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DiscussionHow to clean nebulizer supplies?
MAC & Bronchiectasis | Last Active: 4 hours ago | Replies (57)Comment receiving replies
Replies to "Thank you Irene, Kate, Kamarla, and Ursala for responding to my post. To clarify, I have..."
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@phoenixrises Sorry to say, I wrote a response yesterday, and "the computer ate it". Now I am tap-tap-tapping on a tablet, and long posts are a torture.
The neb parts supplied with your compressor are probably the "disposable" variety, and won't stand boiling, hence the alcohol bath.
If you buy Pari or similar reusable cups, widely available online, (they are interchangeable among machines) they can be boiled. Not the tubing - it should be discarded and replaced regularly. It is helpful to have 2 or more sets of nebulizer cups (only one tubing needed) -they cost about $15 each and are good for 3-6 months of daily use. When I was nebbing 3 times a day, I had as many as 6 cups at one point.
Here is a simple, time efficient method:
Boil a week supply of tap water and store in sanitized, covered container(s) - no need to refrigerate. Or get a 0.2 micron filter like LifeStraw or a filter at the tap. This is what you use for soaking and rinsing. See not below about microwave.
After each use, take apart the neb cup, agitate in hot soapy water and let soak. Repeat until you use them all.
Put all the parts in a saucepan with enough distilled water to cover, bring water to a boil, turn the heat to just boiling and set the timer for 10 minutes. Then turn off the stove and remove parts to a clean towel (we use a paper towel) to dry, it only takes minutes when they are hot. When dry store in a clean, covered container. We cover the pan, save and reuse the water several times, just topping off to cover the parts. Distilled water keeps the dissolved solids present in tap water from building up on the equipment. (Once I put my equipment into already boiling water, and it deformed. So now it goes into room temperature water and comes to a boil - not a problem.)
In my humble opinion, if you are boiling after each use, it is probably not necessary to use sterile water for the washing and rinsing.
Extended boiling of water in the microwave is not recommended by the oven manufacturers - you can get shattering, and once I had a Pyrex measuring cup explode when I was doing it - but don't ask me to explain why, or whether the problem has been solved in modern microwaves.
We use the saucepan method because it doesn't require another appliance, takes no space on the counter, doesn't require counting the number of uses (microwave steamer bags have that) and the equipment doesn't need separate drying operation.
When we (2 of us neb in our home) do not have an illness or exacerbation, we actually wash and rinse in filtered water after every use, but just boil once a week. And I have stayed MAC-free for 6 years after treatment, my partner has not gotten infected.
I don't know about the Air Physio. I use an Aerobika, which is also boilable.
We know that people at risk of lung infection, whether due to COPD, Cystic Fibrosis or Bronchiectasis, need to be careful about cleaning their equipment, but as you are learning, current recommendations and practices are all-over-the-map and very confusing. All of the methods people have been recommending here have been self-developed by patients with VERY limited testing to determine exactly what works and how many precautions are necessary.
The cleaning and sterilizing processes are currently undergoing scientific testing by Dr Jennifer Honda and Dr Joe Falkinham to determine exactly what is needed to be safe. We are all awaiting a definitive report.
It has taken me far longer to write this than it takes to do either the daily cleaning, or the boiling routine.