Environmental Cleaning and Disinfectants For Clinic Settings

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Coronavirus COVID-19

BC Centre for Disease Control | BC Ministry of Health

Environmental Cleaning and


Disinfectants for Clinic Settings

Cleaning: the physical removal of visible soiling (e.g., dust, soil, blood, mucus). Cleaning
removes, rather than kills, viruses and bacteria. It is done with water, detergents, and steady
friction from cleaning cloth.
Disinfection: the killing of viruses and bacteria. A disinfectant is only applied to objects; never
on the human body.

All visibly soiled surfaces should be cleaned before disinfection.

Environmental cleaning for COVID-19 virus is the same as for other common viruses.
Cleaning products and disinfectants that are regularly used in hospitals and health care settings
are strong enough to deactivate coronaviruses and prevent their spread. Cleaning of visibly
soiled surfaces followed by disinfection is recommended for prevention of COVID-19 and
other viral respiratory illnesses.

Suggested cleaning and disinfecting frequencies for clinic settings:


Type of surface Frequency

1. Shared equipment
IN BETWEEN PATIENTS
otoscopes, baby scales, table and exam beds

2. Frequently-touched surfaces
Examples: medical equipment, door knobs, light
AT LEAST TWICE A DAY
switches, telephones, keyboards, mice, pens,
charts, cell phones, toys, bathrooms

3. General cleaning of procedure / exam rooms


AT LEAST TWICE A DAY

For electronic equipment please comply with manufacturer’s instructions to not void the warrantee.

IPC v3.1
If you have fever, a new cough, or are
having difficulty breathing, call 8-1-1.
Non-medical inquiries 1-888-COVID19 (1888-268-4319)
(ex. travel, physical distancing): or text 604-630-0300
Coronavirus COVID-19
BC Centre for Disease Control | BC Ministry of Health

Environmental Cleaning and


Disinfectants for Clinic Settings
The below list of common disinfectants is
provided as a guide to choosing products.
Most janitorial product outlets carry all of
these products. Pre-made solutions (no Number (DIN):
dilution needed) or ready-to-use wipes can A DIN is an 8-digit number
be used. Always follow the manufacturer’s given by Health Canada
instructions.
for use in Canada.
IMPORTANT NOTES:
Ensure disinfectant product has a Drug DIN
123456789

Follow product instructions for dilution, against coronavirus:


wet contact time, and safe use (e.g. Bleach: sodium
wearing gloves, good ventilation, etc.) hypochlorite (5.25%) Check
label and
Clean visibly soiled surfaces before Accelerated hydrogen directions
disinfecting (unless otherwise stated on peroxide (0.5%)
the product). Alkyl dimethyl ammonium
chlorides
Diluted bleach solution should be made
fresh each day to ensure the correct ppm
of chlorine as it breaks down over time.

coronaviruses1,2 :

Agent and concentration Uses

1. 1:100 dilution Chlorine: Used for disinfecting surfaces and medical


bleach – sodium hypochlorite (5.25%) equipment (e.g. counters, door knobs,
500 ppm solution
10 ml bleach to 990 ml water naturally.

2. 1:50 dilution Chlorine: Used for disinfecting surfaces contaminated


bleach - sodium hypochlorite (5.25%)
diarrhea, mucus, feces) (after cleaning with
1,000ppm solution
20 ml bleach to 980 ml water
naturally.

Used for cleaning and disinfecting surfaces


3. Accelerated Hydrogen Peroxide 0.5% and medical equipment.

4. Quaternary Ammonium Compounds (QUATs) Used for disinfecting of surfaces


noted as ‘alkyl dimethyl ammonium chlorides’
on the product label

1. Dellanno, Christine, Quinn Vega, and Diane Boesenberg. “The antiviral action of common household disinfectants and antiseptics against murine hepatitis virus,
a potential surrogate for SARS coronavirus.” American journal of infection control 37.8 (2009): 649-652.
2. Provincial Infection Prevention Control Network of British Columbia. “Infection Prevention and Control Guidelines for Providing Healthcare to Clients Living in
the Community.” (2014). https://www.picnet.ca/wp-content/uploads/PICNet_Home_and_Community_Care_Guidelines_2014_.pdf

IPC v3.1
If you have fever, a new cough, or are
having difficulty breathing, call 8-1-1.
Non-medical inquiries 1-888-COVID19 (1888-268-4319)
(ex. travel, physical distancing): or text 604-630-0300

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