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Hospital Sterilizers: Browse by Keyword
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Accidents - Prevention / Administrative agencies / Air monitoring / Air pollution / Air pollution control / Air quality / Air quality control / Air quality management / Alternative technologies / Bacteria / Bactericides / Best management practices / Biological monitoring / Body fluids / Cancer / Carcinogens / Case studies / Chemical processes / Chemical recovery / Chemical spills / Chemical storage / Chemical tracking / Chemical treatment / Chemicals / Clean Air Act / Cleaning / Cleaning compounds / Dental wastes / Design / Detoxification / Disinfection and disinfectants / Economic analysis / Economic aspects / Economic impact / Emergency management / Emission control / Emissions / Employee safety / Enforcement / Environmental aspects / Environmental health / Environmental policy / Environmental protection / Environmentally safe products / Equipment safety / Ethylene oxide / Facility management / Federal government / Flammability / Fugitive emissions / Global warming / Government agencies / Government information / Hazardous substances / Hazardous waste / Hazardous waste disposal / Hazardous waste generators / Hazardous waste management / Health / Health effects / Health facilities / Hospitals / Hydrogen peroxide / Hygiene / Indoor air pollution / Infectious agents / Laboratories / Laboratory wastes / Leak detection and repair / Legislative bodies / Local government / Materials handling / Mechanical cleaning / Mechanical equipment / Medical emergencies / Medical instruments and apparatus / Medical laboratories / Medical technology / Methodology / Microbial contamination / Monitoring / Mortality / Municipal water supply / Neurotoxic agents / New products / Occupational diseases / Occupational medicine / Occupational safety and health / Odors / Parts cleaning / Pasturization / Permits / Peroxides / Planning / Plastic containers / Point source pollution / Poisoning / Pollutants / Recycled products / Recycling (Waste, etc.) / Risk management / Safety measures / Sterilization / Technological innovations / Toxic chemicals / United States. Environmental Protection Agency / United States. Food and Drug Administration / United States. Occupational Safety and Health Administration / Vendors and purchasers / Ventilation / Waste gases / Waste management / Waste storage / Waste treatment / Wastewater / Wastewater discharge / Zero effluent

Alphabetical Listing of Reference Documents by Title
NOTE: [PDF] links require Acrobat Reader from Adobe.

Association for Professionals in Infection Control and Epidemiology (APIC)
Abstract: Website: APIC's mission is to improve health and patient safety by reducing risks of infection and other adverse outcomes. Resources include practical guidelines and publications.
Source: Association for Professionals in Infection Control and Epidemiology (APIC)

Best Management Practices for Hospital Waste [PDF]
Abstract: Report: Comprehensive 392 page document handling all types of hospital waste. Includes section on air quality and sterilizer alternatives and vendors, WA state permitting information and complete list of air toxics found in hospitals.
Source: Washington Department of Ecology

Cleaning, Disinfection and Sterilization Procedures
Abstract: Good article with basic methods elaborated for veteranary facilities, however is relevant to human health care facilities as well.
Source: Veteranary Technician

Detox Sterilization and Disinfection [PDF]
Abstract: PowerPoint about balance between sporicidal, viricidal, and bactericidal effectiveness, human and environmental health, compatibility with delicate devices and repair costs. Design tips to promote success and assure patient and health care worker safety.
Source: Hospitals for a Healthy Environment: Sharing Successes

Disinfection and Sterilization High Level Disinfectants & Sterilants
Abstract: Lists alternative sterilization and disinfecting products and resources.
Source: Sustainable Hospitals

Fact sheet and information papers about Ethylene Oxide (EtO) Sterilizers [PDF]
Abstract: Fact Sheet: Background of regulations concerning EtO. Presents alternatives that can be used. *Note that hospital exemption is no longer valid.*
Source: Hazardous and Medical Waste Programs, Aberdeen Proving Ground, MD

FDA-Cleared Sterilants and High Level Disinfectants with General Claims for Processing Reusable Medical and Dental Devices
Abstract: Alternative Disinfectants: A roster of FDA cleared steriliants and high-level disinfectants (HLDs) and conditions for their use.
Source: Food and Drug Administratio (FDA)

