Sterilizing ACT equipment

Posted by cynthia69 @cynthia69, Jan 31 8:00pm

Do I wash equipment in hot tap water with dawn soap or do I have to use distilled water or boiled water for all of the steps?

Do I rinse with distilled water or boiled water?

Do I boil in tap water or do I have to use distilled water?

I rinse in distilled water and air dry?

I am trying to get one set of instructions that I can follow.

Thanks Cynthia 69

Interested in more discussions like this? Go to the MAC & Bronchiectasis Support Group.

cynthia69 You will receive many variations on a theme of answers here. And this topic has gotten a lot of play. Your disease state might dictate what you do (more frequent boiling if you have MAC/NTM, pseudomonas). That said, I can tell you how I keep neb equipment clean and sterile. Presently, I have bronchiectasis and asthma. No pathogens grew on my latest sputum culture.

Do I wash equipment in hot tap water with dawn soap or do I have to use distilled water or boiled water for all of the steps?
After each use, I soak my nebbing gear in hot tap water and Dawn. I do not use distilled water as our water does not have high mineral content. If yours does (and I think you'd know it) that might be helpful to the life of your equipment.

Do I rinse with distilled water or boiled water?
I rinse in hot tap water and let dry.

Do I boil in tap water or do I have to use distilled water?
At the end of each day, I pop the 2 sets of nebulizers and 2 aerobikas in a baby bottle sterilizer. In the baby bottle sterilizer I use distilled water. Occasionally I will give everything a hard rolling boil on the stove starting with tap water.

I rinse in distilled water and air dry?
The baby bottle sterilizer has a dryer function after sterilization.

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Thanks, Scoop for such a great post!
I do the same as Scoop with one exception. Instead of a baby bottle sterilizer, I use microwavable steam cleaning bags. I pop them in the microwave for 3 min with 2 oz of distilled water. I don't have enough counter space for a baby bottle sterilizer so these work better for me. I get them from Amazon. This link is below. Best of luck to you.
https://www.amazon.com/gp/product/B000096QQ5/ref=ppx_yo_dt_b_asin_title_o04_s00?ie=UTF8&psc=1
One final thought: If you do have a high mineral content in your water, it may help to soak your items in a solution of 1:1 water to white vinegar every so often. It will clear out the minerals. All the best to you!

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Oh my gosh. Thanks for the microwave tip

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I thought I’d try to sanitize my acapella in boiling water and they melted out of shape, my bad… guess I won’t do that again. My husband makes beer and uses a sanitizer solution to rinse all his bottles and equipment he uses in it. Has anyone used anything like that to sanitize? I’m not thrilled with getting extra chemicals on it so I figured I’d throw that out there to question others. Not sure if the microwave bags would also melt and deform the acapella.

REPLY
@rbl

I thought I’d try to sanitize my acapella in boiling water and they melted out of shape, my bad… guess I won’t do that again. My husband makes beer and uses a sanitizer solution to rinse all his bottles and equipment he uses in it. Has anyone used anything like that to sanitize? I’m not thrilled with getting extra chemicals on it so I figured I’d throw that out there to question others. Not sure if the microwave bags would also melt and deform the acapella.

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Here are the instructions right from the distributor:
https://pim.integratedmedsys.com/Brands/ICU/Smiths%20Medical/PDF/1641407209_AcapellaPatientGuideBrochure.pdf
I'm not sure why yours melted - perhaps it came into contact with the bottom of the pot? I use a round silicone mat (hot pad) in the bottom of my pan, set the heat to just keep it boiling, and have not had such a problem.
But, you can use (fresh) 3% hydrogen peroxide for 30 minutes, or 70% alcohol for 5 minutes to sterilize as well.
My friend, a retired health inspector, says the sanitizer used for beer bottles, bar glassware, etc is not adequate for TB, so I think it is not OK for NTM either.
Sue

