Spaulding Classification System
classification used by CDC and AAMI to classify patient care equipment
Spaulding Classification: Critical Items
items that enter sterile tissue or blood vessels: surgical instruments, needles, implants
Spaulding Classification: Semi-Critical Items
items that touch mucous membranes: laryngoscopes, tracheal tubes
Spaulding Classification: Non-Critical Items
items that touch skin: stethoscopes, thermometers
bacterialcidal
substance that kills bacteria
disinfectant
chemicals that kill most pathogens, NOT spores
disinfection
destruction of most pathogens, NOT spores
sterilize/sterilization
completely killing all microorganisms
HLD
high level disinfection: destruction of vegetative microorganisms, but NOT spores
Low-level disinfection
destruction of some vegetative forms of bacteria
Intermediate-level disinfection
destruction of viruses, fungi and vegetative bacteria
organic materials
matter containing oxygen, carbon, and hydrogen from living organisms
contact/wet contact
disinfectants must make direct contact with surfaces to be effective
exposure time
disinfectants have a set amount of contact time to be effective
Quats
quaternary ammonium compounds: low-level disinfectant incompatible with soap
alcohol
both an antiseptic and disinfectant, needs we contact for a minimum of 5 minutes
phenolics
low to intermediate level disinfectant good for environmental services of hard surfaces
chlorine
intermediate level disinfectant commonly used to treat water and sewage
iodophors
buffered iodine that can be both an antiseptic and disinfectant, can stain
Glutaraldehyde
HLD: used for semi-critical devices, needs to be activated and tested for minimum effective concentration before use
MEC
minimum effective concentration: the percentage of concentration of disinfectant in a solution for the disinfectant to be effective
OPA
ortho-Phthalaldehyde: HLD: used on semi-critical items, no activation required, solution can be re-used
hydrogen peroxide
HLD: broad spectrum can kill MRSA, norovirus, TB, and others
Peracetic acid
HLD: used in automated endoscope reprocessors (AERs)
Washer-disinfector
washing machine that uses thermal disinfection and impingement to clean instruments
pasteurizers
disinfection equipment using 150-170 degree water, requires 30 minute exposure time
AER
automated endoscope reprocessors: disinfects flexible fiber optic endoscopes