GUIDELINES AND RECOMMENDATIONS FOR USING THE ALCAVIS 1:10 DILUTED BLEACH SOLUTION

• CDC Guidelines for Environmental Infection Control in Healthcare Facilities, June 6, 2003/52 (RR 10): 1-42 II. Cleaning spills of blood and body substances
  D. "An EPA-Registered sodium hypochlorite product is preferred…" 2. "If a spill involves large amounts of blood or body fluids, or if blood or culture spill occurs in the laboratory, use a 1:10 dilution (5,000 – 6,150 ppm available chlorine) for the first application of germicide before cleaning." Category IB.
  

• CDC Recommendations for Prevention of HIV Transmission in Health-Care Settings, MMWR 1987;36 (suppl no. 2S) Sterilization and Disinfection
  "Concentrations ranging from approximately 500 ppm (1:100 dilution of household bleach) sodium hypochlorite to 5,000 ppm (1:10 dilution of household bleach) are effective depending on the amount of organic material (e.g., blood, mucus) present on the surface to be cleaned and disinfected."
  

• CDC Guidelines for Preventing the Transmission of Mycobacterium tuberculosis in Health-Care Settings, 2005. 54(RR17);1-141 Cleaning, Disinfecting, and Sterilizing Patient-Care Equipment and Rooms
  "The tuberculocidal claim is used as a benchmark by which to measure germicidal potency. Because mycobacteria have the highest intrinsic level of resistance among the vegetative bacteria, viruses, and fungi, any germicide with a tuberculocidal claim on the label (i.e., an intermediate-level disinfectant) is considered capable of inactivating many pathogens, including much less resistant organisms such as the bloodborne pathogens (e.g., hepatitis B virus, hepatitis C virus, and HIV). "
  

• OSHA Directive CPL 02-02-069; Standard 1910. 1030 Enforcement Procedures for Occupational Exposure to Bloodborne Pathogens
  "Under paragraph (d)(4)(ii)(A), cleaning of contaminated work surfaces after completion of procedures is required to ensure that employees are not unwittingly exposed to blood or OPIM remaining on a surface from previous procedures. This paragraph requires contaminated work surfaces to be cleaned with an "appropriate disinfectant." Appropriate disinfectants include a diluted bleach solution and EPA- registered tuberculocides (List B),…"

EFFICACY TESTING

PASSED THE FOLLOWING EPA REQUIRED STUDIES

• Wipes Test: Presaturated towelette for hard surface disinfection-3 organism (Staphylococcus aureus, Salmonella enterica, Pseudomonas aeruginosa).

• Tuberculocidal Test: AOAC Tuberculocidal activity of disinfectants.

• HIV: Viral efficacy of presaturated towelettes for hard surface disinfection (HIV-1 virucidal).