In this article, we consider the drug "Mistral Oxy." Instructions for use of this tool claims that it is intended for pre-sterilization cleaning, disinfection, as well as sterilization. This drug is produced by the Russian company Factory of Household Chemicals CJSC.
Description
In accordance with the instructions for use, Mistral is a transparent reddish liquid with a mild pleasant odor (due to the presence of a special perfume in the product), which has excellent detergent and sporocidal properties.
The spectrum of antimicrobial effects of the drug is wide enough. He is active against:
- causative agents of especially dangerous infections: spores of anthrax, tularemia, plague and cholera, viral agents (HIV, cytomegaly, rotaviruses, parainfluenza, poliomyelitis, adenoviruses, herpes, hepatitis, ECHO, SARS, SARS, Coxsackie, enteroviruses, noroviruses);
- GR + and GR- bacteria (including tuberculosis mycobacteria);
- mold, dermatophytes and fungi from the genus Candida.
The composition of the drug
Let's pay attention to the components of the disinfectant Mistral. Instructions for use contain data on its chemical composition:
- main components: hydrogen peroxide -10%, alkyl dimethylbenzylammonium chloride - 12%, polyhexamethylene biguanide hydrochloride - 6%;
- additional ingredients: water, neurogenic surfactants, perfume, anti-corrosion additive, dye.
Where and when is Mistral Concentrate used?
The instruction for use states that this tool is necessary for:
- manual disinfection (including pre-sterilization cleaning) of medical devices, including surgical and dental instruments from a variety of materials: glass, metal, plastic, rubber;
- disinfection by the mechanized method of metal tools in ultrasound machines of the Crystal type;
- presterilizing cleaning, which is not combined with disinfection, of medical devices made of various materials, both mechanized and manual;
- final cleaning of endoscopes before TLD;
- disinfection of parts of respiratory anesthesia equipment, systems for suction in dentistry, incubators, spittoon bowls, denture blanks made of plastic, ceramic and metal, silicone prints and other dental materials;
- TLD endoscopes;
- sterilization of various medical devices;
- disinfection of various surfaces: hard furniture, plumbing fixtures, apparatus, appliances and utensils in laboratories, pharmacies, canteens, as well as kitchen equipment, linen and appliances intended for patient care;
- elimination of food residues and secretions: urine, vomit, blood, sputum;
- disinfection of cleaning and medical equipment seeded with pathogenic fungi or mycobacteria of tuberculosis (dressing materials, rubber mats, etc.);
- disinfecting toys and shoes when they are seeded with bacteria, viruses, Candida fungi, dermatophytes;
- final, preventive or ongoing disinfection in hospitals, obstetric hospitals, child care facilities, pharmacies, various laboratories, treatment rooms, blood collection and transfusion stations;
- disinfection of surfaces in foci of infection, vehicles (sanitary, for transporting food) and in public utilities (dormitories, hotels, solariums, baths, beauty salons, public toilets, hairdressers, laundries);
- surface treatment at catering enterprises, food markets, in shopping and entertainment centers, military, social, sports facilities and so on;
- disinfection of surfaces infected with mold;
- carrying out general cleaning ;
- disinfection in the centers of especially dangerous infections of any surfaces, equipment, apparatus, equipment, toys, dishes, rubber mats, medical waste;
- disinfection of hard surfaces during preventive disinfection in biotechnological and pharmaceutical industries.
Solution preparation
As you can see, there is a large list of areas where the Mistral can be used. The instructions for the use of a disinfectant also describe the method of dilution of the drug in quite some detail.
The product is diluted with water in plastic, glass or enameled containers. For this, the required amount of Mistral is added to a certain amount of (drinking) water at room temperature. So, for the manufacture of:
- 1 liter of a 0.3% solution should be mixed with 3 ml of the product and 997 ml of water;
- 1 l of a 0.4% solution - 4 ml of the product and 996 ml of water;
- 1 l of a 0.5% solution - 5 ml of the product per 995 ml of water;
- 1 liter of a 1% solution - 10 ml of the product in 990 ml of water;
- 1 liter of a 2% solution - 20 ml of the product per 980 ml of water;
- 1 liter of a 3% solution - 30 ml of the drug and 970 ml of water;
- 1 liter of 4% solution - 40 ml of the drug and 960 ml of water;
- 1 liter of a 5% solution - 50 ml of the drug and 950 ml of water.
For the manufacture of 10 l of a solution of any concentration, the product and water are taken in an amount ten times greater than necessary for the preparation of 1 l of solution. For example, when preparing 10 l of a 5% solution, 500 ml of concentrate and 9500 ml of water should be taken.
It is in such proportions that solutions are prepared using the Mistral preparation. Instructions for use No. 6/10 in more detail about the use of this tool in hospitals.
The use of concentrate for the disinfection of medical devices
Where else can and should I use this tool? Instructions for use "Mistral" states that the concentrate is used in the disinfection of medical devices (including surgical and dental equipment) from metal, rubber, glass and plastic.
Such processing is carried out in enameled containers or in plastic with tight-fitting lids. For this, the workpiece should be immersed in a freshly prepared solution, and if it has cavities and channels, then they are filled with a syringe.
If possible, the product should be immersed so that the solution covers them for at least 1 cm. After the procedure, the glass products are removed and washed for 5 minutes, and the rubber products for 10 minutes with drinking running water, after which an additional half minute is washed with distilled water.
Disinfection of small tools in an ultrasonic installation
Instructions for use "Mistral" reports that:
- devices with locking parts before disinfection are placed open in a basket in 3 layers, but no more;
- tools without locks fit in one layer;
- small appliances are placed in a glass or Petri dish with a solution prepared in advance, and then placed in the center of the loading basket;
- after processing, metal products are washed for 3 minutes with drinking running water, and then repeatedly washed with distilled water for half a minute. Dry them with cloth napkins;
- the prepared solution can be used repeatedly.
Pre-sterilization treatment for various infections
- In the case of the presence of viral, bacterial or fungal agents, medical devices made of metal, rubber, plastic and glass are immersed in a 3-4% solution of the agent and kept for 60 to 120 minutes.
- In the case of processing tools in the "Crystal-5" (ultrasonic installation) apply a 3% solution with an exposure of 20 minutes.
- To clean hard endoscopes, immersion of these instruments in a 5% solution with an exposure of 15 minutes is used.
Disinfection of medical devices combined with pre-sterilization cleaning
- For soaking, apply a 3-4% Mistral solution with an exposure of 30-120 minutes.
- For washing, use the previous solution for 30 seconds.
- Rinsing takes place for 5-10 minutes under running water.
- Then for 30 seconds in distilled water.
The use of Mistral when disinfecting various objects
- Disinfection of various objects using Mistral solutions should be carried out by soaking, wiping, immersing and irrigation.
- Wipe surfaces and furniture using rags soaked in a solution (flow rate 100 ml / m square).
- Plumbing is treated with a ruff, brushes or rags (solution flow rate of 150 ml per square meter).
- Items for patient care should be immersed in a solution of the product, and then rinse with water.
- Any dishes should be completely immersed in the Mistral solution (2 liters per set), then rinsed with drinking water.
- The laundry must be soaked in the solution (5 l of the solution is used for 1 kg of laundry) and covered. After disinfection, it is washed and rinsed.
- Medical waste, that is , dressing material, tampons, napkins, are placed in a 3% solution for 2 hours, and then disposed of.
- After disinfection, wet cleaning is carried out in the room.