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• High-Level Disinfectants fall under FDA jurisdiction. They are effective against
TB, bacteria, fungi, and viruses, and some, but not all, spores. Typical active
ingredients include glutaraldehyde, OPA, hydrogen peroxide, or peracetic
acid. These are required for instruments that come in contact with mucus
membranes (bronchoscopes, endoscopes), but do not enter sterile body tissues.
CRAs
Chlorine-releasing agents (CRAs), the most popular sodium
chlorite solution, are widely used for the disinfection of hard
surfaces and blood spillages containing the human
immunodeficiency virus or hepatitis B virus.
"CRAs are widely used for the disinfection of hard
surfaces and blood spillages containing the HIV or
hepatitis B virus.“
CRAs are highly active oxidising agents and destroy the
cellular activity of proteins. Hypochlorous acid, the active
moiety, has been shown to have harmful effects on bacterial
DNA through the formation of chlorinated derivatives of
nucleotide bases.
Factors recommended by Centers for Disease
Control and Prevention (CDC) when evaluating
disinfectants for your healthcare facility:
Mode of action
Efficacy
Compatibility
Cost
Current health and safety standards
The nature and degree of contamination
Concluding Remarks
Chlorine dioxide and sodium chlorite are active ingredients in
numerous products used in the control of bacteria, fungi, and algal
slimes. In addition, chlorine dioxide and sodium chlorite are used as
material preservatives and as disinfectants.
Commercial, industrial, and medical uses include disinfection of
ventilation systems, hard surfaces (e.g., floors, walls, and laboratory
equipment), water systems, pulp/paper mills, and food rinses.
Residential uses include disinfection of hard surfaces (e.g., floors,
bathrooms), heating ventilating and airconditioning (HVAC) systems,
and treatment of pool & spa water circulation systems. In addition,
there is a continuous release gas product (sachet) for the home to
control odors.
According to EPA, Sodium chlorite with as low concentration as
5000 ppm are entirely safe to be use as an ingredient in various
commercial and industrially manufactured products.
References
1.USEPA/OPPTS; Reregistration Eligibility Decision (RED) for Chlorine Dioxide and Sodium Chlorite (Case 4023) p.1 (Aug
ust 2006) EPA-HQ-OPP-2006-0328-0022/EPA 738-R-06-007.
Available from, as of July 31, 2008:
http://www.regulations.gov/search/Regs/home.html#home
2. https://www.epa.gov/chemical-data-reporting
3. https://www3.epa.gov/pesticides/chem_search/reg_actions/reregistration/red_PC-020503_3-Aug-06.pdf
4. https://pubchem.ncbi.nlm.nih.gov/source/hsdb/733