Guideline for Disinfection and Sterilization in Healthcare Facilities, 2008
Guideline for Disinfection and Sterilization in Healthcare Facilities, 2008 [PDF - 948 KB]
Table of Contents
- Executive Summary
- Introduction
- Methods
- Definition of Terms
- Approach to Disinfection and Sterilization
- Disinfection of Healthcare Equipment
- Concerns with Implementing the Spaulding Scheme
- Reprocessing of Endoscopes
- Laparoscopes and Arthroscopes
- Tonometers, Cervical Diaphragm Fitting Rings, Cryosurgical Instruments, Endocavitary Probes
- Dental Instruments
- Disinfection of HBV, HCV, HIV or Tuberculosis-Contaminated Devices
- Disinfection in the Hemodialysis Unit
- Inactivation of Clostridium difficile
- OSHA Bloodborne Pathogen Standard
- Emerging Pathogens (Cryptosporidium, Helicobacter pylori, E. coli O157:H7, Rotavirus, Human Papilloma Virus, Norovirus, Severe Acute Respiratory Syndrome Coronavirus)
- Inactivation of Bioterrorist Agents
- Toxicological, Environmental, and Occupational Concerns
- Disinfection in Ambulatory Care, Home Care, and the Home
- Susceptibility of Antibiotic-Resistant Bacteria to Disinfectants
- Surface Disinfection: Should We Do It?
- Contact Time for Surface Disinfectants
- Air Disinfection
- Microbial Contamination of Disinfectants
- Factors Affecting the Efficacy of Disinfection and Sterilization
- Cleaning
- Disinfection
- Chemical Disinfectants
Alcohol
OverviewChlorine and Chlorine Compounds
Mode of Action
Microbicidal Activity
UsesOverviewFormaldehyde
Mode of Action
Microbicidal Activity
Uses
OverviewGlutaraldehyde
Mode of Action
Microbicidal Activity
UsesOverviewHydrogen Peroxide
Mode of Action
Microbicidal Activity
UsesOverviewIodophors
Mode of Action
Microbicidal Activity
UsesOverviewOrtho-phthalaldehyde
Mode of Action
Microbicidal Activity
UsesOverviewPeracetic Acid
Mode of Action
Microbicidal Activity
UsesOverviewPeracetic Acid and Hydrogen Peroxide
Mode of Action
Microbicidal Activity
UsesOverviewPhenolics
Mode of Action
Microbicidal Activity
UsesOverviewQuaternary Ammonium Compounds
Mode of Action
Microbicidal Activity
UsesOverview
Mode of Action
Microbicidal Activity
Uses - Miscellaneous Inactivating Agents
Other Germicides
Ultraviolet Radiation
Pasteurization
Flushing- and Washer-Disinfectors - Regulatory Framework for Disinfectants and Sterilants
- Neutralization of Germicides
- Chemical Disinfectants
- Sterilization
- Steam Sterilization
Overview
Mode of Action
Microbicidal Activity
UsesOverview
Uses
- Low-Temperature Sterilization Technologies
- Ethylene Oxide "Gas" Sterilization
Overview
Mode of Action
Microbicidal Activity
Uses - Hydrogen Peroxide Gas Plasma
Overview
Mode of Action
Microbicidal Activity
Uses - Peracetic Acid Sterilization
Overview
Mode of Action
Microbicidal Activity
Uses - Microbicidal Activity of Low-Temperature Sterilization Technology
- Bioburden of Surgical Devices
- Effect of Cleaning on Sterilization Efficacy
- Other Sterilization Methods
Ionizing Radiation
Dry-Heat Sterilizers
Liquid Chemicals
Performic Acid
Filtration
Microwave
Glass Bead "Sterilizer"
Vaporized Hydrogen Peroxide
Ozone
Formaldehyde Steam
Gaseous Chlorine Dioxide
Vaporized Peracetic Acid
Infrared radiation
- Sterilizing Practices
Overview
Sterilization Cycle Validation
Physical Facilities
Cleaning
Packaging
Loading
Storage
Monitoring (Mechanical, Chemical, Biological Indicators)
- Steam Sterilization
- Reuse of Single-Use Medical Devices
- Conclusion
- Web-Based Disinfection and Sterilization Resources
- Recommendations (Category IA, IB, IC, II)
- Performance Indicators
- Acknowledgements
- Glossary
- Tables and Figure
- References
Contact Us:
- Centers for Disease Control and Prevention
1600 Clifton Rd
Atlanta, GA 30333 - 800-CDC-INFO
(800-232-4636)
TTY: (888) 232-6348 - Contact CDC–INFO


