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A less specific measurement of effectiveness is the United States Environmental Protection Agency (EPA) classification into either high, intermediate or low levels of disinfection. "High-level disinfection kills all organisms, except high levels of bacterial spores" and is done with a chemical germicide marketed as a sterilant by the U.S. Food ...
Earle Spaulding of Temple University (Philadelphia, Pennsylvania) in a 1939 paper on disinfection of surgical instruments in a chemical solution proposed "a strategy for sterilization or disinfection of inanimate objects and surfaces based on the degree of risk involved in their use". [1]
[5] [3] In semi-critical situations, or situations with contact of mucous membranes or non-intact skin, high-level disinfectants are required. Cleaning and disinfecting devices with high-level disinfectants, rinsing with sterile water, and drying all equipment surfaces to prevent microorganism growth are methods nurses and doctors must follow.
RME is separated into three classes: non-critical, semi-critical, and critical, with each class requiring a minimum level of reprocessing. [2] Non-critical items, such as IV poles and pumps, require a minimum of intermediate level disinfection which can be accomplished with most hospital disinfectants. [2]
The United States Environmental Protection Agency has set Maximum Contaminant Levels (MCLs) for bromate, chlorite, haloacetic acids and total trihalomethanes (TTHMs). [17] In Europe, the level of TTHMs has been set at 100 micrograms per litre, and the level for bromate to 10 micrograms per litre, under the Drinking Water Directive. [ 18 ]
Medium pressure UV technology is used to control the level of chloramines in indoor pools. It is also used as a secondary form of disinfection to address chlorine-tolerant pathogens. A properly sized and maintained UV system should remove the need to shock for chloramines, although shocking would still be used to address a fecal accident in the ...