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@sueinmn

Here are the instructions right from the distributor:
https://pim.integratedmedsys.com/Brands/ICU/Smiths%20Medical/PDF/1641407209_AcapellaPatientGuideBrochure.pdf
I'm not sure why yours melted - perhaps it came into contact with the bottom of the pot? I use a round silicone mat (hot pad) in the bottom of my pan, set the heat to just keep it boiling, and have not had such a problem.
But, you can use (fresh) 3% hydrogen peroxide for 30 minutes, or 70% alcohol for 5 minutes to sterilize as well.
My friend, a retired health inspector, says the sanitizer used for beer bottles, bar glassware, etc is not adequate for TB, so I think it is not OK for NTM either.
Sue

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Thank you Sue, it makes sense that the acapella might have touched the bottom of the pan, lesson learned! I’ll stick to the other methods you mentioned. Thanks for the beer sanitizer information as well, it will satisfy my husband’s curiosity about it.

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@rbl

Thank you Sue, it makes sense that the acapella might have touched the bottom of the pan, lesson learned! I’ll stick to the other methods you mentioned. Thanks for the beer sanitizer information as well, it will satisfy my husband’s curiosity about it.

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@rbl Inquiring minds wanted to know more about beer & mycobacteria! I found this blog, sounds good to me.

For your husband:

What makes beer antibacterial?
Ignoring its chemistry, the main antibacterial aspect of beer is its preparation – long boils kill pretty much any pathogen, leaving behind only a few viable spores. These spores typically do not survive fermentation, meaning that brewing a beer can clean up nearly any water source.

Chemically, beer is not antibacterial due to any one compound, but rather due to a combination of things. Alcohol, for example, can inhibit a number of pathogens, but other pathogens do just fine in the presence of alcohol. As an extreme example, the pathogen Mycobacterium nonchromogenicum can survive over 75% ethanol. So while ethanol kills some pathogens, others are pretty much oblivious to its presence. Sadly, with the broad availability (and massive mis-use) of alcohol-based hand sanitizers, ethanol-resistant pathogens are becoming ever more prevalent.

Hop compounds also inhibit some bacteria – specifically, members of the gram positive group of bacteria. But this lethality is not universal among the gram-positives (e.g. hop-resistant lacto strains are still gram-positive), and of course these compounds don’t do squat for gram-negative and other non-gram positive pathogens.

Finally, there is the acidity of the wort. Most beers finish below pH 4.5, which is the threshold for antibacterial acidity. But many pathogens have no issue with low pH’s – indeed, any pathogen that enters via our guts must be able to survive several hours in our stomach, which has a pH around 2; or nearly 100X more acidic than your average beer.

Overall, none of these chemical characteristics are sufficient to keep beer pathogen-free – most pathogens will survive fine if exposed to just one of the above antibacterial compounds; but the combination of the three is lethal to most bacteria.

from https://suigenerisbrewing.com/index.php/2014/02/18/fact-or-fiction-can-pathogens-survive-in-beer/

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@scoop

@rbl Inquiring minds wanted to know more about beer & mycobacteria! I found this blog, sounds good to me.

For your husband:

What makes beer antibacterial?
Ignoring its chemistry, the main antibacterial aspect of beer is its preparation – long boils kill pretty much any pathogen, leaving behind only a few viable spores. These spores typically do not survive fermentation, meaning that brewing a beer can clean up nearly any water source.

Chemically, beer is not antibacterial due to any one compound, but rather due to a combination of things. Alcohol, for example, can inhibit a number of pathogens, but other pathogens do just fine in the presence of alcohol. As an extreme example, the pathogen Mycobacterium nonchromogenicum can survive over 75% ethanol. So while ethanol kills some pathogens, others are pretty much oblivious to its presence. Sadly, with the broad availability (and massive mis-use) of alcohol-based hand sanitizers, ethanol-resistant pathogens are becoming ever more prevalent.

