and Weber and looking at  
 the [selection of a disinfectant](http://talkcleantome.blogspot.ca/2014/05/disinfection-selection-made-easy.html) from a holistic approach - finding the balance  
 between efficacy and safety, you can be sure that you can find disinfectants in  
 the market that can suit the needs of your facility and provide the level of  
 kill you need from a daily infection prevention perspective while meeting the  
 health and safety needs and concerns of staff to ensure they will use the  
 product as you had intended, which will have a very real and directional impact  
 on your HAI rates.

*Bugging Off!*

Nicole

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