How to clean nebulizer supplies?

Posted by carolmj @carolmj, May 11 9:21am

I do nebulizer treatments two times a day with 7% saline solution for pulmonary hygiene. I have bronchiectasis. I'm wondering how others clean their nebulizer supplies. I rinse
mine in water and let them air dry. I'm wondering if that's good enough?

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Profile picture for Sue, Volunteer Mentor @sueinmn

@smtdoc UV devices are not an expert-approved method of sterilizing nebulizer equipment. Sterilization only occurs where the UV rays directly contact any pathogens, so nooks, crannies and any opaque areas are not sterilized.

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@sueinmn when using UV, make sure that the device has mirror like reflective surfaces that maximizes coverage of most device surfaces.

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You're welcome. A few times while I was multi-tasking and using the aerobika, I slipped up and inhaled. Now, I make sure that I do nothing else while exhaling. I do 10 exhales, followed by 4-6 huff coughs and repeat. Best of luck to you!

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1 cup white vinegar - 3 cups water in bowl - soak all parts/pieces for 20 minutes - rinse with water.

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Profile picture for rockinkranch @rockinkranch

1 cup white vinegar - 3 cups water in bowl - soak all parts/pieces for 20 minutes - rinse with water.

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@rockinkranch The concentration of acetic acid you are recommending is not sufficient to kill mycobacteria.
Household vinegar is 5-6% acetic acid, and must be used full-strength for 30 minutes to be effective according to studies. If you are dealing with M. abscessus you need a 10% solution.
https://www.sciencedaily.com/releases/2014/02/140225101501.htm
https://journals.asm.org/doi/10.1128/mbio.00013-14
Therefore, if you plan to disinfect with vinegar, get 6% (read the label because cheaper white vinegars are only 4-5% acetic acid) and soak in full strength household vinegar for 30 minutes.

To limit the amount of plastic waste I generate, I buy 30% acetic acid and dilute 1 part vinegar/4 parts water or 45% acetic acid and dilute 1 part vinegar/6 parts water to get a 6% concentration. (90% is also available (dilute 1:14), but it is very corrosive if spilled and harder to find.)

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Profile picture for sarahlynn1960 @sarahlynn1960

@ruokruok Pari told you not to use baby bottle sterilizers? Did they say why?

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@sarahlynn1960 Sorry to be so late to reply but I couldn't find the thread... 🙁 Yes, I have called Pari several times and the reps I have spoken to were emphatic about only boiling parts. No specific answer as to why other than "that is our recommendation". I hope all of this ambiguity about how to clean nebulizer parts is clarified soon. No one wants to be using contaminated equipment.

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I do the same. I rinse in warm water and allow to air dry.

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