hygiene in practice

5TH EDITION v2

hygiene in practiceA guide to veterinary infection control from Animalcare, the veterinary disinfection experts

Vetaclean® and Vetasept®, the veterinary exclusive brands.

MRSA S.pseudintermedius

M.canis † Parvovirus

Veterinary surgeries are a potential source of infection and cross-infection both toanimals and to humans, whether working in the practice or visiting as clients. Veterinary professionals have a responsibility to minimise the risk of transmission of infectiousagents and good infection control should be placed at the centre of clinical practice.

Ideally, all practices should have a written infection control plan (as a Standard Operating Procedure) which should be reviewed regularly, audited, and updated at least annually1. Cleaning and disinfection protocols are a necessary part of the plan and staff training and education are essential to ensure effectiveness*.

This guide is primarily aimed at helping you assess the risk of infection in various procedures and areas within your practice. It is based on normal day to day operations, but confirmation of the presence of an infectious disease will immediately change the risk profile since ‘high risk’ pathogens can potentially colonise areas normally considered as ‘low risk’.

Practices need to review risk factors for the spread of resistant micro-organisms. Animals at particularly highrisk of hospital acquired infections (HAIs) include those with indwelling medical devices (e.g. catheters4 andimplants), severe illness, a history of prolonged antibiotic usage, large wounds (traumatic or surgical) or patients who have had prolonged hospitalization. There is no debating the fact that the single most important way of reducing HAIs and zoonotic infections is attention to effective hand washing. Some veterinary laboratories can offer hygiene screening services which will monitor the effectiveness of the cleaning regimens in your practice.

A number of HAIs can affect human hospitals, of which meticillin resistant Staphylococcus aureus (MRSA) is one of the most high profile. Similarly, in veterinary practices, MRSA can have very serious implications if post operative infection occurs. Fortunately, MRSA is a surface organism which is easily destroyed by the correct use of antibacterial disinfectants.

Conversely canine parvovirus, a highly infectious viral disease, is very resistant to disinfectants and once it has occurred in a premises the virus can remain viable for up to a year5. As the virus is shed in high titres in faeces, close attention should be paid to reduce contamination in the environment. Also, the virus is resistant to many commonly used disinfectants. Thankfully, Vetaclean® Parvo Liquid and Tablets from the Animalcare range of veterinary exclusive disinfectant cleaners have proven efficacy against this extremely hardy and very contagious virus.

Product selection has traditionally been made on the basis of “what we’ve always used” or “because it smells clean”. This has led to a mixture of products being used throughout a practice, many duplicating or indeed negating the action of others. Once again, the intention of this guide is to simplify matters by recommending the minimum frequency of disinfection and the right product for the right job.

animalcare. the veterinary disinfection experts.

HYGIENE IN PRACTICEHYGIENE IN PRACTICE

* An example of a referral practice setting up an Infection Control Group in response to an increased threat of HAIs has been reported in veterinary literature - see references 2 and 3 for details.


•Thoroughhanddisinfectioniscriticaltoinfectioncontrol.•Handsshouldbedisinfectedbeforeandafterpatients.•Handrubs/sanitisersshouldbeeasilyaccessedandrefilledregularly. They remove the need for constant washing and are less drying.

KEY POINTS

It is important to recognise that hand hygiene is the single most effective measure in preventing the spreadof infection. Hands must be cleansed before and after handling each patient, and the use of gloves should not reduce the frequency or diligence of hand disinfection, particularly as surveys have shown that veterinary staff appear to be at a greater risk of MRSA colonization6.

HAND DISINFECTIONHAND DISINFECTION

•Everyveterinarypracticeneedsawritteninfectioncontrolplan.•Theplanshouldbereviewedregularlyandupdatedannually.•Thebasisofaneffectiveinfectioncontrolplanisriskassessment.•Selectionoftherightproductfortherightjobisessential.

KEY POINTS

The Animalcare hygiene range offers you two highly effective products, Vetasept® Antimicrobial Hand Sanitiser and Vetasept® Chlorhexidine Hand Rub, which if used thoroughly and regularly before and after patients can help to limit the spread of infection by contact.

Vetasept® hand rub and hand sanitiser

HIGHLYFLAMMABLE

vetasept

500ml XHG 015

ChlorhexidineHand RubA rapid acting, microbial solutionfor the routine disinfection ofphysically clean hands.

Composition:0.5% Chlorhexidine Gluconate in 70% v/v IMSwith 1% v/v Glycerol. Instructions for use:

For disinfection of clean hands:1. Apply 3ml undiluted to hands and spread thoroughly.2. Rub vigorously until dry.

Caution:Keep out of the reach of children.Keep out of eyes and ears. Keep away from sourcesof ignition. Store in a cool place. For external use only.

Animalcare Ltd,Common Road, Dunnington,York, YO19 5RU.Tel: 01904 487687.

Vetasept® ChlorhexidineHand Rub

Description: A rapid-acting antiseptic solution.

Composition: 0.5% w/v Chlorhexidine gluconate in70% v/v industrial methylated spirit (IMS) with 1% glycerol.

Uses: To keep hands sanitised between patientswithout the need for constant washing.

Features/Benefits:

• Spirit base leaves hands dry after use.• Prolonged antiseptic activity.• Contains glycerol to prevent skin dryness through repeated use.• Particularly useful when water and towels are not readily available.

Vetasept® AntimicrobialHand Sanitiser

Description: A rapid-acting, broad spectrum,low alcohol (<12%), disinfectant spray.

Composition: Aqua, ethanol, isopropanol, carbomer, aloe barbadensis, glycerine, glutaral, didecyl dimmonium chloride.

Uses: To keep hands sanitised between patientswithout the need for constant washing.

