Vital Oxide® Hospital / Medical and Contact Times

Hospitals/Healthcare facilities:

Vital Oxide cleans, disinfects and deodorizes hard, nonporous hospital surfaces in one step, no rinsing required. Vital Oxide is a one step, hospital-use germicidal disinfectant cleaner and odor neutralizer designed for general cleaning, disinfecting and deodorizing of hard, nonporous inanimate surfaces. Vital Oxide removes dirt, grime, fungus, mold, food residue, blood and other organic matter from medical surfaces commonly found in hospitals and health care facilities. It also eliminates odors leaving surfaces smelling clean and fresh. Use where odors are a problem.

HOSPITAL

Healthcare associated infections (HAIs) are the number four cause of death in the United States, exceeding the combined mortality of breast cancer, AIDS and traffic accidents. *1* In a 2008 article, the editor of the New England Journal of Medicine, estimated that hospital acquired infections add an average of $15,000 to the cost of care which puts a total cost of infections in the U.S. around $40 billion a year. 2 This cost is in addition to the suffering caused with more than 2 million infections a year, over 150,000 deaths and millions of extra days spent in the hospital. Of equal concern are the evolving antibiotic resistant strains of microorganisms such as Methicillin-resistant Staphhylococcus aureas (MRSA) and Acinetobacter spp, which are making the resulting mortality of a healthcare associated infection greater than ever. The result has been increased public pressure, and legislative initiatives, holding hospitals accountable for these increased costs. In October of 2008, Medicaid approved a policy to no longer reimburse hospitals for certain preventable errors (including some types of infections) and Medicare is reserving the right to further expand the list. Private insurers are following this lead.*2* One recent study found that 59% of environmental surfaces were contaminated with MRSA in affected patients’ rooms. *3* Yet a rigorous environmental cleaning intervention can reduce the transmission of MRSA and other multidrug-resistant organisms in hospital intensive care units. *4*

Vital Oxide is a Fast and Effective Way to Kill Virus, Bacteria, and Mold That Cause Healthcare Associated Infections

DIRECTIONS FOR USE:
The following statement only to be used on institutional labels with medical use sites, medical devices and/or blood borne pathogens:

CLEANING PROCEDURES:
Blood and other body fluids must be thoroughly cleaned from surfaces and objects before application of this product

This product may be used to pre-clean or decontaminate critical or semi-critical medical devices prior to sterilization of high level disinfection. **This product is not to be used as a terminal sterilant/high level disinfectant on any surface of instrument that (1) is introduced directly into the human body, either into or in contact with the bloodstream or normally sterile areas of the body, or (2) contact intact mucous membranes but which does not ordinarily penetrate the blood barrier or otherwise enter normally sterile areas of the body. SPECIAL INSTRUCTIONS FOR CLEANING AND DECONTAMINATIONS AGAINST HIV-1, HBV, and HCV ON SURFACES/OBJECTS SOILED WITH BLOOD/BODY FLUIDS KILLS HIV-1, HBV, AND HCV ON PRE-CLEANED ENVIRONMENTAL SURFACES/OBJECTS PREVIOUSLY SOILED WITH BLOOD/BODY FLUIDS in health care settings or other settings in which there is expected likelihood of soiling of inanimate surfaces/objects with blood or body fluids and surfaces/ objects likely to be soiled with blood or body fluids can be associated with the potential for transmission of Human Immunodeficiency Virus Type 1 (HIV-1) (associated with AIDS), Human Hepatitis B virus, and Human Hepatitis C Virus. When handling items soiled with blood or body fluids use disposable latex gloves, gowns, masks, or eye coverings.

CLEANING PROCEDURES:
Blood and other body fluids must be thoroughly cleaned from surfaces and objects before application of this product.

DISPOSAL OF INFECTIOUS MATERIALS:
Blood and other body fluids should be autoclaved and disposed of according to Federal, State, and local regulations for infectious waste disposal.

CONTACT TIME:
Allow surfaces to remain wet for 5 minutes.

TO PRE-CLEAN INSTRUMENTS PRIOR TO TERMINAL STERILIZATION/HIGH LEVEL DISINFECTION: AS A PRECLEANING SPRAY
Place instruments into a suitable container. Spray this product undiluted onto instruments to thoroughly wet all surfaces. Let stand for up to 10 minutes. Rinse instruments. A manual instrument cleaner - Thoroughly pre-rinse dirty instruments under running water to remove visible, gross debris. Immerse pre-rinsed instruments into an appropriate size container filled with this product. Scrub instruments using a stiff bristle brush until visibly clean. Submerge instruments while scrubbing. Rinse instruments thoroughly. Change solution daily. Follow with an appropriate disinfection process. Cleaning of critical and semi-critical devices must be followed by an appropriate terminal sterilization/high-level disinfection process. In a recent study conducted at Nashville General Hospital Acinetobacter spp HAI infections were reduced by 95%.

Read the Nashville General Hospital Study Here

Vital Oxide can easily be integrated in Health Care facility disinfection guide lines replacing many existing product that are less effective, and potentially dangerous to the staff, the benefit is cost and risk reduction.

Vital Oxide will not allow the development of antibiotic resistant organisms. No need to rotate disinfectants used.

Vital Oxide is non-corrosive to treated surfaces, and safe to use on fabrics.

Vital Oxide is eliminates offensive odors and stains caused by blood, urine, and feces.

