Case Of 6 x Tubs Of 200 Tablets

Chlor-Clean Tablets

For ‘Terminal Cleans’, ‘Isolation Cleans’ and Outbreaks of Infection.

In their Guidance Document, ‘Clostridium difficile infection: How to deal with the problem’, (January 2009) the Department of Health and the Health Protection Agency recommends the use of “…chlorine-containing cleaning agents (at least 1,000ppm available chlorine)…” for daily environmental cleaning of rooms or bed spaces, cleaning of all commodes, toilets, and bathroom areas and for the ‘terminal cleaning’ of mattress, bed space, bay or ward areas associated with patients with Clostridium difficile infection.1Further, the epic2 guidelines, published by the DoH in February 2007, recommend the use of ‘hypochlorite’ (or chlorine producing agent) with detergent during outbreaks of infection where the pathogen concerned survives in the environment. Unfortunately, it is not always recognised that most detergents prevent chlorine from working properly, hence the chlorine and detergent cannot be mixed together. When used separately the detergent residues must be washed off surfaces with clean fresh water before using the chlorine, thus a three-stage process is necessary. This is rarely done properly in the healthcare setting today due to time and cost pressures.

Cleaning and Disinfection in One Operation

Chlor-Clean has been developed to solve this problem. By creating a new surfactant that will work with the chlorine we have produced a tablet that, once dissolved in water, will give a solution that will both clean and disinfect at the same time.  This not only reduces the time taken to perform the cleaning process but improves the efficiency of the disinfection at the same time. Chlor-Clean tablets incorporate Sodium dichloroisocyanurate, the chemical shown by Wilcox et.al., (2007) to be more effective against Clostridium difficilespores than hypochlorite, stating that “… the combined body of evidence suggests that dichloroisocyanurate (i.e., chlorine-release) germicides currently represent the optimum choice for the removal of C. difficile from healthcare environments.” 3 The Chlor-Clean solution produces 1,000 p.p.m. available chlorine, as recommended by the DoH and HPA1. It is now established as the product of choice in many U.K. hospitals for Terminal Cleaning, Isolation Cleaning, and Outbreak Cleaning.  It has been shown to be an invaluable aid during outbreaks of hospital infection, including norovirus and Clostridium difficile outbreaks. 

Proven by Independent Testing to BS: EN Standards

Tests using BS: EN 1276 Standard, by an independent laboratory, have shown Chlor-Clean solutions to be effective against infection-causing bacteria such as E. Coli, Pseudomonas, Klebsiella, Staphylococcus (M.R.S.A.), Enterococcus, Acinetobacter and Clostridium difficile.4 Further testing by an independent laboratory has shown Chlor-Clean to exceed the requirements of the BS: EN 13704 Sporicidal Standard against Clostridium difficilespores.5 Note: In the case of blood or blood-stained body fluid spillage, The Department of Health recommends the use of 10,000 p.p.m. available chlorine. In such cases, it is more efficient to use Haz-Tab Granules or Haz-Tab Tablets. Chlor-Clean is also available from the NHS supply chain Codes: - Chlor-Clean Tablets: MRB 285. Chlor-Clean Diluters: MRB 278.  

References:

1. Clostridium difficile infection: How to deal with the problem. DoH & HPA, January 2009 available from DoH publications, or take the link from our useful links page.

2. epic2: National Evidence-Based Guidelines for Preventing Healthcare-Associated Infections in NHS Hospitals in England. 2007: Journal of Hospital Infection  65S, S1 – S64

3. Wilcox et. al., Efficacy of Hospital Cleaning Agents and Germicides Against EpidemicClostridium difficile Strains.  Infection Control and Hospital Epidemiology, 2007(Aug), 28, 920 - 925

4 & 5. Full details of testing are available on request.

6. Guidance for Clinical Health Care Workers: 1998 Department of Health. Also available at www.open.gov.uk/doh/chcguid1.htm