CHEMICAL DISINFECTION - TESTING AND LISTING IN GERMANY AND EUROPE

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1 CHEMICAL DISINFECTION - TESTING AND LISTING IN GERMANY AND EUROPE RUDOLF SCHÜLKE FOUNDATION 2018 Dr. Jürgen Gebel Institute for Hygiene and Public Health, University-Hospital Bonn 1

2 Current Disinfection Practices in Germany: Laws and regulations with regard to disinfection Disinfection in outbreak situations laid down in German Infection Protection Act (IfSG 18): Usage of disinfectants tested and listed by Robert Koch-Institute is mandatory - RKI List of Disinfectants Medical applications public facilities Recommendations for prophylactic disinfection laid down by KRINKO (Commission for Hospital Hygiene and Infection Prevention at Robert Koch-Institute (RKI)): Usage of VAHcertified products ensures quality assurance - VAH List of Disinfectants Veterinary applications, foods sector: DVG (German Veterinary Society) Institute for Hygiene and Public Health, University-Hospital Bonn 2

3 VAH Disinfectants-Commission Members: Dr. Christiansen, Dr. Decius, PD Dr. Eggers, Prof. Eikmann, Prof. Exner, Dr. Gebel, Dr. Gemein, Dr. Gleich, Prof. Heeg, Dr. Hunsinger, Prof. Kramer, Prof. Martiny, PD Dr. Pitten, Dr. Steinmann, Prof. Suchomel,Prof. Vossebein, Prof. Wendt, Prof. Wolff Guests: PD Dr. Brandt (DGHM) Dr. Burghardt (BW) Frau Jacobshagen (BfArM) Dr. Schwebke (RKI) Prof. Rösler (DVG) Dr. Günnewig (BAuA) Institute for Hygiene and Public Health, University-Hospital Bonn 3

4 4+4-Working Group Members: 4 Members out of the Disinfectants-Commission of VAH: Dr. Christiansen, Dr. Gebel, Prof. Martiny, Prof. Vossebein 4 Members of Disinfectants-Suppliers: Ms Ostermeyer (Bode), Dr. Steinhauer (Schülke), Dr. Meyer (Ecolab), Dr. Rödger (Lysoform) Robert Koch-Institute (RKI) as Guest: Dr. Schwebke Institute for Hygiene and Public Health, University-Hospital Bonn 4

5 VAH-List of Disinfectants 2017 Issue 5 th of October 2017 with commercial products Online and brochure 6 Application domains: Hygienic handwash Hand disinfection (hygienic - surgical) Skin antisepsis Surface disinfection Instrument disinfection Linen disinfection Institute for Hygiene and Public Health, University-Hospital Bonn 5

6 Certification and Listing Certification and listing after approving the conformity of two independent expert reports on the efficacy of the product with the VAH guidelines on testing disinfectants by scientific experts from the Commission Three-year validity of certificates Issuance of certificate and inclusion in VAH-List of Disinfectants Institute for Hygiene and Public Health, University-Hospital Bonn 6

7 Testing of Disinfectants Principle of testing in 2 steps Step 1 = quantitative suspension test Step 2 = quantitative carrier test Spectrum of activity: * bactericidal/yeasticidal tuberculocidal/mycobactericidal ** ** fungicidal sporicidal virucidal (bv, bv+, v) *: bei Verfahren >40 C / **: wenn resistenter als P. aeruginosa Institute for Hygiene and Public Health, University-Hospital Bonn 7

8 Testing of virucidal products Institute for Hygiene and Public Health, University-Hospital Bonn 8

9 Testing of virucidal products Institute for Hygiene and Public Health, University-Hospital Bonn 9

10 CEN TC 216 Chemical Disinfectants and Antiseptics developement of standards in Europe CEN TC 216 Chemical Disinfectants and Antiseptics Secretariat: AFNOR founded in : 36 member states TC 216 / WG 1 NAMed NA AA Human medicine Humanmedizin DIN DIN TC 216 / WG 2 NAL Veterinary use Tierhaltung BSI DIN TC 216 / WG 3 NAL Food hygiene and domestic and institutional use Lebensmittel, Haushalt und Institutionell AFNOR DIN TC 216 / WG 5 NAMed/NAL Strategy Group Strategie-Gruppe DIN DIN Institute for Hygiene and Public Health, University-Hospital Bonn 10

11 Institute for Hygiene and Public Health, University-Hospital Bonn 11

12 Disinfectant Testing according to CEN-TC 216 EN Phase-Model Phase 1: Basis test Phase 2 / Step 1 Suspension test Phase 2 / Step 2 Carrier test Phase 3: Field trials Institute for Hygiene and Public Health, University-Hospital Bonn 12

13 Institute for Hygiene and Public Health, University-Hospital Bonn 13

14 EN-Standards CEN TC 216 WG Institute for Hygiene and Public Health, University-Hospital Bonn 14

15 Institute for Hygiene and Public Health, University-Hospital Bonn 15

16 Institute for Hygiene and Public Health, University-Hospital Bonn 16

17 Institute for Hygiene and Public Health, University-Hospital Bonn 17

18 Institute for Hygiene and Public Health, University-Hospital Bonn 18

19 Institute for Hygiene and Public Health, University-Hospital Bonn 19

20 Our wish: Bactericidal, leverucidal, fungicidal, virucidal, sporicidal products in the European List of Disinfectants 2020 Thanks for your attention!!! A list of procedures issued by the Disinfectants Commission in the Association for Applied Hygiene (VAH) in collaboration with the Scientific Societies and Professional Associations in Europe tested according to the CEN TC 216 Standard Methods for Testing Chemical Disinfection Processes and deemed to be effective for prophylactic disinfection and hygienic handwash Institute for Hygiene and Public Health, University-Hospital Bonn 20