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The Latest Word from Dr Honda on Sterilizing & Boiling

Posted by Sue, Volunteer Mentor @sueinmn, Sep 19 4:34pm

Presented today at the NJH NTM & Bronchiectasis: Patient & Family Conference!

Boiling tap water at a rolling boil for 5 minutes is plenty - tested in 10 labs across the country in January & June, at a variety of elevations. The water remains sterile at room temperature for up to 2 weeks in sanitized containers. Tap water was inoculated with multiple strains of NTM. (By 3 minutes all bacteria was gone, except M xenopii took 5 minutes.)

Boiling, the microwave sterilizers, baby bottle sterilizers, and travel pots - ALL WORK!

Purified spring water is safest. Some bottled waters contain varying levels of NTM, but none were MAC or Abscessus - they were the ones considered not to be human infection risks.

There is more about cleaning showerheads & household disinfectants, but I don't have time to cover it now.

The bottom line - we don't need to worry so much...

The slide deck is too large to download, I will work on it later.

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

Profile picture for jessed
jessed | @jessed | Sep 21 1:29pm
In reply to @nanaa85co "Dr Honda was really good. It was the first time I was hearing of her and..." + (show)
Profile picture for nanaa85co @nanaa85co

Dr Honda was really good. It was the first time I was hearing of her and of any of these tips, including the suggestion that we should be drinking, sterilized, water or boiling shower heads etc.
Does anybody have any tips on how they sterilize their drinking water? Do you fill up water bottles and use the baby bottle sterilizer? I purchased one last night, but it doesn’t seem big enough.. I would appreciate anybody’s practical tips. Thank you!

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@nanaa85co
I use a rectangular egg cooker that easily fits my neb and Aerobika. Best, jessed

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Sue, Volunteer Mentor | @sueinmn | Sep 21 6:03pm
In reply to @ursala7 "You mentioned to microwave steamer bags were tested and worked. I just bought a Dr Browns..." + (show)
Profile picture for Liz @ursala7

You mentioned to microwave steamer bags were tested and worked. I just bought a Dr Browns silicone steamer bag which is large enough to hold to neb sets without cramming. You add 2 oz of water to the bag, and microwave on high for 3 minutes, then there is a cool down period. Hopefully this is adequate to kill the NTM. With the discussions here-in I assume I can use unboiled distilled water for the 2 oz. It is fast and easy, plus if this is adequate, then I will have to lug a lot less distilled water home. Any thoughts about the efficacy of the 3-minute steaming process? Instructions say if it goes longer than the manufacturer suggests, there could be melting or distortion of the equipment - but that was a warning for baby bottles and accessories.

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@ursala7 This was one of the steamers tested by Dr Honda's lab at UT-Tyler (I think they tested 8). I am waiting to read the full report, but I am quite certain they were used according to the manufacturer instructions.

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2 replies
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Liz | @ursala7 | Sep 22 9:02am
In reply to @sueinmn "@ursala7 This was one of the steamers tested by Dr Honda's lab at UT-Tyler (I think..." + (show)
Profile picture for Sue, Volunteer Mentor @sueinmn

@ursala7 This was one of the steamers tested by Dr Honda's lab at UT-Tyler (I think they tested 8). I am waiting to read the full report, but I am quite certain they were used according to the manufacturer instructions.

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@sueinmn Thank you, because the microwave method is so easy!

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ingrid1947 | @ingrid1947 | Sep 22 9:53am
In reply to @ursala7 "You mentioned to microwave steamer bags were tested and worked. I just bought a Dr Browns..." + (show)
Profile picture for Liz @ursala7

You mentioned to microwave steamer bags were tested and worked. I just bought a Dr Browns silicone steamer bag which is large enough to hold to neb sets without cramming. You add 2 oz of water to the bag, and microwave on high for 3 minutes, then there is a cool down period. Hopefully this is adequate to kill the NTM. With the discussions here-in I assume I can use unboiled distilled water for the 2 oz. It is fast and easy, plus if this is adequate, then I will have to lug a lot less distilled water home. Any thoughts about the efficacy of the 3-minute steaming process? Instructions say if it goes longer than the manufacturer suggests, there could be melting or distortion of the equipment - but that was a warning for baby bottles and accessories.

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@ursala7
I'm interested in this too. And how often do the silicone bags need eplacement?

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1 reply
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Liz | @ursala7 | Sep 22 10:45am
In reply to @ingrid1947 "@ursala7 I'm interested in this too. And how often do the silicone bags need eplacement?" + (show)
Profile picture for ingrid1947 @ingrid1947

@ursala7
I'm interested in this too. And how often do the silicone bags need eplacement?

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@ingrid1947 It's a heavy silicone (see photo). It's more like an envelope with a flat bottom. I think it will last quite a while and was only $20. The only thing that surprised me was that drops of moisture don't readily evaporate on the bottom of the bag, even after it sat upside down all night.

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conniec | @conniec | Sep 22 10:46am

I use Dr. Browns silicone bags. There are 30 squares and you cross out one each time you use so they last a long time. there are 4 in a box. I got them at Target.
I microwave for 2 minutes which I heard was a safe time to avoid melting. The microwave times are listed on the bag for 3 different wattages.

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1 reply
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ingrid1947 | @ingrid1947 | Sep 22 12:28pm
In reply to @conniec "I use Dr. Browns silicone bags. There are 30 squares and you cross out one each..." + (show)
Profile picture for conniec @conniec

I use Dr. Browns silicone bags. There are 30 squares and you cross out one each time you use so they last a long time. there are 4 in a box. I got them at Target.
I microwave for 2 minutes which I heard was a safe time to avoid melting. The microwave times are listed on the bag for 3 different wattages.

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@conniec
Thank you!

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machesta | @machesta | Sep 27 11:32am
In reply to @sueinmn "@ursala7 This was one of the steamers tested by Dr Honda's lab at UT-Tyler (I think..." + (show)
Profile picture for Sue, Volunteer Mentor @sueinmn

@ursala7 This was one of the steamers tested by Dr Honda's lab at UT-Tyler (I think they tested 8). I am waiting to read the full report, but I am quite certain they were used according to the manufacturer instructions.

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@sueinmn Was there any information provided about the length of time needed for the baby bottle sterilizers to work effectively?

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Sue, Volunteer Mentor | @sueinmn | Sep 27 2:05pm
In reply to @machesta "@sueinmn Was there any information provided about the length of time needed for the baby bottle..." + (show)
Profile picture for machesta @machesta

@sueinmn Was there any information provided about the length of time needed for the baby bottle sterilizers to work effectively?

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@machesta Here is the video. It is my understanding that they ran them according to manufacturer instructions.

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1 reply
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machesta | @machesta | Sep 27 5:15pm
In reply to @sueinmn "@machesta Here is the video. It is my understanding that they ran them according to manufacturer..." + (show)
Profile picture for Sue, Volunteer Mentor @sueinmn

@machesta Here is the video. It is my understanding that they ran them according to manufacturer instructions.

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@sueinmn Hi Sue, thank you so much for taking the tie to share this video. I truly appreciate your help!!

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