Features/Benefits:

• Dermatologically tested, kind to hands, with soothing, moisturising aloe vera.• Absorbs easily, ideal for frequent use: apply regularly for all-day protection.• Low odour, animal-friendly formulation.


Vetasept® Chlorhexidine Surgical ScrubDescription: A low viscosity, premium antimicrobial skin scrub with emollients.

Composition: Chlorhexidine gluconate 4% w/v in a detergent based solution.

Uses: For rapid disinfection of hands and/or pre-operative skin preparation.

Features/Benefits:

• Pleasantly perfumed and contains an emollient to prevent skin drying.• Suitable for soiled hands.• Residual antimicrobial activity.

Vetasept® Chlorhexidine Skin Scrub BlueDescription: A rapid-acting spirit-based pre-operative skin scrub.

Composition: Chlorhexidine gluconate 0.5% w/v in 70% v/v IMS with a blue stain.

Uses: A proven formulation for antimicrobial cleansing of skin surfaces prior to surgery with a single step procedure (study report available on request).

Features/Benefits:

• Blue stain gives positive identification of the area which has been prepped.• Spirit base ensures that the cleaned area is dry prior to surgery.• No need for additional application of other spirit products.• Reduces the number of products and time required.• Proven prolonged action throughout surgery.

Vetasept® Chlorhexidine is a safe, effective biguanide disinfectant with broad spectrum antibacterial and antiviral activity. It is highly active against Gram+ve organisms, including MRSA, and at a concentration of 2-4% it is also active against yeasts, particularly Malassezia pachydermatis8. It is not inactivated by organic matter, and is persistent in action.

Vetasept® range

If rigorous hand disinfection is important to prevent the transmission of infection between sick and healthy patients, as well as preventing hospital borne post-operative infections, then rigorous pre-operative disinfection is critical. Surgeons in both human and animal medicine have come to rely on two compounds, Chlorhexidine gluconate and Povidone-Iodine, to ensure pre-operative asepsis. Both are highly effective in conjunction with good scrubbing techniques and the use of one or the other is a matter of personal choice. The Animalcare range includes a selection of surgical skin scrubs based on both compounds.Wall dispensers which minimise contamination are also available.

•Rigorouspre-operativeskindisinfectioniscriticaltogoodsurgicalpractice.•ChlorhexidineandPovidone-Iodinearebothhighlyeffective7.

KEY POINTS

SURGICAL SCRUBS & PRE-OPERATIVE DISINFECTIONSURGICAL SCRUBS & PRE-OPERATIVE DISINFECTION

HIGHLYFLAMMABLE

vetasept

500ml XHG 005

ChlorhexidineSkin Scrub BlueA rapid acting, bactericidal, quick-drying solution for routine skin cleansingand disinfection of intact skin.

Composition:Chlorhexidine Gluconate 0.5% w/v in 70% v/v IMS. Instructions for use:1. Thoroughly clip and clean the area.2. Apply undiluted on cotton wool or gauze swab to intact, dry skin.3. Rub into the skin area and allow to dry.4. Chlorhexidine will produce its maximum effect within 3 minutes of application.

Caution: Keep out of the reach of children. Keep out of eyes and avoid contact with brain, meninges or middle ear. Do not inject or use in body cavities. Keep away from sources of ignition. When use is to be followed by diathermy do not allow pooling of the fluid to occur and ensure that the skin and surrounding drapes are dry. For external use only. Store in cool place. Protect from light.


A rapid acting, bactericidal solution for pre-operative hand scrubbing and routine skin cleansing toreduce the risk of cross-infection.

For use as an antiseptic skin cleanserto reduce the risk of cross-infection:1. Wet the area to be cleaned and apply sufficient surgical scrub to facilitate cleansing. Wash for 1 minute.2. Rinse thoroughly and dry.

Instructions for use:

For pre-operative hand disinfection:1. Wet hands and apply about 5ml undiluted scrub. Wash for 1 minute.2. Clean fingernails and rinse thoroughly.3. Apply a further 5ml scrub and wash for 3 mins.4. Rinse thoroughly and dry.

Composition:4% w/v Chlorhexidine Gluconate bactericidal skin cleanser with emollient.

Animalcare Ltd, Common Road, Dunnington,York, YO19 5RU. Tel: 01904 487687.

5 LITRES XHG 008

ChlorhexidineSurgical Scrub

vetasept

For pre-operative site cleansing use Vetasept stained skin cleanser.

Caution: Keep out of eyes and ears. Keep out of reach of children.Store at room temperature. For external use only.

A rapid acting, bactericidal solution for pre-operative hand scrubbing androutine skin cleansing to reducethe risk of cross-infection.

Composition:4% w/v Chlorhexidine Gluconate bactericidalskin cleanser with emollient. Instructions for use:

For pre-operative hand disinfection:1. Wet hands and apply about 5ml undiluted scrub. Wash for 1 minute.2. Clean fingernails and rinse thoroughly.3. Apply a further 5ml scrub. Wash for 3 mins.4. Rinse thoroughly and dry.

For use as an antiseptic skin cleanserto reduce the risk of cross-infection:1. Wet area to be cleaned and apply sufficient surgical scrub to facilitate cleansing. Wash for 1 minute.2. Rinse thoroughly and dry.

For pre-operative site cleansing use Vetasept stainedskin cleanser.

Caution: Keep out of eyes and ears.Keep out of reach of children. Store atroom temperature. For external use only.


ChlorhexidineSurgical Scrub

vetasept

500ml XHG 007

Vetasept® Povidone-Iodine Surgical ScrubDescription: A premium antimicrobial foaming scrub with emollients.

Composition: 7.5% w/w Povidone-Iodine giving 0.75% w/w available iodine.

