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CleaningandDisinfectionProtocolforGram-Negativeand Gram-PositiveBacteria,includingAntibioticResistantBacteria Thisdocumenthasbeendevelopedinaccordancewithcurrentapplicableinfectioncontroland biosecurityguidelines.Itisintendedforuseasaguidelineonly.Atnotimeshouldthisdocumentreplace existingdocumentsestablishedbythefacilityunlesswrittenpermissionhasbeenobtainedfromthe responsiblefacilitymanager. PREFACE Bacteriaarealargedomainofsingle-celled,prokaryotemicroorganisms.Typicallyafewmicrometresin length,bacteriahaveawiderangeofshapes,rangingfromspherestorodsandspirals.Thevast majorityofthebacteriainthebodyarerenderedharmlessbytheprotectiveeffectsoftheimmune system,andafewareevenbeneficial.However,afewspeciesofbacteriaarepathogenicandcause infectiousdiseases.Themodeoftransmissionforbacteriaischaracterizedbythespecificbacteria; however,themostcommonroutesareviaindirectordirectcontactofinfectiousparticles,contactwith orinhalationofrespiratorydroplets.Somebacteriamayalsobetransmittedbyingestionof contaminatedfood,ormaternal-to-newborntransmission.VegetativeBacteriaincludingantibiotic resistantorganismsareeasilyinactivatedbyroutinesurfacecleaninganddisinfection.Atpresentthere isnoscientificevidencetoshowthatantibioticresistanceequatestochemicalresistance. ThefollowinglistprovidesexamplesofsomepathogenicGramNegativeandGramPositiveBacteriafor birds,mammalsandprimates. Acinetobacteriwoffi Leptospiragrippotyphosa Rhodococcusequi Bordetellaavium Leptospirainterrogans Salmonellaenterica Bordetellabronchiseptica Listeriamonocytogenes Salmonellaenteritidis Brucellaabortis Micrococcusluteus Salmonellatyphimurium Burkholderiamallei Moraxellabovis Serratiamarcescens Campylobacterjejuni Morganellamorganii Shigelladysenteriae Chlamydiapsittaci Mycobacteriumavium Staphylococcusaureus Corynebacteriumfaecium Mycobacteriumbovis Staphylococcusaureus(MRSA) Corynebacteriumkutscheri Mycoplasmacynos Staphylococcusepidermidis Corynebacterium pseudotuberculosis Mycoplasmamycoides Staphylococcusepidermidis, MRSE Enterococcusfaecalis Mycoplasmapneumonia Staphylococcushyicus Enterococcusfaecalis (VancomycinResistant) Pasteurellaanatipestifer Staphylococcuspseudintermedius Enterococcusfaecium Pasteurellamultocida Streptococcusagalactiae Escherichiacoli Proteusmirabilis Streptococcusequi zooepidemicus Escherichiacoli(Extended SpectrumBeta-lactamase) Proteusvulgaris Streptococcuspneumoniae Fusobacteriumnecrophorum Pseudomonasaeruginosa Streptococcuspneumoniae (PenicillinResistant) Helicobacterpylori Pseudomonasaeruginosa (TetracyclineResistant) Trueperellapyogenes Pseudomonasmaltophilia Yersiniaenterocolitica Klebsiellapneumoniae PREPARATION Transmissionofvegetativebacteriacanbeattributedtodirectandindirectcontactandcontactwithor inhalationofrespiratorydroplets.Somebacteriamayalsobetransmittedbyingestionofcontaminated food,fecesormaternal-to-newborntransmission.Appropriatepersonalprotectionshouldbetakenfor thoseresponsibleforthedecontaminationofacage,kennel,andstalloranimalhousingarea. Appropriatebiosecuritypracticesshouldbeapplied,includinglimitingtheamountofaerosolsgenerated anddisturbancetodust/soilintheareatobecleanedanddisinfected. PROTECTIVEBARRIERS Appropriatepersonalprotectionshouldbetakenforthoseresponsibleforthedecontaminationofthe areaandmayincludethefollowing: 1. Disposablegloves.Glovesshouldbechangedasrequired(whentorn,whenhandsbecomewet insidethegloveorwhenmovingbetweenanimalhousingareas) 2. Householdglovescanbeworn,buttheymustbediscardedwhenthecleaningiscomplete. 