Information, in part, from the CDC (Centers for Disease Control)
[To disinfect for Ebola virus] Use a U.S. Environmental Protection Agency (EPA)-registered hospital disinfectant with a label claim for a non-enveloped virus (e.g., norovirus, rotavirus, adenovirus, poliovirus) to disinfect environmental surfaces in rooms of patients with suspected or confirmed Ebola virus infection. Although there are no products with specific label claims against the Ebola virus, enveloped viruses such as Ebola are susceptible to a broad range of hospital disinfectants used to disinfect hard, non-porous surfaces.
In contrast, non-enveloped viruses are more resistant to disinfectants. As a precaution, selection of a disinfectant product with a higher potency than what is normally required for an enveloped virus is being recommended at this time. EPA-registered hospital disinfectants with label claims against non-enveloped viruses (e.g., norovirus, rotavirus, adenovirus, poliovirus) are broadly antiviral and capable of inactivating both enveloped and non-enveloped viruses.
"EPA-registered hospital disinfectants with label claims against non-enveloped viruses (e.g., norovirus, rotavirus, adenovirus, poliovirus) are broadly antiviral and capable of inactivating both enveloped and non-enveloped viruses."
For 24-Hour, residual effectiveness, EPA-registered against norovirus, rotavirus, polio Type2:
- Envirox Critical Care spray-on, ready-to-use disinfectant (stocking in quarts)
Even if not a current customer, you may order from PUR-O-ZONE with a credit card at 800-727-7876. #139-06Q,
$7.98/quart plus shipping, special internet pricing.
This product is also low-toxicity, low-irritant, not a sensitizer, non-hazardous class disinfectant.
The following Hillyard products from PUR-O-ZONE have the appropriate non-enveloped virus kill claims:
- QT Plus (stocking in Aresnal Junior, #824-JR)
- QT TB
- Vet & Kennel Disinfectant (stocking in Connect System)
- Germicidal Disinfectant Wipes
- ReJuvNal HBV
The following Clorox products are labeled for some or all of the CDC recommended viruses (norovirus, poliovirus, rotavirus, adenovirus):
- Clorox Healthcare Bleach Germicidal Cleaner 32 oz. spray, #68970
- Clorox Germicidal Bleach Concentrate gallon, #30966
- Clorox Healthcare Germicidal Wipes
Clorox Healthcare Bleach Germicidal Wipes 6/70ct
Clorox Healthcare Bleach Germicidal Wipes 2/110ct
Clorox Healthcare Bleach Germicidal Wipes Refill 2/110ct
Clorox Healthcare Bleach Germicidal Wipes 6/150ct
(Look for CDC recommended effectiveness against Norovirus, Rotavirus, Poliovirus, which the Clorox products above have, along with some really short dwell times.*)
*Dwell times are the periods a cleaned surface must remain wet with the disinfectant product before wiping to do the job the EPA has approved it for. See below.
The dwell or wet time of a disinfectant is, in simplest terms, the time the product was EPA-approved to disinfect a particular organism within. It is a minimum time. Some products have multiple EPA-registered dwell times for multiple microorganisms. To disinfect, the product must remain in contact with the surface, in wet (not evaporated) condition for the dwell or wet time prescribed on the label.
While many disinfectants clean and disinfect, because microbes can be protected by soils on surfaces, it is recommended as a best practice to clean the surface first. Materials used to clean may require special procedures or disposal methods depending on the procedure. Most of these procedures affect hospitals, but what works well for them can often help keep infections at bay in other environments.
STAFF REMINDER SIGNS
Frequently Asked Questions
1. How can I determine whether a particular EPA-registered hospital disinfectant is appropriate for use in the room of a patient with suspected or confirmed Ebola virus infection?
Begin by looking at the product label or product insert or, if these are not available, search the EPA search engine for this information. Users should be aware that an 'enveloped' or 'non-enveloped virus' designation may not be included on the container label. Instead check the disinfectant's label for at least one of the common non-enveloped viruses (e.g., norovirus, rotavirus, adenovirus, poliovirus).
These instructions relate to health settings where Ebola has been diagnosed. Reading them, however, gives insight in other environments as to best preventive practices.
2. Are there special instructions for cleaning and disinfecting the room of a patient with suspected or confirmed Ebola virus infection?
Daily cleaning and disinfection of hard, non-porous surfaces (e.g., high-touch surfaces such as bed rails and over bed tables, housekeeping surfaces such as floors and counters) should be done.4 Before disinfecting a surface, cleaning should be performed. In contrast to disinfection where products with specific claims are used, any cleaning product can be used for cleaning tasks. Use cleaning and disinfecting products according to label instructions. Check the disinfectant's label for specific instructions for inactivation of any of the non-enveloped viruses (e.g., norovirus, rotavirus, adenovirus, poliovirus) follow label instructions for use of the product that are specific for inactivation of that virus. Use disposable cleaning cloths, mop cloths, and wipes and dispose of these in leak-proof bags. Use a rigid waste receptacle designed to support the bag to help minimize contamination of the bag's exterior.
3. How should spills of blood or other body substances be managed?
The basic principles for blood or body substance spill management are outlined in the United States Occupational Safety and Health Administration (OSHA) Bloodborne Pathogen Standards (29 CFR 1910.1030).5 CDC guidelines recommend removal of bulk spill matter, cleaning the site, and then disinfecting the site.4 For large spills, a chemical disinfectant with sufficient potency is needed to overcome the tendency of proteins in blood and other body substances to neutralize the disinfectant's active ingredient. An EPA-registered hospital disinfectant with label claims for non-enveloped viruses (e.g., norovirus, rotavirus, adenovirus, poliovirus) and instructions for cleaning and decontaminating surfaces or objects soiled with blood or body fluids should be used according to those instructions.
4. How should disposable materials (e.g., any single-use PPE, cleaning cloths, wipes, single-use microfiber cloths, linens, food service) and linens, privacy curtains, and other textiles be managed after their use in the patient room?
These materials should be placed in leak-proof containment and discarded appropriately. To minimize contamination of the exterior of the waste bag, place this bag in a rigid waste receptacle designed for this use. Incineration or autoclaving as a waste treatment process is effective in eliminating viral infectivity and provides waste minimization. If disposal requires transport offsite then this should be done in accordance with the U.S. Department of Transportation’s (DOT) Hazardous Materials Regulations (HMR, 49 C.F.R., Parts 171-180).6, 7 Guidance from DOT has been released for Ebola.7