Uses: • For rapid disinfection of hands and/or pre-operative skin preparation.• Specially formulated for frequent use.

Features/Benefits:

• Provides colour demarcation during application.

• Suitable for soiled hands.• Soothing to reduce irritation.

Vetasept® Povidone-Iodine Alcoholic TinctureDescription: Sterile, filtered, alcohol-based skin disinfectant.

Composition: 10% w/w Povidone-Iodine giving 1% w/w available iodine in IMS.

Uses: Ideal for the pre-operative preparation of skin in a single step scrub procedure.

Features/Benefits:

• Quick-drying properties leave a dry surgical field.• Reduces the number of products and time required.

• Stains skin to delineate area disinfected.• Proven against MRSA and spores.• Detergent free.

Vetasept® Povidone-Iodine Antiseptic SolutionDescription: An aqueous solution of Povidone-Iodine.

Composition: 10% w/w Povidone-Iodine giving 1% w/w available iodine.

Uses: • For pre- and post-operative skin preparation where a dry field is not required.• Provides effective decontamination of broken infected skin and other sensitive areas. Prepping eyes: periorbital areas, ocular surface / conjunctival sac (diluted).• A piece of non-adherent dressing backed with cotton wool bandaged to the area for 30 mins will give a substantial reduction in spore-bearing organisms.

Features/Benefits:

Detergent-free: for use on more sensitive areas.


Vetasept® Chlorhexidine Clear RTU SprayDescription: A spirit-based pre-operative skin scrub / hard surface disinfectant.

Composition: Chlorhexidine gluconate 0.5% w/v in 70% IMS solution.

Uses: • Can be used for pre-operative preparation of skin and prior to injection.

• Ideal as a rapid-acting hard surface disinfectant.

Features/Benefits:

• Ready to use, no need to dilute.• Residual antimicrobial activity.

Vetasept® Povidone-Iodine is a highly effective skin disinfectant and antiseptic with activity against a broad spectrum of bacteria (includingMRSA), fungi, viruses and spores7,9. Povidone-Iodine is not impaired by blood, serum, necrotic debris or pus8. For many years it has been a product of choice in human hospitals, both in the UK and abroad ‡.

A rapid acting, bactericidal, skin cleansing solution forthe disinfection of hands prior to surgery and for routineskin cleansing to reduce the risk of cross-infection.

For quick drying skin cleansing use Vetasept Alcoholic Tincture.

Caution: In most instances of local irritation discontinue use. For externaluse only. Store below 30OC. Keep out of reach of children. Preparations containing Povidone-Iodine may temporarily discolour some preciousmetals and permanently stain rhodium-plated white gold.

Composition:1% w/w available Iodine


5 LITRES XHG 009

Povidone-IodineSurgical Scrub

vetasept


For pre-operative hand disinfection:1. Wet hands, apply about 5ml undiluted scrub.2. Clean fingernails and rinse thoroughly.3. Apply a further 5ml scrub and wash for 3 minutes.4. Rinse thoroughly and dry.

For use as antiseptic skin cleanser:1. Wet the area to be cleaned and apply sufficient surgical scrub to facilitate cleansing. Wash for 3 minutes with a sterile gauze soaked with water.2. Develop a lather and rinse thoroughly.

vetasept

500ml XHG 010

A rapid acting, bactericidal, skin cleansingsolution for the disinfection of handsprior to surgery and for routineskin cleansing to reduce therisk of cross-infection.

Composition: 1% w/w available Iodine. Instructions for use:

For pre-operative hand disinfection:1. Wet hands, apply about 5ml undiluted scrub.2. Clean fingernails and rinse thoroughly.3. Apply a further 5ml scrub and wash for 3 mins.4. Rinse thoroughly and dry.

For use as antiseptic skin cleanser:1. Wet the area to be cleaned and apply sufficient surgical scrub to facilitate cleansing. Wash for 3 mins with sterile gauze soaked with water.2. Develop a lather and rinse thoroughly.


Caution: In most instances of local irritation discontinue use. For external use only. Store below 30OC. Keepout of reach of children. Preparations containing Povidone-Iodine may temporarily discolour someprecious metals and permanently stainrhodium-plated white gold.


Povidone-IodineSurgical Scrub

A rapid acting, non-irritating, aqueous solutionfor the microbicidal preparation of operative sitesand the decontamination of broken, infected skin.

Caution: In most instances of local irritation discontinue use. For externaluse only. Store below 30OC. Keep out of reach of children. Preparationscontaining Povidone-Iodine may temporarily discolour some preciousmetals and permanently stain rhodium-plated white gold.

Composition:1% w/w available Iodine in aqueous solution


5 LITRES XHG 011

Povidone-IodineAntiseptic Solution

vetasept


For pre-operative disinfection of unbroken skin:1. Use undilted.2. Avoid pooling under the patient and in skin folds.3. Remove any excess solution before applying occlusive dressings.


For decontamination ofbroken, infected skin:1. Apply to dressing.2. Bandage on wound for 30 mins before treatment or operation.

vetasept

500ml XHG 012

A rapid acting, non-irritating,aqueous solution for the microbicidalpreparation of operative sitesand the decontamination ofbroken, infected skin.

Composition: 1% w/w available Iodine in aqueous solution. Instructions for use:

For pre-operative disinfection of unbroken skin:1. Use undilted.2. Avoid pooling under the patient and in skin folds.3. Remove any excess solution before applying occlusive dressings.

For decontamination ofbroken, infected skin:1. Apply to dressing.2. Bandage on wound for 30 minutes before treatment or operation.


Caution: In most instances of local irritation discontinue use. For external use only. Store below 30OC. Keepout of reach of children. Preparations containing Povidone-Iodine may temporarily discolour someprecious metals and permanently stainrhodium-plated white gold.


