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Disinfection

COORDINATED:

Chief of Head department

State  Sanitary and Epidemiological Service in Donetsk region

Chief state health officer of Donetsk region

S.V. Mokhovik

Regulations of disinfection of Lyapko applicators (Lyapko application devices)

1. General provisions.

1.1. Regulations of disinfection of Lyapko application devices are prepared to prevent contagion.

The regulations define the schedule of disinfection in clinics, hospitals, policlinics, physiotherapeutic offices and other medical institutions of the general and special profile.

Needles of Lyapko application device are made from non-corrosive metals that assumes their oxidation that doesn't influence quality of treatment.

1.2. Lyapko application devises must be disinfected by soaking (not irrigation!)  in special disinfecting solutions according to the instruction for use of disinfectant (further the instruction). The following rules must be observed: after use Lyapko application devices without preliminary washing and cleaning must be immersed in containers with disinfecting solution. Disinfected Lyapko application devices must be washed under flowing water and dried carefully by means of

2. Stages of the disinfection combined with presterilizing clearing.

2.1. After use Lyapko application devices without preliminary washing and cleaning must be immersed in containers with disinfecting solution.

2.2. Time of soaking in solution (exposition) must be observed according to the instruction approved in Ukraine.

2.3. Applicators must be cleaned in disinfectant with detergency with a brush.

2.4. Disinfected Lyapko application devices must be washed under flowing water for several minutes.

2.5. Washed Lyapko application devices must be dried carefully by means of the hair dryer (a stream of hot air).

3. Recommendations about the disinfectant choice.

Lyapko application devices can be disinfected by dry-cleaning detergent for products from medical rubber and non-corrosive metals.

-          Choose detergent which has a wide spectrum of effect concerning bacteria (including tuberculosis micobacteria, fungi, viruses).

-          Using any detergents it is necessary to follow strictly the rules of delution, use and replacement of solution.

-          In case of discoloration any solution must be replaced (even if the solution period of validity hasn`t expired yet).

-          When choose disinfectant for Lyapko application devices, pay attention to content of anticorrosive additives in it. Any application must be immersed in disinfectant solution immediately after use. Containers with disinfectants have to be supplied with covers and the internal punched insert, marked with the name, concentration and date of production.

-          Thanks to the fact that Lyapko application devices are in disinfectant solution for short time the risk of emergence of corrosion is reduced.

Almost all modern disinfecting solutions have cleaning and disinfecting effect. But it doesn't exclude further cleaning of devices under flowing water and use of a brush for cleaning of uneven surfaces. Cleaning with water helps to remove proteinaceous, fatty and mechanical impurities. After cleaning the must be dried up carefully by means of a hair dryer (a stream of hot air). There always has to be a necessary reserve of disinfectants in an office.

The table of examples of disinfectants for disinfection of Lyapko application devices which have letters of guarantee of the producer or results of testing which have proved compatibility of materials

 

Name of disinfectant   Formula, active ingredient content, mass.%:​ Concentration (%) Exposure (min.) Life time
«Korzolex Bazik» 1,6-dihydroxy-2,5-dioksageksanu — 19,7 g, glutaraldegid — 15,2 g, excipients: tenzid, inhibitors of corrosion, salt, colourant, flavour 4
3
2
15
30
60
21 days
«Korzolex extra» 1,6-dihydroxy-2,5-dioksageksan — 15,3 g, glutaric aldehyde — 7,5 g, benzalconium chloride — 1 g, didecyldimethylammonium chloride— 1 g, surfactants, solvents, corrosion inhibitors, foaming regulators, colourant, flavour, water 4
3
5
15
7 days
«Sptamin» Dodetsilamin (3-aminopropol) — 21,0, didecyldimethylammonium chloride — 14,0 (active ingredients), surfactants, the regulator рН, complexing substance, corrosion inhibitor, stabilizer, water to 100,0 0,2 60 15 days
«Septonom» N, N-bis (3-aminopropol) dodecylamin — 20,0, didecyldimethylammonium chloride — 15,0 (active ingredients), auxiliary components, water to 100,0 0,1
0,2
0,3
0,4
60
30
15
5
28 days
«Gigasept АF Forte U» or «Gigasept АF Forte new» Didecyldimethylammonium chloride — 10,0, fenoksipropanol— 15,0, layrilpropilendiamid — 9,5,  corrosion inhibitor, not ionic surfactant,  defoaming agent, regulator рН, , colourant, flavour ,other excipients, water to 100,0. The mass fraction of amines is 15,0 ± 1,5% 0,1
0,15
0,25
0,5
60
30
15
5
28 days
«Gigasept Instru АF» Kokospropilendiaminguanidinatsetat — 14,0, fenoksipropanol— 35,0, benzylalkonium chloride — 2,5 (active ingredients), nonionic surfactant, corrosion inhibitors, colourant, flavour ,water to 100,0. 1
2
3
60
30
15
7 days
«InstruBorDes» Bis(3-aminopropol) dodecylamin — 9,9, didecyldimethylammonium  propionate — 12,0 (active ingredients), complexing substance, corrosion inhibitors, foaming regulators, flavour (excipients), water to 100,0. 1
2
3
60
30
15
7 days
«Tentamin» Complex  TIME alkyldimethylethylbenzylammonium chloride— 25,0, alkyldimethylethylbenzylammonium chloride— 10,0 dimethyl dioctyl ammonium chloride— 5,0) — 40,0, N, N-bis (3-aminopropildodecylamin — 5,0 (active ingredients), auxiliary components, water to 100,0 0,1
0,2
0,4
60
30
10
21 days
«Septoline» Complex TIME (didecyldimethylammonium chloride— 17,5, alkyldimethylethylbenzylammonium chloride - 14,0, alkyldimethylethylbenzylammonium chloride -— 14,0) — 45,5 3%, N, N-bis (3-aminopropildodecylamin — 5,0 (active ingredients), surfactant, corrosion inhibitors, stabilizer, water to 100,0 0,1
0,2
0,3
60
30
15
21 days

Proprietary technology of Nikolay Grigoryevich Lyapko

Lyapko application devise has to be disinfected just before the procedure in warm alcohol solution (40 – 70%) at a temperature of 50 - 60 ºС for 3 – 5 minutes, for heating and moistening. For example, a pan or a small bucket can be used for this procedure. Application suit can be warmed up with a stream of warm air from a hair dryer or in a sauna. This helps to make a more pleasurable procedure.

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