3. ProtectiveEyewear(goggles,faceshieldormaskwitheyeprotection)asappropriatebasedon tasktobecompleted 4. Masks(surgicalorproceduralmaskssufficient)asneeded 5. Gownsasneeded PRODUCTS AllAcceleratedHydrogenPeroxide®(AHP®)disinfectant-cleanerproductshavebeenapprovedforsale asadisinfectantbyeitherHealthCanadaortheUSEnvironmentalProtectionAgency(EPA)andcarry eitheraDINorEPAregistrationnumberindicatingtheirapprovalforsaleasadisinfectant. AHP®disinfectantsareregisteredasaHospitalGradeDisinfectantwhichdenotesthattheproductshave beenprovenefficaciousagainstthethreemainsurrogatebacteriadesignatedbothHealthCanadaand theEPAforBactericidalactivity;Staphylococcusaureus,PseudomonasaeruginosaandSalmonella enterica(formerlyknownasSalmonellacholeraesuis)withcontactstimesof1minuteto10minutes dependingontheformulationand/ordilutionused.Whilemanyregistereddisinfectantproductscarry claimsagainstAntibioticResistantOrganismssuchasMRSAorVREitisimportanttounderstandthat resistancetoAntibioticsdoesnotequatetochemicalresistance. ProductName Prevail™ Rescue™ Intervention™ Market CompanionandFarmAnimal CompanionAnimal FarmAnimal Country Canada USA USA RECOMMENDEDPROCEDURESFORCLEANINGANDDISINFECTIONOFANIMAL CAREEQUIPMENT Contaminatedanimalcareequipmentshouldbeclearlyidentifiedandkeptseparatefromclean equipment.Animalcareequipmentinclude:bloodpressurecuffs,stethoscopes,thermometers, handlingorrestrainingequipment,feedingandwateringappliances,etc. 1. UsetheAHP®solutiontoremovesoilandbodymaterials(e.g.blood,organicsoils)fromheavily soileditems 2. ApplyAHP®solutionevenlyoversurfaceensuringthatallsurfacesarethoroughlywet.Items thatcanbeimmersedmaybeplacedintoacontainerofAHP®solution. 3. AllowtheitemstoremainincontactwiththeAHP®solutionfortheappropriatecontacttime (refertothelabeloftheAHP®solutionbeingused). 4. Afterthecontacttimehasbeenachievedremoveanyexcesssolutionwithacleancloth,sponge orpapertowel. 5. Itemsthathavebeenimmersedshouldberemovedfromthesolutionaftertheappropriate contacttime,rinsedwithpotablewaterandallowedtoairdry. RECOMMENDEDPROCEDURESFORCLEANINGANDDISINFECTIONOFKENNELS ANDCAGES: TheAHP®technologyisdesignedtobebothanexcellentcleanerandeffectivedisinfectantandcanbe usedinplaceofadegreaserordetergent. 1. 2. 3. 4. Removeallanimalsandfeedfromtheareatobecleanedanddisinfected. Removealllitterandfecalmatterfromfloors,wallsandsurfacesofkennelsorcages. Emptyorcoverallfeedingandwateringappliances. ThoroughlycleanallsurfaceswithsoaporadetergentoradilutedsolutionofAHP®andrinsewith water. 5. ApplytheAHP®solutiontofloors,wallsandothersurfacesofthekennelsorcagesensuringthe surfacesarethoroughlywetandremainwetfortheappropriatecontacttime. 6. Allowsurfacestodrybeforereintroducinganimalsbackintothekennelsorcages. 7. Cleananddisinfectallequipmentusedtoremovelitterandfecalmattersuchasforks,shovelsand scrapers. RECOMMENDEDPROCEDURESFORCLEANINGANDDISINFECTIONOFANIMAL HOUSINGFACILITIES: TheAHP®technologyisdesignedtobebothanexcellentcleanerandeffectivedisinfectantandcanbe usedinplaceofadegreaserordetergent. 1. Removeallanimalsandfeedfromtheareatobecleanedanddisinfected. 2. Removealllitter,beddingandmanurefromfloors,wallsandsurfacesofcages,stallsorotheranimal handlingareas. 3. Emptyorcoverallfeedingandwateringappliances. 4. ThoroughlycleanallsurfaceswithsoaporadetergentoradilutedsolutionofAHP®andrinsewith water. 5. ApplytheAHP®solutiontofloors,wallsandothersurfacesofthecages,stallsorotheranimal handlingareasensuringthesurfacesarethoroughlywetandallowtoremainwetforthe appropriatecontacttime. 6. Allowsurfacestodrybeforereintroducinganimalsbackintothekennelsorcages. 7. Cleananddisinfectallequipmentusedtoremovelitter,beddingandmanuresuchasforks,shovels andscrapers.