Cleaning + disinfecting nebulizer and aerobica

Posted by sara10 @sara10, Jan 20, 2022

Diagnosed with bronchiectasis several years ago. No antibiotics so far but 2x airway clearance with aerobica and nebulizer recommended. Some MAC bacteria was found.
Finding all sorts of info how to properly clean and disinfect but none agree with the other. Should both be cleaned each time and is it good enough to disinfect once a week? Alcohol, hydrogen peroxide or boiling best option?
Finding the whole process very tedious especially if cleaning 2x per day was necessary.
Does anybody have experience with Evenflo silicone steam sanitizing bag for disinfecting? Or, what baby bottle cleaner and dryer can you recommend?

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@sueinmn

Hello Donna, Under my Medicare supplemental insurance, the Aerobika is covered if I get it from the doc as part of an office visit. If I go to but one, I pay.
If you get one from the doc, ask to have correct use demonstrated, it made a huge difference for me. My original pulmo had a fabulous nurse who was good about demonstrating. My current one actually has a respiratory therapist on her clinical staff who is awesome. She also gave me some new tricks for getting the mucus up last spring.
Sue

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Sue,
I have researched the Jacksonville and Orlando, Florida areas and there are no respiratory therapists. I told my eye Doc about it and she even asked around and could not find one.
Any helpful tips would be appreciated for those of us that have no access to a respiratory therapist.
Thanks,
Sally

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@sallyb827

Sue,
I have researched the Jacksonville and Orlando, Florida areas and there are no respiratory therapists. I told my eye Doc about it and she even asked around and could not find one.
Any helpful tips would be appreciated for those of us that have no access to a respiratory therapist.
Thanks,
Sally

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Hospitals, especially those that have surgical departments, have RT's. You maay need to connect with a big hospital -especially one that does heart and lung surgery.
Have you tried there?
Sue

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@sueinmn

Hospitals, especially those that have surgical departments, have RT's. You maay need to connect with a big hospital -especially one that does heart and lung surgery.
Have you tried there?
Sue

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Sue,
I have tried every hospital in Jacksonville. I go to Mayo and they have a respiratory therapist that only tells you what equipment to buy but not how to use it.
Thanks,
Sally

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@sallyb827

Sue,
I have tried every hospital in Jacksonville. I go to Mayo and they have a respiratory therapist that only tells you what equipment to buy but not how to use it.
Thanks,
Sally

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As a Mayo patient, I think you need to contact the Office of Patient Experience for help. I believe there is a respiratory or cardiopulmonary therapy staff.

Or you can start here:
https://www.healthgrades.com/find-a-doctor/florida/best-respiratory-therapy-in-jacksonville
Sue

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I have two steam sterilizers, both acquired on Amazon: Nanobebe Microwave Steam Sterilizer & Evenflo Silicone Steam Sanitizing Bag. The Nanobebe is small enough for most microwaves. I used it when I was using Aerobika connected to nebulizer for 7% saline. It's roomy enough to sterilize the nebulizer parts plus the Aerobika. At home, after every use I 1) disassemble & wash nebulizer & Aerobika parts in hot soapy tap water, 2) soak for 15 minutes, 3) rinse with tap water, 4) steam sterilize using distilled water, 5) air dry in a clean small colander that I only use for this purpose. I use the Evenflo steam sterilizer when camping in my RV or traveling. For either sterilizer, pay attention to the amount of water to use, & to the microwave time which is based on the watts of the microwave.
Lately I've changed to use the use the nebulizer first, then Aerobika. Since I only exhale through the Aerobika when I use it separately, I sterilize it less frequently. Otherwise, same drill as above: disassemble, hot soapy wash, 15min soak, rinse, steam sterilize, air dry. I wash the Aerobika mouthpiece every use, steam sterilize the entire Aerobika weekly.
I've had trouble gettting advice on these procedures until I landed on this website today. As to whether my routine "is enough" I don't know what an expert would say, but am talking with a respiratory therapist tomorrow. With my original nebulizer, the parts could not be steamed or boiled, but I now have Pari nebulizers: ProNeb Max for home, & Trek S for travel, as it accepts dual voltage & has a rechargeable battery option. Pari nebulizer parts & Aerobika can be boiled or steamed without damage.
I'm about to go on a trip where I may not be able to get distilled water or vinegar or microwave access, so sorting that out now. Any input would be welcome.

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@sallyb827

Sue,
I have researched the Jacksonville and Orlando, Florida areas and there are no respiratory therapists. I told my eye Doc about it and she even asked around and could not find one.
Any helpful tips would be appreciated for those of us that have no access to a respiratory therapist.
Thanks,
Sally

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Would be extremely helpful if the pulmonologists had one in their practice. I'm in Ponte Vedra Beach and have quizzed all my retired friends. No help.

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@colleenyoung

@sara10, this question is a perennial favorite in the MAC group. Allow me to link you to previous discussions that have loads of wisdom and tip that you're looking for about cleaning and sterilizing besides the tips you've already gathered here from @gardiner @pop55 and @raney.

@thumperguy, started this one:
- Living Dangerously - Nebulizer Cleaning https://connect.mayoclinic.org/discussion/living-dangerously/

@128128terry11t started these two:
- Is it okay to microwave nebulizer or in baby bottle sterilizer? https://connect.mayoclinic.org/discussion/microwaves-and-nebulizers/
- Aerobika/nebulizer cleaning question https://connect.mayoclinic.org/discussion/cleaning-question/

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I have limited space and am unable to find a smaller baby bottle electric sterilizer. Any recommendations?
HD

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