Povidone-IodineAntiseptic Solution

vetasept

500ml XHG 014

A rapid acting, non-irritating,quick-drying, microbicidal solutionfor preparing surgical sites.

Composition: 1% w/w available Iodine in spirit.


For pre-operative disinfectionof unbroken skin:1. Thoroughly clip and clean the area.2. Apply undiluted on cotton wool or a gauze swab to intact, dry skin.3. Rub into the skin area and allow to dry.4. Povidone-Iodine will produce its maximum effect within 3 minutes of application.

Caution: In rare instances of local irritation discontinue use. For external use only. Store below 20OC. Keepout of reach of children. Preparations containingPovidone-Iodine may temporarily discolour someprecious metals and permanently stainrhodium-plated white gold.


Povidone-IodineAlcoholic Tincture

vetasept

A rapid acting, bactericidal, quick drying solution for routine antisepsis of skin prior to injections, surgery etc, or as a hard surface disinfectant.

Composition:Chlorhexidine gluconate 0.5% w/v in 70% v/v IMS.

Instructions for use: Spray onto area and allowto dry. Chlorhexidine will produce maximum actionwithin 3 minutes of application and provides aresidual antimicrobial action.

Caution: Keep out of reach and sight of children.Keep out of eyes. Do not inject or use in body cavities including the middle ear. When use is to be followed by diathermy do not allow pooling of fluid to occur and ensure skin and drapes are dry.Store in a cool place. For external use only.Protect from light.

Animalcare Ltd, Common Road,Dunnington, York, YO19 5RU.Tel: 01904 487687.UK: www.animalcare.co.ukIreland: www.animalcare.ie

ChlorhexidineClear

HIGHLYFLAMMABLE

500mlXHG025


ROUTINE HAND WASHINGROUTINE HAND WASHING

When preparing surgical fields it is important to not only achieve asepsis prior to surgery but to maintainskin asepsis during the procedure by using an antiseptic with a spirit base to target micro-organisms in the sebum rich layers of the skin#. Animalcare supply three tinctures which provide rapid asepsis, are quickdrying and have residual activity*. Vetasept® Skin Scrub Blue and Vetasept® Povidone-Iodine Alcoholic Tincturetemporarily stain skin blue and yellow respectively on application. This ensures the entire area has been treatedand confirms to all theatre staff that the skin prep procedure has been completed minimising risk of breachesin aseptic procedures. If you prefer a non-staining tincture use Vetasept® Chlorhexidine Clear RTU Spray.

The following procedure is recommended for preparation of surgical sites:

1. Clip the hair from the surgical field using a surgical clipper blade in the prep room. 2. Remove all hair debris from the surgical field using a hand-held vacuum cleaner (specific for this purpose).For grossly dirty skin, proceed to step 3. For visually clean skin proceed to step 4.3. Wash grossly dirty skin using a 1:8 dilution of either Vetasept® Chlorhexidine or Vetasept® Povidone-Iodine surgical scrub. Thoroughly dry the skin with sterile towels or swabs.4. Apply preferred Vetasept® tincture (see above) wearing gloves if using staining products. It is essential that the tincture is applied to dry skin to maximise skin penetration and avoid dilution and ‘run-off’.5. Apply the solution to the edges of the operating site first using swabs (or cotton wool). Another swab should be used to apply the tincture to the centre of the site. Repeat this application process two or three times. 6. Apply sterile drapes once the skin is dry. It is important to allow the product to work for at least three minutes prior to surgery.

DISINFECTION OF OPERATION SITESDISINFECTION OF OPERATION SITES

A longer and more thorough handwash which includes forearms and elbows is required before surgical and invasive procedures. Maintain contact with antiseptic for 3-5 minutes. Scrub brushes are recommended aroundthe nails. Raise hands throughout to allow water to run off at the elbows. Use sterile towels to dry the skin.

PRE-OPERATIVE SKIN SCRUB PROCEDUREPRE-OPERATIVE SKIN SCRUB PROCEDURE

Follow these steps to ensure the soap is applied to all areas of your hands:

1. Wet hands under running water, apply antiseptic soap and rub palms together to ensure complete coverage.2. Spread the lather over the backs of the hands.3. Make sure the soap gets in between the fingers.4. Grip the fingers on each hand, paying particular attention to the thumbs.5. Press fingertips into the palm of each hand.6. Rinse and dry thoroughly with a paper towel and dispose of in a pedal bin. Do not use cloth towels.

Applicationto edges

Applicationto centre

Finishedappearance

Notes: # Traditional techniques using aqueous skin scrubs followed by pure surgical spirit should be avoided for several reasons; aqueous skin scrubs cannot target micro-organisms in the sebum (oil) rich layers of the skin, surgical spirit does not have any residual antiseptic activity once evaporated and its application rinses away any previously applied antiseptics such that recolonisation by airborne bacteria starts to occur almost immediately. * Shown to maintain asepsis for up to 60 minutes - studies available on request.

Vetaclean® (lemon or floral)Description: A liquid multi-use disinfectant with excellent detergent properties.

Composition: A quaternary ammonium compound (quat). Biocide is benzalkonium chloride.

Uses: • Surface disinfection of floors, work surfaces, door handles, walls etc.• Sanitising of utensils.

Effectiveness: • Broad spectrum bactericidal. • Some fungicidal and virucidal activity.

Generalproperties:

• pH 7-8.• Free rinsing.

• Extremely low toxicity.• Not classified as hazardous (non-irritant, non-corrosive).

Presentation: • 5 litre container with dispensing system.• 25 litre drums also available.• Also available in a retail pack as Vetaclean® Pet 250ml (XHG030).

