The College of Optometrists

Levels of decontamination

B61
Agents recommended for cleaning and disinfection procedures:
AgentPreparationExamples of use
Liquid soap as supplied handwash
Chlorhexidine gluconate 4% skin cleanser 500 ml bottles with pump dispenser eg Hibiscrub antiseptic handwash
Chlorhexidine 5% in 70% isopropyl alcohol
500 ml bottles with pump dispenser eg Hibisol
antiseptic hand disinfectant for use before aseptic procedures or after handling contaminated materials
Alcohol-based hand sanitizer as supplied, usually in bottles with pump dispenser eg Purell (contains 63% ethyl alcohol) routine handrub
Detergent general purpose detergent or detergent impregnated wipes eg Cutan multisurface wipes leaning of hard surfaces
Isopropyl alcohol 70%163 impregnated swabs
eg mediswabs or wipes
eg mediwipes
disinfection of hard surfaces, chin rests etc.
(not suitable for use with medical devices that come into contact with the surface of the eye)
Hypochlorite solution 0.1%
(1,000 ppm available chlorine)
available from pharmacies eg Milton or own brand sterilising solution (dilute to concentration required)

under normal usage, these agents are disinfectants, and not sterilants
general disinfection
(ensure that items are thoroughly rinsed in sterile saline or distilled water after using hypochlorite)
Hypochlorite solution 1%
(10,000 ppm available
chlorine)
disinfection of body fluid spills and decontamination of trial contact lenses, diagnostic contact lenses, tonometer heads and other devices that come into contact with the surface of the eye (ensure that items are thoroughly rinsed in sterile saline or distilled water after using hypochlorite)
B62
Items must be clean before progressing to disinfection or sterilisation.

References

163 Coia JE, Duckworth GJ, Edwards DI et al (2006) Guidelines for the control and prevention of methicillin-resistant Staphylococcus aureus (MRSA) in healthcare facilities. Journal of Hospital Infection 63 Suppl 1:S1-44 

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