Vital Oxide® Kills CRE

In testing conducted by Antimicrobial Test Laboratories, Vital Oxide Hospital Disinfectant has proven efficacy against Carbapenem-Resistant Enterobacteriaceae (CRE) (NDM-1) Carbapenem-Resistant Enterobacteriaceae (CRE) have recently gained notoriety because infections caused by this class of microorganism are difficult if not impossible to treat clinically, resulting in an estimated mortality rate among infected individuals of up to 50%. Below, ATL provides more information on this deadly microorganism, for interested parties to use as a general resource. Enterobacteriaceae is a family of rod-shaped, facultative anaerobic Gram-negative bacteria; Enterobacteriaceae are normal microbiological flora of the intestinal tract of the human body. However, pathogenic species of this family can lead to potentially deadly opportunistic infections, previously easily treatable through the use of broad-spectrum antibiotics. Carbapenems are type of antibiotics called beta-lactams. Beta lactam antibiotics (of which penicillin is a member) inhibit synthesis of peptidoglycan, the building block of most bacterial cell walls, disrupting necessary functions that the organism needs to survive. Imapenem, Ertapenem, and Meropenem are all carbapenem antibiotics. Carbapenems are special because a molecular ring is incorporated in the structure of the molecule. The ring makes the molecule more difficult for bacteria to break down using bacterially- produced antibiotic-destroying enzymes called beta-lactamases. Recently, some bacteria developed the ability to produce enzymes capable of destroying the carbapenem class of antibiotics. Worse, these molecular tools are easily transfered from one bacterium to the next on mobile genetic elements. This means that a carbapenem-resistant E. coli cell can lead to a carbapenem- resistnant Klebsiella pneumoniae cell. Two distinct carbapenem resistance enzymes appear to be involved emerging bacterial resistance to carbapenems. New Delhi Beta-Lactamase (NDM-1) and Klebsiella pneumoniae carbapenemase (KPC). There is some good news with regard to CRE pathogens: The presence of carbapenem-resistance mechanisms does not appear to increase their resistance to disinfection or sanitization. This runs along the same lines as the healthcare community has already observed with regard to methicillin-resistant Staphylococcus aureus (MRSA).ATL Phone: 512-310-8378 • Email: Info AntimicrobialTestLabs.com • © Antimicrobial Test Laboratories. http://www.antimicrobialtestlaboratories.com/CRE_carbapenem_resistant_enterobacteraciae_testing_services.htm

Sources:

1. 1 McCaughey, B. (2008). Unnecessary Deaths: The Human and Financial Costs of Hospital Infections. (p. 70). Committee to Reduce Infection Deaths.

2 Mitka, M. (2008). Public, Private Insurers Refusing to Pay Hospitals for Costs of Avoidable Errors. JAMA, 299(21), 2495-2496. doi: 10.1001/jama.299.21.2495.

3. Otter, JA, Havill NL, Adams NMT, Boyce, JM. Extensive environmental contamination associated with patients with Staphylococcus aureus colonization. Presented at SHEA annual meeting, 2006.

4. Study released by SHEA March 2009 and funded by CDC Prevention Epicenters program with grant from the National Institutes of Health

CONTACT TIMES

Hard Surface Sanitization No Rinse Required: 30 sec contact time
Escherichia Coli (ATCC 11229)
Staphylococcus aureus (ATCC 6538)

To Sanitize Soft Surfaces: 5 minute contact time

  • S. aureus ATCC 6538
  • E. aerogenes ATCC 13048

Carpet Sanitization: 10 Minute contact time

  • Enterbacteraerogenes (ATCC 13048)
  • Staphylococcus aureus (ATCC 6538 )

Fungicide: 10 Minute contact time

  • Trichophyton rubrum ATCC MYA
  • Trichophyton mentagrophytes ATCC 9533

Mildewstat:10 Minute contact time

  • Aspergillus Niger ATCC 6275

Disinfection Bacteria 10 minute contact time

  • Pseudomonas Aeruginosa ATCC 15442
  • Acinetobacterbaumannii ATCC 19606
  • Staphylococcus aureus MRSA ATCC 33592
  • Listeria monocytogenes ATCC 15313
  • Legionella Pneumophila ATCC 33153
  • Salmonella enterica ATCC 10708
  • Staphylococcus aureus ATCC 6538
  • Klebsiellapneumoniae (NDM-1) ATCC BAA-2146
  • Escherichia Coli ATCC 11229
  • Bordetella bronchiseptica ATCC 10580
  • Myobacterium bovis- BCG

***Disinfection Virus 5 minute contact time

  • Rotavirus, Strain WA **
  • Hepatitis C Virus Bovine Viral Diarrhea Virus**
  • Hepatitis B Virus Duck Hepatitis**
  • Norovirus Feline Calicivirus**
  • Murine Norovirus (MNV-1)**
  • Swine Influenza (H1N1) **
  • Respiratory Syncytial virus, ATCC VR-26**
  • Human Immunodeficiency Virus (HIV Type 1) Strain HTLV-IIIb**
  • Influenza B Virus (Strain B/Taiwan/2/62), ATCC VR-1735**
  • Hepatitis A Virus ATCC VR-1541**
  • Hantavirus (Prospect Hill Virus) University of Ontario **
  • Canine Distemper Virus, Strain Snyder Hill, ATCC VR**

***Disinfection Virus 10 minute contact time

  • Adenovirus 1, Strain Adenoid 71, ATCC VR-1**
  • Canine Parvovirus, Strain Cornell-780916, ATCC VR-2016**