Dilution rate: 1:200 5ml per litre.

Features/Benefits:

• Calibrated reservoir at 20ml intervals for easy, accurate dilution.• General disinfectant / excellent cleaner for breaking down organic matter.

Areas such as the waiting room, where risks appear to be low, can be deceptive. Patients that have not yet been examined but are suspected carriers (despite being asymptomatic) should be accorded a high level of hygiene attention. Coughing, urinating, defecating or the patients shaking themselves can add to contamination of theenvironment. Invasive procedures on an infectious patient can release dangerous pathogens into the atmosphere.Routine, rigorous hard surface cleaning and disinfection is a critical contributor to practice hygiene, eliminating or reducing infectious agents to a safe level. Product selection should depend not only on efficacy againstthe suspected pathogen, but also on detergent activity. This activity is necessary to clean away organic matter which may compromise antimicrobial efficacy. The Vetaclean® hygiene range offers a choice of disinfectantswith excellent cleaning properties which have been optimised for the sanitising of hard surfaces.


Vetaclean® range

Vetaclean® Natural Liquid Description: A concentrated, low toxic, foaming hard surface cleaner

and descaler with antimicrobial activity.

Composition: Formulated as a multi-blend of specially selected organic acids and natural antimicrobial botanical extracts.

Effectiveness: • Broad spectrum bactericidal, fungicidal, virucidal, sporicidal.• Effective in breaking down biofilm.

Generalproperties:

• Hypoallergenic.• Non tainting.• Non corrosive.

• Safe on all surfaces.• 98% biodegradable.

Dilution rate: 1:50 20ml per litre.

Features/Benefits:

• Contact time two minutes.• Also available as a ready-to-use 500ml spray.

•Rigoroushardsurfacedisinfectioniscriticaltopracticehygiene.•Choosingadisinfectantwithexcellentdetergentpropertiesisas important as the procedure itself.

KEY POINTS

HARD SURFACE DISINFECTIONHARD SURFACE DISINFECTION

vetaclean

5 LITRES XHG 081


THE NATURAL APPROACH TO PRACTICE HYGIENE

IRRITANT

A unique, non-toxic,hypoallergenicsanitiser/cleaner.

For general use in veterinary surgeriesand animal housing where a completelynatural product is preferred.

Broad spectrum bactericidal,virucidal, fungicidal andsporicidal activity.

Dilution: 20ml per litre.

Caution:S26: In case of contact witheyes rinse with plenty of waterand seek medical advice.S37/39: Wear suitable rubbergloves and eye/face protection.

A unique, non-toxic, ready-to-use,hypoallergenic sanitiser/cleaner.

For general use in veterinary surgeriesand animal housing where a completelynatural product is preferred.

Broad spectrum bactericidal, virucidal,fungicidal and sporicidal activity.

Dilution:Ready to use.

Caution:S26: In case of contact with eyes rinse withplenty of water and seek medical advice.


THE NATURAL APPROACH TO PRACTICE HYGIENE

vetaclean

500ml XHG 080

vetaclean

5 LITRESXHG 023

FLO

RA

L


Composition:Quaternary ammonium compound.Biocide: benzalkonium chloride.

Instructions for use:Using the calibrated reservoir, add 20ml per 4 litresof water (1:200 dilution).

Caution:Keep out of reach and sight of children. Avoidcontact with eyes. In case of contact with eyes rinseimmediately with plenty of water and seek medicaladvice. Biodegradable. Dispose of according tolocal authority regulations.

A multi-use disinfectantand cleaner with excellentdetergent properties.Broad spectrum bactericidal,fungicidal and some virucidalactivity. Ideal for regularuse in veterinary practices.

vetaclean

5 LITRESXHG 027

LEM

ON


Composition:Quaternary ammonium compound.Biocide: benzalkonium chloride.

Instructions for use:Using the calibrated reservoir, add 20ml per 4 litresof water (1:200 dilution).

Caution:Keep out of reach and sight of children. Avoidcontact with eyes. In case of contact with eyes rinseimmediately with plenty of water and seek medicaladvice. Biodegradable. Dispose of according tolocal authority regulations.

A multi-use disinfectantand cleaner with excellentdetergent properties.Broad spectrum bactericidal,fungicidal and some virucidalactivity. Ideal for regularuse in veterinary practices.

Vetaclean® Parvo Tablets (pine)Description: A general use disinfectant which gives a broad spectrum of use in tablet form.

Composition: Sodium dichloroisocyanurate (NaDCC) in an inert effervescent base.

Uses: • Hard surface disinfection.• Operating theatre, waiting room, consulting room and vehicles.• Instrument & equipment sanitising.• Animal accommodation disinfection: kennels, catteries, stables, cages, hutches etc.• Endotracheal tubes.• Cleaning/disinfection of feeding utensils.

Effectiveness: • Broad spectrum bactericidal.• Virucidal.

• Fungicidal.• Sporicidal.

General properties:

• Versatile.• Non-tainting.• Neutral pH.

• Long shelf life: 5 years.

Presentation: 180 x 2.5g effervescent tablets.

Dilution rate: • Floors, surfaces and general environment: 4 tablets in 6 litres of warm water - clean with mop or cloth and allow to dry.• Stainless steel instruments: ½ tablet in 1 litre of warm water - immerse for 1 hour.• Feeding bowls, rubber and plastic items: half a tablet in 5 litres of warm water - immerse for 1 hour and rinse well.• Mops, dish cloths etc.: half tablet in 10 litres warm water - soak as required.• Parvocidal treatment in a clean environment: 3 tablets in 2 litres of warm water - clean with mop or cloth and rinse.• Parvocidal treatment in a heavily soiled conditions: 5 tablets in 2 litres of warm water - clean with mop or cloth and rinse.