Hop compounds also inhibit some bacteria – specifically, members of the gram positive group of bacteria. But this lethality is not universal among the gram-positives (e.g. hop-resistant lacto strains are still gram-positive), and of course these compounds don’t do squat for gram-negative and other non-gram positive pathogens.

Finally, there is the acidity of the wort. Most beers finish below pH 4.5, which is the threshold for antibacterial acidity. But many pathogens have no issue with low pH’s – indeed, any pathogen that enters via our guts must be able to survive several hours in our stomach, which has a pH around 2; or nearly 100X more acidic than your average beer.

Overall, none of these chemical characteristics are sufficient to keep beer pathogen-free – most pathogens will survive fine if exposed to just one of the above antibacterial compounds; but the combination of the three is lethal to most bacteria.

from https://suigenerisbrewing.com/index.php/2014/02/18/fact-or-fiction-can-pathogens-survive-in-beer/

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Yikes, Scoop - that's way more than I ever wanted to know. I don't think the question was about beer, though, it was about the sanitizer solution used on beer bottles and brewing equipment to keep from infesting it with "foreign" bacteria in the brewing process, and whether it would be adequate for sterilizing or PEP and nebulizer devices.
Sue

REPLY
@scoop

@rbl Inquiring minds wanted to know more about beer & mycobacteria! I found this blog, sounds good to me.

For your husband:

What makes beer antibacterial?
Ignoring its chemistry, the main antibacterial aspect of beer is its preparation – long boils kill pretty much any pathogen, leaving behind only a few viable spores. These spores typically do not survive fermentation, meaning that brewing a beer can clean up nearly any water source.

Chemically, beer is not antibacterial due to any one compound, but rather due to a combination of things. Alcohol, for example, can inhibit a number of pathogens, but other pathogens do just fine in the presence of alcohol. As an extreme example, the pathogen Mycobacterium nonchromogenicum can survive over 75% ethanol. So while ethanol kills some pathogens, others are pretty much oblivious to its presence. Sadly, with the broad availability (and massive mis-use) of alcohol-based hand sanitizers, ethanol-resistant pathogens are becoming ever more prevalent.

Hop compounds also inhibit some bacteria – specifically, members of the gram positive group of bacteria. But this lethality is not universal among the gram-positives (e.g. hop-resistant lacto strains are still gram-positive), and of course these compounds don’t do squat for gram-negative and other non-gram positive pathogens.

Finally, there is the acidity of the wort. Most beers finish below pH 4.5, which is the threshold for antibacterial acidity. But many pathogens have no issue with low pH’s – indeed, any pathogen that enters via our guts must be able to survive several hours in our stomach, which has a pH around 2; or nearly 100X more acidic than your average beer.

Overall, none of these chemical characteristics are sufficient to keep beer pathogen-free – most pathogens will survive fine if exposed to just one of the above antibacterial compounds; but the combination of the three is lethal to most bacteria.

from https://suigenerisbrewing.com/index.php/2014/02/18/fact-or-fiction-can-pathogens-survive-in-beer/

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Scoop, my husband really
enjoyed reading your post!

REPLY
@equanimous

Thanks, Scoop for such a great post!
I do the same as Scoop with one exception. Instead of a baby bottle sterilizer, I use microwavable steam cleaning bags. I pop them in the microwave for 3 min with 2 oz of distilled water. I don't have enough counter space for a baby bottle sterilizer so these work better for me. I get them from Amazon. This link is below. Best of luck to you.
https://www.amazon.com/gp/product/B000096QQ5/ref=ppx_yo_dt_b_asin_title_o04_s00?ie=UTF8&psc=1
One final thought: If you do have a high mineral content in your water, it may help to soak your items in a solution of 1:1 water to white vinegar every so often. It will clear out the minerals. All the best to you!

Jump to this post

@equanimous Arlo....What a great suggestion! Thank you. I just ordered the bags. Can't wait to stop the endless boiling of equipment.
Kate

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