Frequently-Asked-Questions about the Reprocessing and Reuse of Single-Use Devices by Third-Party and Hospital Reprocessors
Abstract: If a hospital is reprocessing or having a provider reprocess single use devices as an alternative to using EtO to sterilize reusable devices, this document provides guidance on selecting and evaluating a provider.
Source: Food and Drug Administration (FDA)

Guidance for Industry and FDA Staff: for Reprocessed Single-Use Medical [PDF]
Abstract: Website with information regarding regulations for the reprocessing of single-use medical devices (as an alternative to in-house sterilization of durable devices using EtO).
Source: FDA

Guidelines for Environmental Infection Control in Health-Care Facilities
Abstract: Recommendations of CDC and the Healthcare Infection Control Practices Advisory Committee (HICPAC).
Source: CDC, HICPAC, American Society for Healthcare Engineering/American Hospital Association, vol. 2004

Hospital eTool: Central Supply Module
Abstract: Virtual tour of hospital hazards. Covers the health effects of ethylene oxide gas exposure and options for reducing use.
Source: OSHA

Infection Control Guidelines
Abstract: This collection of guidelines pertains to keeping patients and healthcare workers in healthcare settings protected from infectious diseases.
Source: Center for Disease Control and Prevention (CDC)

Mortality among workers exposed to ethylene oxide
Abstract: Article describing a study of mortality in 18,254 U.S. workers exposed to ethylene oxide at 14 plants producing sterilized medical supplies and spices and results of research.
Source: New England Journal of Medicine

Mortality study of ethylene oxide workers in chemical manufacturing: a 10-year update
Abstract: Mortality study on men assigned to units at a Union Carbide plant in Connecticut producing ethylene oxide by the chlorohydrin or direct oxidation processes from 1940 to 1988. (Full text of article requires online subscription.)
Source: National Center for Biotechnology Information

NIOSH Alert: Preventing Worker Injuries and Deaths from Explosions in Industrial Ethylene Oxide Sterilization Facilities
Abstract: Website about Ethylene Oxide including; background, industrial sterilization process, safety, current standards, case reports, conclusions, recommendations, abbreviations a glossary and information about occupational illnesses, injuries, and deaths.
Source: National Institute for Occupational and Safety and Health (NIOSH)

Practice Guidance
Abstract: Website with links to a wide variety of infection control guidelines from specific to a single disease to general.
Source: Association for Professionals in Infection Control and Epidemiology (APIC)

Proper Sterilization of Instruments is Essential to Patient Safety
Abstract: Includes a brief discussion of the essential steps for ensuring patient safety by properly sterilizing instruments.
Source: Association for Professionals in Infection Control and Epidemiology, Inc.

Recent Developments in Sterilization Technology
Abstract: Detailed description of sterilation technologies including their uses and advantages and disadvantages.
Source: Medical Device Link

Replacing Ethylene Oxide and Glutaraldehyde [PDF]
Abstract: Gives an overview of where EtO and glutaraldehyde are used in hospitals, the reasons to find alternatives and a case study that shows a cost benefit analysis of switching to alternate sterilization/disinfection methods and products.
Source: EPA

Rule and Implementation Information for Commercial Sterilizers
Abstract: Website with list of documents regarding the history and status of the EPA rules for commercial sterilizers. Includes Rule Information, Technical Information and Implementation Information.
Source: EPA

Sterilants and Disinfectants in Healthcare Facilities
Abstract: Website dedicated to those who want to go beyond mere compliance. Describes properties of sterilants and disinfectants, risks, compliance requirements, alternatives and disposal methods as well as listing additional resources.
Source: Hospitals for a Healthy Environment: Sharing Successes

What Are Antimicrobial Pesticides?
Abstract: Fact sheet describing the categorization of ethylene oxide as a sterilizer in the antimicrobial pesticide group. Links to other resources such as chemical composition and laws affecting the use of these chemicals.
Source: EPA


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Hub Last Updated: 5/21/2015