Features/Benefits:

• Proven against canine parvovirus.• Safer than liquid bleach.• Convenient to use - accurate dosing.• Compact presentation for easy storage.

Vetaclean® Parvo Liquid (lemon or apple)Description: Potentiated quaternary disinfectant plus surfactants.

Composition: A complex blend of didecyldimethylammonium chloride 5-10% and non-ionic surfactants <10% with sequestrants, water softeners and stabilizers in a demineralised aqueous base.

Uses: • Hard surface disinfection.• Cleaning and disinfection of feeding and drinking utensils, bedding and general equipment.• Operating theatre, vehicles, waiting room and consulting room.• Animal accommodation disinfection: kennels, catteries, stables, cages, hutches etc.

Effectiveness: Broad spectrum virucidal, bactericidal, fungicidal andsporicidal activity.

General properties:

• Biodegradable.• Negligible toxicity.

• Minimum accumulation potential.• pH 11.7-12.7

Presentation: 5 litre and 20 litre containers(pump dispensers deliver 20ml disinfectant).

Dilution rate: • Bactericidal activity as a general cleaner: 10ml per litre (1:100) - 1 pump per 2 litres.• Broad spectrum activity with the exception of canine parvovirus: 20ml per litre (1:50) - 1 pump per litre.• Broad spectrum activity including canine parvovirus: 40ml per litre (1:25)- 2 pumps per litre.

Features/Benefits:

• Broad spectrum and proven against canine parvovirus.• Good cleaning properties.


Vetaclean® Parvo range

vetaclean

5 LITRESXHG 044

AP

PLE


A versatile disinfectant withexcellent detergent properties.

For general use in veterinary surgeriesanimal housing where a combination ofcleaning and disinfection is required.

Broad spectrum virucidal, bactericidal,fungicidal and sporicidal activity.

Composition: Potentiated quaternary ammonium compound.

Dilution:

For bactericidal activity as a general cleaner:10 ml per litre (1:100).For broad Spectrum activity with the exception of Parvovirus:20 ml per litre (1:50).

For Broad Spectrum activity including Parvovirus:40 ml per litre (1:25).

Caution:Biodegradable. R36/38: Irritating to eyesand skin. S2: Keep out of reach and sightof children. S25: Avoid contact with eyes.S26: In case of contact with eyes, rinseimmediately with plenty of water and seekmedical advice. S46: If swallowed, seekmedical advice immediately and show thiscontainer or label. Dispose of accordingto local authority regulations.

PARVO LIQUID

IRRITANT

vetaclean

5 LITRESXHG 034

LEM

ON


A versatile disinfectant withexcellent detergent properties.

For general use in veterinary surgeriesanimal housing where a combination ofcleaning and disinfection is required.

Broad spectrum virucidal, bactericidal,fungicidal and sporicidal activity.

Composition: Potentiated quaternary ammonium compound.

Dilution:

For bactericidal activity as a general cleaner:10 ml per litre (1:100).For broad Spectrum activity with the exception of Parvovirus:20 ml per litre (1:50).

For Broad Spectrum activity including Parvovirus:40 ml per litre (1:25).

Caution:Biodegradable. R36/38: Irritating to eyesand skin. S2: Keep out of reach and sightof children. S25: Avoid contact with eyes.S26: In case of contact with eyes, rinseimmediately with plenty of water and seekmedical advice. S46: If swallowed, seekmedical advice immediately and show thiscontainer or label. Dispose of accordingto local authority regulations.

PARVO LIQUID

IRRITANT


Vetaclean®

Natural Liquid

Tested against: Independently certified:

Bacteria:Campylobacter jejuni

EN 1276

Listeria innocuaCampylobacter fetusListeria monocytogenesE.coli 0157: h7 (EHEC)Pseudomonas cepaciaEnterococcus faeciumPseudomonas maltophiliaEnterococcus hiraeSalmonella arizonaeSalmonella choleraesuisBacillus cereusSalmonella enteritidisBacillus subtilis var. nigerSalmonella pullorumStreptococcus suisSalmonella seftenbergStreptococcus faeciumKlebsiella pneumoniaeStreptococcus pyogenesBordetella bronchiseptica

Legionella pneumophila EN 1276NCTC 11192

Pseudomonas aeruginosa EN 1276ATCC 15442

Salmonella typhimurium EN 1276DT004

Staphylococcus aureus (MRSA) EN 1276NCTC 657

Fungi/yeasts:Aspergillus fumigatus

EN 1276

Aspergillus flavusCladosporiumAspergillus nigerAspergillus terreusFusarium spp.Botrytis cinereaCandida albicansPenicillium spp.Candida glabrataMicrosporum canis

EN 1275Trichophyton mentagrophytesViruses:Avian influenza (H5N1)

EN 1276

Avian pneumovirusNewcastle diseaseSARSFoot and MouthHIVInfluenza AGumboroHuman rhinovirusPRRSSwine Influenza Virus

Vetaclean®

Parvo Tablets

Tested against: Kill rate:

