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Cleaning nebulizer/aerobika
After some thought and prayer about a compromise in daily routine of cleaning and sterilizing with what risk tolerance (or honestly lack of it) I have here's what I've decided to do as a routine. Any thoughts? And to note I DON'T have MAC or other bacterial infections I'm fighting.
AND any thoughts on boiling more than one set together (obviously then can't keep separate to know how long each is being used).
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Here it goes:
1) 1st day after am use - wash and soak and rinse then put in Bololo with auto sterilize/dry with boiled distilled water.
2) after pm use - same thing
3) 2nd day - am use - wash and soak and rinse then put in Bololo with sterilize/dry with boiled distilled water.
4) 2nd day pm use - wash and soak and rinse and then take the sterilized set out of the Bololo and boil both sets with IP in distilled water.
And when done because I have the wabi mini uv cabinet, I will add both sets to the uv cabinet
5) 3rd day start process all over again ...
So basically wash and soak and rinse each session, sterilize/dry day one and am of day 2;
And after end of day 2 wash soak rinse and boil both sets and put in uv cabinet
At least this way sterilized each day in Bololo; boiled every other day and still getting double use by putting in uv cabinet which can sterilize and dry and can uv every 3 hours for 9 hours so gets the benefit of overnight
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It's still overkill by manufacturer recommendations, but not as extreme as boiling after each use OR using the pressure cook cycle on IP.
Thank you everyone for your ongoing support. 🙏❤️
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@scoop I read this on NIH website and thought I would pass along.
"Non-tuberculous mycobacteria (NTMb), present in environmental water sources, can contribute to respiratory infection in patients with chronic pulmonary disease. Contaminated nebulizers are a potential source of respiratory infection. Treatment with baby bottle steam sterilizers disinfects home nebulizers inoculated with bacterial pathogens but whether this method works for disinfection of NTMb is unclear. Baby bottle steam sterilization was compared with vigorous water washing for disinfecting home nebulizers inoculated with NTMb mixed with cystic fibrosis sputum. No NTMb was recovered from any nebulizers after steam treatment whereas viable NTMb grew after water washing, demonstrating that steam sterilization effectively disinfects NTMb-inoculated nebulizers.
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1 ReactionThis is my source at NIH Library.
https://pubmed.ncbi.nlm.nih.gov/26810616/
@picartist NTMir.org is partnering with two of the experts in the field - Doctors Joe Falkinham and Jennifer Honda - to arrive at some definitive answers about the best methods for disinfection.
Stay tuned for further information! Be patient - studies take time, we are probably waiting for a year or so.
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1 Reaction@picartist That would be great to skip the step of soaking before disinfecting in the BBS. Until we get some clarity, as @sueinmn refers, I'll continue to soak before steaming. It makes sense to me from Dr. Falkinham's previous research about NTM biofilm disruption. See slide 9.
Falkinham Slides from NTM talk (Falkinham-Slides-from-NTM-talk.pdf)
I also read at NIH that a study of Pari nebulizers and steam can affect the output of nebulizers over time. I guess that's the reason they say replace after six months. See reference below.
https://pubmed.ncbi.nlm.nih.gov/30224332/
@picartist rinse soak in dishsoap, rinse soap off, put in baby bottle sterilizer (sterilize and dry) although the nebulizer and aerobika are biofilm resistant from the material they are made of it is still recommended to soak for 15-30 min
In addition, I boil every few days and dry in uvc mini wabi cabinet. Then start process over again using the baby bottle sterilizer.
When soaking and rinsing the nebulizer, how important is it to use warm/hot water instead of room-temperature? I soak and rinse in warm/hot tap water and each time, there's a lot of steam near my face. I worry about NTM exposure from this steam and want to understand the tradeoffs of soaking in room-temperature water, instead. I put it in a baby bottle sterilizer every other day.