Bacteria:Campylobacter jejuni >99.9%Escherichia coli 100%Salmonella dysenteriae 100%MRSA Epidemic strain 15 (PHLS) >99.9%MRSA Fresh clinical isolate (Preston PHL) >99.9%MRSA NCTC 12493 >99.9%Bordetella bronchiseptica (EN 1040) >99.9%Enterobacter cloacae (EN 1040) >99.9%Erysipelothrix rhusiopathiae (EN 1040) >99.9%Listeria monocytogenes (EN 1040) >99.9%Pasteurella multocida (EN 1040) >99.9%Pseudomonas aeruginosa (EN 1040) >99.9%Yersinia enterocolitica (EN 1040) >99.9%Fungi/yeasts:Aspergillus fumigatus conidia 100%Aspergillus niger conidia 100%Cladosporium spp. conidia 100%Cryptococcus laurentii cells 100%Rhodotorula glutinis cells 100%Rhodotorula rubra cells 100%Candida albicans >99.9%Viruses:Canine parvovirus (CVL certified)Adenovirus (type 3) >99.9%Poliovirus (type 1) >99.9%Coxsackievirus (type A9) >99.9%Coxsackievirus (type B5) >99.9%Coliphages MS2 >99.9%Coliphages OX174 >99.9%Echovirus (type 7) >99.9%Reovirus (type 3) >99.9%Hepatitis A >99.9%Simian rotavirus SA11 100%HBV 100%HIV-1 100%

Vetaclean®

Parvo Liquid

Tested against: Independentlycertified:

Bacteria:

P.aeruginosaEN 1040EN 1276EN 13697DVGDGHM

S.aureus (MRSA)

E.hiraeEN 1276EN 13697DGHM

Salmonella typhimurium DGHMC.difficile EN 13704E.faecium

DVGP.mirabilis

E.coli EN 1276EN 13697

Bordetella bronchiseptica See EN 1276Mycobacteria See DGHM /

Microbiotest Inc.Atypical mycobacteriaFungi/yeasts:

C.albicans

EN 1650EN 1275DVGDGHM

A.nigerEN 13697EN 1650EN 1275

Microsporum canis See EN 1650Viruses:Newcastle Disease

DVGVaccinia virusPoliovirus BGVV

DVVECBO VirusNorovirus

BGA (now RKI)DVVAdenovirus

RotavirusFeline calicivirus (FCV) See NorovirusCanine parvovirus type 2 Microbiotest Inc.Feline panleukopenia See parvovirus


Microbiologicalefficacy

Further information/certificates are available on request.

Vetaclean®

Broad spectrum bactericidal with some fungicidal and virucidal activity7 - data below refers to tests on the biocide at the recommended label dilution.

Tested against: Independently certified:

Bacteria:Bacillus cereus MIC onlyEscherichia coli EN1276Listeria monocytogenes DGHMStaphylococcus aureus(including MRSA) EN1276

Streptococcus pyogenes(bacteriostatic) Suspension test

Fungi/yeasts:Candida albicans EN 1275

In normal circumstances some hard surfaces are more likely to acquire microbial contamination - and thereby assist in the spread of infection - than others, depending on the degree of contact with humans and animals. For example, the surface of a consulting room table is far more likely to be colonised by bacteria than the walls of the room. Selection of a product offering both detergent and disinfectant properties will also ensure good physical cleaning.

The following pages seek to identify the areas in the various rooms of the practice which are high risk and, therefore, in need of frequent disinfection, and those of lower risk which can be disinfected less frequently.

H High Risk Areas

• Clean between patients

• Clean spills immediately

•Vetaclean® Parvo recommended

• Concentrated traffic. Areas of repeated multiple contact.• Continuous risk of contact with mucous membranes, body fluids or material.• Areas and instruments used for invasive procedures.• Any area or equipment with potential direct or airborne contamination from patients with suspected or confirmed infectious disease, zoonosis, MRSA colonisation.

M Medium Risk Areas

• Clean once or twice daily

•Vetaclean® recommended

• Moderate traffic.• Possible multiple contact points.• No continuous risk of body fluids/material present.• Instruments used on intact skin surfaces.

•Vetaclean® Parvo suitable

•Vetaclean® Natural suitable

L Low Risk Areas• Clean weekly

•Vetaclean® recommended

• Low traffic.• No specific points of multiple contact.

•Vetaclean® Natural suitable


Depending on degree of risk, the minimum cleaning frequency is as follows:

Frequency of disinfection



• General traffic from clients waiting and collecting diets, drugs, accessories etc.

• Animals should be controlled or placed in pet carriers.

• Surfaces which come into contact with animals - such as front of reception desk being brushed, licked or scented by dogs - should be wiped liberally or disinfected with Vetasept® Chlorhexidine Clear RTU Spray.

• Clutter on the floor acts to discourage proper cleaning and can act as a reservoir of bacteria.

• Wounds should be properly dressed and injuries covered.

• Accidents should be cleaned up immediately using wipes or absorbent granules/powder such as Rapid Response. Use disposable towels/spatulas for solids and place in hazardous waste bag.

• Potential high risk patients should be segregated, reducing close contact.

FACTORS AFFECTING RISK

H Accidents, Spills:

Clean immediatelywith Vetaclean® Parvo

M Door handles:

Clean regularly (at least twice daily) with Vetaclean®

MDesk, Telephone,Keyboard10, Mouse:

Clean dailywith Vetaclean®

M Seating, Surfaces, Floors:

Clean after each surgerywith Vetaclean®

L Walls, Cupboards:


RECEPTIONRECEPTION


• Concentrated traffic - door to table.

• General risk patient population.

• Cross-infection via hands and equipment.

• The table is a point of multiple contact. Risk can be reduced by using a disposable cover.

• Protective disposable covers for common vectors, e.g. instruments, should be used.

• High risk patients can be identified.




H Instruments, Sinks, Tables:

Clean between patientswith Vetaclean® Parvo

H Hands:

Disinfect between clients with Vetasept® Chl. Hand Rub

M Door handles:

Clean twice dailywith Vetaclean®

M Floors:

Clean after each surgery with Vetaclean®

L Walls, Cupboards:

Clean weeklywith Vetaclean®

CONSULTING ROOMCONSULTING ROOM


• Concentration of activity on table.

• High risk patient population.

• Body fluids and materials present.

• Invasive techniques, exposure of body cavities.

• Cross-infection via hands, equipment and environmental agents.

• Pay particular attention to area around surgical procedures if performed on infectious patients.




H Anaesthetic machine:


H Instrument tray, Sinks, Tables:


H Animal operation site:

Vetasept® Chlorhexidine Skin Scrub Blue

Vetasept® Povidone-Iodine Alc. Tincture

H Veterinary surgeon hands/arms:

Vetasept® Chlorhexidine Surgical Scrub

Vetasept® Povidone-Iodine Surgical Scrub

M Door handles:


M Surfaces, Floors:

Clean once procedures list is complete with Vetaclean®

L Walls, Cupboards:


OPERATING THEATREOPERATING THEATRE


• Concentrated traffic.

• High risk patient population. Patients recovering from surgery.

• Extraordinary risk patients, e.g. parvovirus identified.

• Indwelling catheters.

• Bodily fluids and materials present.

• Cross-infection from hands, equipment, bedding/towels etc.

• Pay attention to bars, drains, security clips and clip boards.




H Mops, Buckets, Bowls, Leads:

Clean withVetaclean® Parvo

H Bedding, Cages:


H Hands:

Disinfect between patients with Vetasept® Chl. Hand Rub

M Door handles:


M Surfaces, Floors:


L Walls, Cupboards:


KENNELS, RECOVERY AND ISOLATION UNITSKENNELS, RECOVERY AND ISOLATION UNITS


• Concentrated traffic.

• Mixture of general and high risk patients.

• Body fluids and materials present.




HSinks, X-ray table,Dental benches:


M Door handles:


M Seating, Surfaces, Floors:


L Walls, Cupboards:


References† Fluorescence microscopy picture of M.canis infected cat hair stained with calcofluor white to demonstrate arthrospores. Feline Advisory Bureau (www.fabcats.org).‡ Under the Videne trademark.1. Cherry S, In Practice (2005) 27, 548-551. 2. Elwood C, Polton G, In Practice (2006) 28, 548-550.3. Elwood C, Polton G, In Practice (2008) 30,167-169. 4. Jones ID et al, Veterinary Record (2009) 164, 616-618.5. Ettinger S, Feldman E, Textbook of Veterinary Internal Medicine (1995) Vol 1, Chp 69, 405.6. Maclean CL, Ness MG, JSAP (2008) 49 (4),170-177. 7. Martindale, The Complete Drug Reference, 34th edition (2005).8. Muller and Kirks Small Animal Dermatology 6th Edition, Chp 3, 230.9. McClure AR, Gordon J, J of Hospital Infection (1992) 21, 291-299. 10. Fraser MA et al, Veterinary Record (2009) 165, 26-27.

MSDS are available from our website at www.animalcare.co.uk/downloads

DefinitionsDisinfectant:An agent that destroys infection-producing organisms (Saunders comprehensive veterinary dictionary). Disinfectants are chemicals that are usually too strong to be used on living tissue; they are designed to destroy micro-organisms on inanimate objects

Antiseptic:A substance which inhibits the growth of micro-organisms (Saunders). Antiseptics can be used on living tissue

Detergent:A soluble cleansing agent which combines with impurities and dirt to make them more soluble (Oxford Concise).

LABS, X-RAY, DENTAL AND DISPENSARYLABS, X-RAY, DENTAL AND DISPENSARY

Animalcare Ltd Common Road Dunnington York YO19 5RU

t: +44 (0) 1904 487687 f: +44 (0) 1904 487611

e: [email protected] i: (uk) www.animalcare.co.uk (Ireland:) www.animalcare.ie

Vetasept®

Vetasept® Antimicrobial Hand Sanitiser XHG055 50 ml

Vetasept® Chlorhexidine

Vetasept® Chlorhexidine Hand Rub XHG015 500 ml

Vetasept® Chlorhexidine Surgical ScrubXHG007 500 mlXHG008 5 LitreXHG042 2 x 5 Litre

Vetasept® Chlorhexidine Skin Scrub Blue XHG005 500 ml

Vetasept® Chlorhexidine Clear RTU SprayXHG025 500 ml Spray PackXHG026 6 x 500 ml Refill Pack

Vetasept® Povidone-Iodine

Vetasept® Povidone-Iodine Surgical ScrubXHG010 500 mlXHG009 5 LitreXHG060 2 x 5 Litre

Vetasept® Povidone-Iodine Alcoholic Tincture XHG014 500 ml

Vetasept® Povidone-Iodine Antiseptic SolutionXHG012 500 mlXHG011 5 Litre

Vetasept®

Vetasept® Hand Cream XHG016 250g

Vetasept® Pump DispenserXHG018 500 mlXHG019 5 LitreXHG004 20/25 Litre

Vetasept® Wall Dispenser XHG017 Holds 500 ml

Vetaclean®

Vetaclean® Lemon XHG027 5 LitreVetaclean® Lemon XHG035 25 LitreVetaclean® Floral XHG023 5 Litre

Vetaclean® Parvo

Vetaclean® Parvo Tablets XHG029 180 Tablets 2.5gVetaclean® Parvo Liquid - Lemon XHG034 5 LitreVetaclean® Parvo Liquid - Lemon XHG040 20 LitreVetaclean® Parvo Liquid - Apple XHG044 5 LitreVetaclean® Parvo Liquid - Apple XHG045 20 Litre

Vetaclean® Natural

Vetaclean® Natural Liquid - Concentrate XHG081 5 litresVetaclean® Natural Liquid - RTU Spray XHG080 500 ml

Further information is available from:

II/HYG/0811/1

Product Listing Code Quantity

HYGIENE PRODUCT RANGEHYGIENE PRODUCT RANGE

hygiene in practice

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